STATE OF SOUTH CAROLINA,	)
)	IN THE
COUNTY OF	)
)
)
JUDICIAL CIRCUIT
Plaintiff(s)	)
vs.	)	AFFIDAVIT OF SERVICE
)
)	FILE NO:
Defendant(s).	)
PERSONALLY PREPARED BEFORE ME, the undersigned deponent, who being duly sworn

says that (s)he served the	in this action
(Describe document(s) served)
on	,	by delivery to
(Name of party served)
personally;
(Name of party served)
,	the	of the party served,
(Name of person served)
(Note relationship to party)
and a person of discretion residing at the residence of the party served;
,	the	of
(Name of person served)
(Title)	(Name of corporate party served)
and leaving with (him) (her) a copy at
(Street address)
in
County, South Carolina,
(City or Town)
County
on	at	o’clock
that deponent knows the person so served, and that deponent is not a party of this action, is not less than eighteen (18) years of age and has no interest therein or connection therewith.

Unable to locate and serve the above process on the defendant after diligent efforts to do so. The process is returned unexecuted.

Sworn to and Subscribed before me	)
this	day of	,	2 .	)
)
)
Notary Public for South Carolina	)	Signature of Deponent
)
My Commission expires	)

Entered in the Sheriff’s Service Book on
Book	Page	Number

SCCA/748 (Amended 05/2008)

STATE OF SOUTH CAROLINA,

cyon

2010-08-23

drosengrant

SC Judicial Dept