Form SCCA491 "Affidavit" - South Carolina

What Is Form SCCA491?

This is a legal form that was released by the South Carolina Judicial Department - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2009;
  • The latest edition provided by the South Carolina Judicial Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form SCCA491 by clicking the link below or browse more documents and templates provided by the South Carolina Judicial Department.

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Download Form SCCA491 "Affidavit" - South Carolina

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STATE OF SOUTH CAROLINA
)
IN THE FAMILY COURT
)
____ JUDICIAL CIRCUIT
COUNTY OF _______________________
)
)
)
A JUVENILE
)
AFFIDAVIT
)
)
)
)
A Child under Seventeen (17) Years of Age ) Docket No. ____________________________
PERSONALLY appeared before me, ___________________________________, who
first being duly sworn, deposes and says that _________________________________ violated the
terms of (
his/
her) probation (as ordered by the Family Court of ___________________________
County, S. C. on (
/
/
) in the following particulars, and based on the following
facts:_____________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________.
Sworn to and Subscribed before me
)
day of
,
)
)
)
Notary Public for South Carolina
)
Signature of Affiant
)
My Commission expires
)
SCCA 491 (12/2009)
STATE OF SOUTH CAROLINA
)
IN THE FAMILY COURT
)
____ JUDICIAL CIRCUIT
COUNTY OF _______________________
)
)
)
A JUVENILE
)
AFFIDAVIT
)
)
)
)
A Child under Seventeen (17) Years of Age ) Docket No. ____________________________
PERSONALLY appeared before me, ___________________________________, who
first being duly sworn, deposes and says that _________________________________ violated the
terms of (
his/
her) probation (as ordered by the Family Court of ___________________________
County, S. C. on (
/
/
) in the following particulars, and based on the following
facts:_____________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________.
Sworn to and Subscribed before me
)
day of
,
)
)
)
Notary Public for South Carolina
)
Signature of Affiant
)
My Commission expires
)
SCCA 491 (12/2009)