Declaration Of Minor Under The Age Of Seventeen printable pdf download

Declaration Of Minor Under The Age Of Seventeen

STATE OF SOUTH CAROLINA

)

IN THE FAMILY COURT

)

____ JUDICIAL CIRCUIT

COUNTY OF _______________________

)

A JUVENILE

)

DECLARATION OF MINOR

)

UNDER THE AGE OF SEVENTEEN (17)

)

YEARS

)

A Child under Seventeen (17) Years of Age ) Docket No. ____________________________

NOTICE TO THE CLERK OF COURT: A CERTIFIED COPY OF THIS DECLARATION,

WITH THE FILE NUMBER NOTED ON IT, SHOULD BE GIVEN TO THE MINOR AFTER

SHE SIGNS IT.

THE ORIGINAL SHOULD IMMEDIATELY BE PLACED IN A SEALED ENVELOPE,

WHICH SHOULD BE FILED UNDER SEAL AND KEPT UNDER SEAL AT ALL TIMES

PURSUANT TO CODE SECTION 41-44-34(D).

My full name is________________________, and my address is

____________________________________________, South Carolina _____________.

I have filed a Petition under seal, under the name “Jane Doe.” I declare, under penalty of

contempt of court, that the foregoing is true and correct.

Date: _____________________________

____________________________________

____________________________, S.C.

Signature

SCCA 464 (12/2009)

Declaration Of Minor Under The Age Of Seventeen