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___________________________
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CIVIL CASE NUMBER
STATE OF SOUTH CAROLINA
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IN THE MAGISTRATE’S COURT
COUNTY OF _____________________
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_____________________________________
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PLAINTIFF(S) )
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VS.
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AFFIDAVIT OF ABANDONMENT
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(Distraint)
_____________________________________
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DEFENDANT(S) )
I, ___________________________________________, plaintiff-landlord in this action,
state that the defendant-tenant of the premises described as (address and description of premises
– apartment, house, etc.):
____________________________________________ is delinquent in rent payments in
the total amount of $_________, in that such rent became due and owing on the ______ day of
_____________________, 2________; that, on information and belief as stated below: (Detail
reasons for believing premises to have been abandoned for fifteen (15) days.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
The plaintiff believes that the above premises have been abandoned by the defendant for
at least fifteen (15) days after the date of default stated above.
Sworn to and Subscribed before me
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day of
, 2
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Notary Public for South Carolina
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PLAINTIFF (or his attorney)
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My Commission expires
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SCCA/737 (Amended 05/2008)