STATE OF SOUTH CAROLINA	)
)	CIVIL CASE NUMBER
COUNTY OF	)
)	IN THE MAGISTRATE’S COURT
)
PLAINTIFF(S)	)
)
VS.	)	AFFIDAVIT AND COMPLAINT
)	(Claim & Delivery)
)
DEFENDANT(S)	)
Plaintiff, personally appearing before me, who being duly sworn, states the following:

1.	The plaintiff is the owner, or is entitled to possession, of the property described below. (Give detailed description of each item):

2.	The property described above is being wrongfully withheld by the defendant, .

3.	To the best knowledge of the plaintiff, the property is being withheld by the defendant because:

4.	The property taken from the ownership or possession of the plaintiff due to any tax, fine or assessment (and if so seized, it should not have been by virtue of its exempt status).

5.	The actual value of the above described property is: (Itemize and give total if more than one item involved.)

*TOTAL $ .

That this amount has been determined in the following manner, to wit:

6.	That the Notice of Right to Cure as required by Section 37-5-110 and Section 37-5-111, Code of laws of South Carolina, 1976, as amended, has been given on (is not required).

DATED:

Sworn to before me,	)
this	day of	,	2 .	)
)
)
Magistrate or Notary Public for South Carolina	)	Plaintiff (or his attorney or agent)
)
My Commission expires	)
FOR COURT USE ONLY

ENDORSEMENT OF DISPOSSESSION

Based upon the showing of plaintiff made by affidavit and:

(”hearing held and date" or "no other")

the court hereby directs the constable to immediately take possession of the above described personal property from the defendant and to:

retain protective possession of the personal property until otherwise instructed by the Court.

deliver possession of the personal property to

IT IS SO ORDERED.
Dated:
Magistrate

SCCA/726 (Amended 05/2008)

STATE OF SOUTH CAROLINA

Carolyn W Yon

2005-01-12

mbaughman

SCJD