STATE OF SOUTH CAROLINA	)
IN THE COURT OF
COUNTY/MUNICIPALITY OF	)
)
STATE OF SOUTH CAROLINA
)	NOTICE AND MOTION TO BE RELIEVED FROM BOND
V.
)	PURSUANT TO S.C. CODE §17-15-20
)
Defendant	)
Pursuant to S.C. Code §17-15-20, relating to appearance bonds, I hereby provide 60 days’ notice to your court and move that the undersigned surety company be relieved from liability on the bond(s) designated below because three (3) years (in the case of a general sessions charge) or eighteen (18) months (in the case of a summary level charge) has lapsed since the execution of the bond(s), and the case(s) is still pending. A copy of the bond form is attached.
DEFENDANT'S NAME:
SSN:
DOB:
DATE BOND

EXECUTED
WARRANT /

TICKET

NUMBER(S)

CHARGES
BOND

AMOUNT
SWORN TO AND SUBSCRIBED BEFORE ME
THIS	DAY OF	,20	SURETY
Company:
d/b/a:
NOTARY PUBLIC FOR SOUTH CAROLINA
Address:
My Commission Expires:
Telephone:
Fax:
E-mail:
ORDER OF THE COURT
The above Request is hereby	☐	GRANTED	☐	DENIED
SOLICITOR/PROSECUTING OFFICER:
DATE:
JUDGE:
DATE:
☐	COURT COPY	☐	SOLICITOR/ PROSECUTING OFFICER COPY	☐	SURETY COPY

SCCA/634 (10/2012)

mbaughman

2012-10-11

Clark, Winkie