Form SCCA/269 "Petition and Affidavit for Discarded or Abandoned Vehicles Property Mobile Home" - South Carolina

What Is Form SCCA/269?

This is a legal form that was released by the South Carolina Magistrate Court - 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 June 1, 2007;
  • The latest edition provided by the South Carolina Magistrate Court;
  • 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 SCCA/269 by clicking the link below or browse more documents and templates provided by the South Carolina Magistrate Court.

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Download Form SCCA/269 "Petition and Affidavit for Discarded or Abandoned Vehicles Property Mobile Home" - South Carolina

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STATE OF SOUTH CAROLINA
)
CIVIL CASE NO: ___________________
)
COUNTY OF ________________________
)
)
IN THE MAGISTRATE’S COURT
)
)
PETITION AND AFFIDAVIT FOR
)
DISCARDED/ABANDONED
)
VEHICLES/PROPERTY/MOBILE HOME
I, ____________________________, the Plaintiff in this civil action do make the following claims:
The name of the Plaintiff/Plaintiff's business/Plaintiff local official is____________________________,
which is located in the ____________________________ Magisterial District in _________________
County. The business license number is ________________________ (if applicable). I make the
following claims based on
1,
2,
3,
4, or
5 below.
1. VEHICLE TOWED BY LAW ENFORCEMENT ORDER/REQUEST :
On ______________________ (date), the Plaintiff received a ___________________ (vehicle VIN and
description) for towing and/or storage and as of _______________________ (current date), an amount
of _______________ is owed on the above vehicle. This total amount represents: $_______ Towing,
$_______ Repairs and/or $_______ Storage.
a) Did this vehicle have a colored tag or other notice advising that the vehicle had been declared
abandoned or derelict? ______If YES attach tag or Law Enforcement Report.
b) Highway Patrol/Sheriff/Municipal Police (circle one) called to tow a vehicle from the public roadway/
public property/private property (circle one) as a result of abandonment/accident/breakdown/after an
arrest (circle one) or ________________________________(other).
c) I reported the vehicle to be in my possession on _________ (date) to _________________
(agency).
d) I received information on ownership and lien holders on _________ (date). Copy attached.
e) I have sent a Certified, Return Receipt letter to __________________________ (titleholder)
on__________(date); to___________________________________(Lienholder) on_____(date).
Thirty (30) days has passed and no effort has been made to claim the vehicle by this owner (Yes/No),
or the letter was returned unclaimed (Yes/No). Copy attached.
f) Owner/Lienholder information has been received from _______________________ State Agency. A
copy is attached.
g) No Ownership/Lienholder information is available after reasonable search or certified return receipt
letter(s) to the owner and/or lienholder was returned unclaimed and Notice of vehicle sale was
published
on
_________________(date)
in
___________________________
(name
of
newspaper). Copy attached.
2. VEHICLE CUSTOMER ORDERED REPAIR/TOWING:
On _________________________ (date), the Plaintiff received a ___________________________
(vehicle VIN and description) for repairs or towing and as of _____________________ (current date) an
amount of ____________ is owed on the vehicle herein. This total represents: $_______ Towing,
SCCA/269 (06/2007)
STATE OF SOUTH CAROLINA
)
CIVIL CASE NO: ___________________
)
COUNTY OF ________________________
)
)
IN THE MAGISTRATE’S COURT
)
)
PETITION AND AFFIDAVIT FOR
)
DISCARDED/ABANDONED
)
VEHICLES/PROPERTY/MOBILE HOME
I, ____________________________, the Plaintiff in this civil action do make the following claims:
The name of the Plaintiff/Plaintiff's business/Plaintiff local official is____________________________,
which is located in the ____________________________ Magisterial District in _________________
County. The business license number is ________________________ (if applicable). I make the
following claims based on
1,
2,
3,
4, or
5 below.
1. VEHICLE TOWED BY LAW ENFORCEMENT ORDER/REQUEST :
On ______________________ (date), the Plaintiff received a ___________________ (vehicle VIN and
description) for towing and/or storage and as of _______________________ (current date), an amount
of _______________ is owed on the above vehicle. This total amount represents: $_______ Towing,
$_______ Repairs and/or $_______ Storage.
a) Did this vehicle have a colored tag or other notice advising that the vehicle had been declared
abandoned or derelict? ______If YES attach tag or Law Enforcement Report.
b) Highway Patrol/Sheriff/Municipal Police (circle one) called to tow a vehicle from the public roadway/
public property/private property (circle one) as a result of abandonment/accident/breakdown/after an
arrest (circle one) or ________________________________(other).
c) I reported the vehicle to be in my possession on _________ (date) to _________________
(agency).
d) I received information on ownership and lien holders on _________ (date). Copy attached.
e) I have sent a Certified, Return Receipt letter to __________________________ (titleholder)
on__________(date); to___________________________________(Lienholder) on_____(date).
Thirty (30) days has passed and no effort has been made to claim the vehicle by this owner (Yes/No),
or the letter was returned unclaimed (Yes/No). Copy attached.
f) Owner/Lienholder information has been received from _______________________ State Agency. A
copy is attached.
g) No Ownership/Lienholder information is available after reasonable search or certified return receipt
letter(s) to the owner and/or lienholder was returned unclaimed and Notice of vehicle sale was
published
on
_________________(date)
in
___________________________
(name
of
newspaper). Copy attached.
2. VEHICLE CUSTOMER ORDERED REPAIR/TOWING:
On _________________________ (date), the Plaintiff received a ___________________________
(vehicle VIN and description) for repairs or towing and as of _____________________ (current date) an
amount of ____________ is owed on the vehicle herein. This total represents: $_______ Towing,
SCCA/269 (06/2007)
$______Repairs
and/or
$_______
Storage.
Towing/repairs
were
ordered
by
