Affidavit Of Plaintiff
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1)
__________________________
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CIVIL CASE NUMBER
STATE OF SOUTH CAROLINA
)
)
IN THE MAGISTRATE’S COURT
COUNTY OF ____________________
)
)
_____________________________________
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PLAINTIFF(S) )
AFFIDAVIT OF PLAINTIFF
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VS.
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(Distraint)
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_____________________________________
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DEFENDANT(S) )
I, ___________________________________ plaintiff in this action, state that I am the
landlord-lessor of premises within the jurisdiction of Magistrate _________________________,
which are described as (address and description of premises – apartment, house, etc.):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
I further state that, with regard to the above described premises, a landlord-tenant relationship
exists between myself and the defendant, ________________________________, tenant-lesses,
as evidenced by the following: (Attach lease papers or other written proof.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
and that the defendant is delinquent in his rent payment, in the amount of $______________.
(Describe in detail amounts due and on what dates.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Sworn to before me
)
this
day of
, 2
.
)
)
)
Notary Public for South Carolina
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PLAINTIFF (or his attorney)
)
My Commission expires
)
SCCA/735 (Amended 05/2008)
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