Acceptance Of Service One Year Continuous Separation

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STATE OF SOUTH CAROLINA
)
IN THE FAMILY COURT
)
_____ JUDICIAL CIRCUIT
COUNTY OF ________________________
)
)
)
)
ACCEPTANCE OF SERVICE
Plaintiff, )
(One Year Continuous Separation)
vs.
)
)
)
Defendant. )
Docket No. ______________________________
Pursuant to Rule 4(j), SCRCP, I certify that I received a copy of the Family Court Coversheet,
Certificate of Exemption, Summons, Complaint for Divorce, and Financial Declaration in this action
on (
/
/
) at the following location:
_________________________________________________________________________________.
Date: ________________________, 20_____
_________________________________
Defendant’s Signature
_______________________, S.C.
Printed Name of Defendant
Home/Mailing Address
City, State, Zip
Telephone No.
SCCA 400.03 SRL-DIV (12/2009)

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