___________________________________ (name of person).
a) On ___________ (date), I sent a Report of Unclaimed Vehicle to the South Carolina Department of
Public Safety concerning this vehicle.
b) On or about ________ (date), the South Carolina Department of Public Safety sent a letter to me
stating that the vehicle was registered to ____________________ and that there was a lien
(Yes/No) with the lienholder listed as ______________________. Copy attached.
c) I sent a Certified, Return Receipt Letter to _____________ (titleholder and person ordering
towing/repairs if different from titleholder) on ____________________ (date), which was received
by the addressee, 30 days has passed, and no effort has been made to claim the vehicle. (Yes/No).
The letter was returned unclaimed (Yes/No). Copy attached.
d) The lienholder was notified, Certified, Return Receipt Letter on _____________________ (date), and
the letter was received by the addressee (Yes/No). Lienholder’s letter was returned unclaimed
(Yes/No). Mailing date of letter is: ____________. Copy attached.
e) Owner/Lienholder information has been received from _________________________State
Agency. A copy is attached.
f) No Ownership/Lienholder information was available after reasonable search, or the certified return
receipt letter(s) to the Owner and/or Lienholder was returned unclaimed and Notice of Vehicle Sale
was published on ____________ in ____________________________ (newspaper). Copy
attached.
3. STOLEN VEHICLES:
On ____________________ (date), the Plaintiff received a ___________________________ (vehicle
VIN and description) for repairs or towing, which was stolen and as of _____________________ (current
date) an amount of __________________ is owed on the vehicle herein. This total represents: $_______
Towing,
$______Repairs
and/or
$_______
Storage.
Towing/repairs
were
ordered
by
______________________________ (name of person).
a)
Highway Patrol/Sheriff/Municipal Police (circle one) called to tow a vehicle from the public
roadway/public property/private property (circle one) and as a result determined that the vehicle
was stolen.
b)
I reported the vehicle to be in my possession on ___________________date to
________________ (agency).
c) I received information from Law Enforcement on ownership and lienholders on ______________
(date). Copy attached.
d) I have sent a Certified, Return Receipt Letter to _____________ (titleholder) on __________ (date)
and to ______________________________ (lienholder) on _________________ (date). The same
was received by addressee(s), 30 days has passed, and no effort has been made to claim the vehicle.
(Yes/No). The letter was returned unclaimed (Yes/No). Copy attached.
e) No Ownership/Lienholder information was available after reasonable search, or the certified return
receipt letter(s) to the Owner and/or Lienholder was returned unclaimed and Notice of Vehicle Sale
was published on ____________ in ____________________________ (newspaper). Copy
attached.
SCCA/269 (06/2007)
4. DERELICT/ABANDONED MOBILE HOME SALE/DESTRUCTION:
a) The mobile home located at _______________________________ has been (evicted)
(abandoned)(declared derelict) by Court Order dated ___________________________ (copy attached)
and the required notice was posted on ___________________________ (date) and remained posted for
30
days.
Description
of
mobile
home:
Make
__________________,
Model
__________________________, Vehicle Identification Number ________________________.
b)
A
request
for
title
information
was
filed
with
the
motor
vehicle
division
on
___________________________________ (date) and for tax information with the County Auditor on
___________________________________ (date).
c) That I sent a Certified Return Receipt letter concerning this action to (titleholder)(tax payer)(lienholder)
on ________________________________ (date).
d) The letter was (received) or (unclaimed) by titleholder;
(received) or (unclaimed) by tax payer;
(received) or (unclaimed) by lienholder.
e) No ownership information is available because _____________________________________________
_____________________________________________________________________________________
___________________________________________________________________________________.
f) The sale of this mobile home was published on _____________________________ (date) in
_______________________________________________________ newspaper.
THEREFORE, plaintiff requests that the Court order the mobile home described herein sold/destroyed and
removed.
5. OTHER ABANDONED PROPERTY:
On ______________________ (date), the Plaintiff came into possession of a ___________________
(description of property) and as of _______________________ (current date), an amount of
_______________ is owed on the above item. This total amount represents: $_______ Storage,
$_______ Other (Specify) _________________________________.
a) I have sent a Certified, Return Receipt letter to __________________________ (titleholder)
on__________(date); to___________________________________(Lienholder) on_____(date).
Thirty (30) days has passed and no effort has been made to claim the item by this owner (Yes/No), or
the letter was returned unclaimed (Yes/No). Copy attached.
b) Owner/Lienholder information has been received from _______________________ State Agency. A
copy is attached.
c) No Ownership/Lienholder information is available after reasonable search or certified return receipt
letter(s) to the owner and/or lienholder was returned unclaimed and Notice of item sale was published
on _________________(date) in ___________________________ (name of newspaper). Copy
attached.
6. The plaintiff has given all proper notices as provided in Section 29-15-10 of the South Carolina Code of
Laws and is now entitled to sell said vehicle at public sale after proper advertisement.
7. Plaintiff Has Attached Copies Of All Paperwork.
SCCA/269 (06/2007)
8. Non-Attorney Representation Form attached, if required.
THEREFORE, plaintiff moves that this Court order that all vehicles/mobile homes/property described
herein be sold at public auction/destroyed.
I state under penalty of perjury that the above information is true and correct to the best of my
knowledge:
Signature
Date
Business
Address/City/State/Zip
Phone
Sworn before me ____________________ (date)
Notary Public for South Carolina
My Commission Expires
_______________________
SCCA/269 (06/2007)
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