STATE OF SOUTH CAROLINA	)	IN THE FAMILY COURT
COUNTY OF	)	JUDICIAL CIRCUIT
)
)
Plaintiff,	)	ACCEPTANCE OF SERVICE
)	(Child Support Modification)
vs.	)
)
)
Defendant.	)	Docket No.

Pursuant to Rule 4(j), SCRCP, I certify that I received a copy of the following:

Family Court Coversheet, Summons and Complaint and Financial Declaration

Other:

in this action on at the following location: .

Date:_____________________, 20____ _______________________________________

Defendant's Signature

_________________________, S.C.

Printed Name of Defendant

Home/Mailing Address

City, State, Zip

Telephone No.

SCCA 400.22 SRL-CSM (8/2012)

Acceptance of Service (Child Support Modification)

2012-08-28