)
)	CIVIL CASE NUMBER
STATE OF SOUTH CAROLINA	)
)	IN THE MAGISTRATE’S COURT
COUNTY OF	)
)
)
PLAINTIFF(S)	)	AFFIDAVIT OF PLAINTIFF
)
VS.	)	(Distraint)
)
)
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	)	PLAINTIFF (or his attorney)
)
My Commission expires	)

SCCA/735 (Amended 05/2008)

)

Jeannie Grady

2008-05-12

Winkie Clark