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

I, , appearing first before the Notary Public, state that I am the (Plaintiff/Defendant) in this matter. I have read the attached (Complaint/Answer/Counterclaim) and know or believe the contents and allegations are true to the best of my knowledge, except for those matters stated which are alleged on information and belief.

Sworn to before me this

_____day of _______________, 20____

_________________________________	______________________________________

Notary Public of South Carolina	(Plaintiff/Defendant)

My Commission expires: ____________

SCCA 403F (12/2009)

FFOR061 - Summons

2009-12-15