Acceptance of Service

[Pages:1]STATE OF SOUTH CAROLINA

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COUNTY OF ________________________ )

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Plaintiff, )

vs.

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Defendant. )

IN THE FAMILY COURT _____ JUDICIAL CIRCUIT

ACCEPTANCE OF SERVICE (One Year Continuous Separation)

Docket No. ______________________________

Pursuant to Rule 4(j), SCRCP, I certify that I received a copy of the Family Court Coversheet, Certificate of Exemption, Summons, Complaint for Divorce, and Financial Declaration in this action on ( / / ) at the following location: _________________________________________________________________________________.

Date: ________________________, 20_____ _______________________, S.C.

SCCA 400.03 SRL-DIV (12/2009)

_________________________________ Defendant's Signature

Printed Name of Defendant Home/Mailing Address City, State, Zip Telephone No.

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