Proof Of Delivery
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1STATE OF SOUTH CAROLINA
)
IN THE PROBATE COURT
)
COUNTY OF: ___________________________
)
)
PROOF OF DELIVERY
IN THE MATTER OF:
)
)
CASE NUMBER: _____________________________
(Decedent)
)
On the _____ day of ________________________, 20_____, I mailed or delivered the following document,
_________________________________________________________________________________________________
A copy of which is attached hereto and incorporated herein, or
The original of which is on file with the court and incorporated herein,
Delivery was accomplished by the following method (check appropriate box):
personal delivery
ordinary first-class mail
certified mail
registered mail
to each of the following persons at the address shown:
NAME
ADDRESS
SWORN to before me this
day of
Signature:
, 20
Name:
Address:
Notary Public for South Carolina
Telephone (O):
My Commission Expires:
(H):
E-mail:
Signature:
Name:
Address:
Telephone (O):
(H):
E-mail:
FORM #120PC (2/2004)
62-1-401, 62-3-1003, general
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