South Carolina > Local County > Charleston > Magistrates Court > Small Claims
Complaint C32-5270 - South Carolina
| Complaint Form. This is a South Carolina form and can be used in Small Claims Magistrates Court Charleston Local County . |
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STATE OF SOUTH CAROLINA COUNTY OF CHARLESTON IN THE SMALL CLAIMS COURT ______________________________________ ____________________________________ Plaintiff Defendant Street Address Street Address ______________________________________ ____________________________________ City State Zip City State Zip Phone Phone No: __________________ esaCFiled: __________________ ed: __________________ vSerult: __________________ aDefing: __________________ Hear I, the plaintiff in this civil action, make the following claim against the defendant: 1.) I believe that the defendant is a resident of Charleston County. 2.) Check a, b, or c to indicate the type of suit and supply documents required. a. ( ) This is a suit on a note; Two (2) copies of note attached. Defendant has defaulted in payment of said note with bnalce oa f $_______________ now due and payable. b. ( ) This is a suite on an account; Two (2) copies of statement attached. Sign as affiant swearing to statement and have your signature notarized. SWORN and subscribed before me this ___________ day of _______________ 20 ____ Attached to this complaint is a statement of account which I swear to be true and correct, ________________________________________ with no part of thbe alance having been paid. NOTARY PUBLIC, State of South Carolina ____________________________________ My Commission Expires:____________________ Affian=s Sitgnature (Plaintiff) c. ( ) OTHER. This is a claim based on the following facts: (Describe Complaint) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ (attach supplement if necessary) 3.) I believe because of the following information, that I am entitled to, and request a judgment for $__________________ and/or other relief: _________________________________________________________________________________ (Include any costs resulting from this action. (Example: court costs, legal fees, interest) I STATE UNDER PENALTY OF PERJURY THAT THE ABOVE IS CORRECT AND TRUTHFUL. _______________________ _______________________________ Date Signature of Plaintiff or Attorney FORM C32-5270
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