STATE OF SOUTH CAROLINA	)	IN THE FAMILY COURT
)	JUDICIAL CIRCUIT
COUNTY OF	)
)
)
Plaintiff,	)	ARREST WARRANT AFFIDAVIT
)
vs.	)
)
)
Defendant.	)	Docket No.

Personally appeared before me, , who first being duly sworn, states that

(he/she) is the (Deputy) Clerk of Court for County and that according to the records of the said court, the above named (Plaintiff/Defendant) has failed to make payments to this court pursuant to its order dated , and that $ child support spousal support court costs fine is/are now past due as of this date.

Sworn to before me this	___________________________________

(Deputy) Clerk of Court

______day of ____________________, 20____

________________________________

Notary Public for South Carolina

My commission expires ___________________

Custodial Parent (if applicable):

SCCA 412A (4/2010)

2010-04-30