CIVIL CASE NUMBERSTATE OF SOUTH CAROLINA ) ) COUNTY OF CHEROKEE ) IN THE MAGISTRATES COURT ) PLAINTIFF ) ) STREET ADDRESS ) ) CITY STATE ZIP ) ) TELEPHONE ) COUNTERCLAIM vs. ) ) DEFENDANT ) ) STREET ADDRESS ) ) CITY STATE ZIP ) ) TELEPHONE ) The defendant states he has a claim against the plaintiff in the amount of $The counterclaim arose out of the same transaction or occurrence as the plaintiffs claimas a result of the following events: (Attach supplement if necessary) The defendant states that the information contained in the counterclaim is true and correctto the best of his knowledge. Defendant understands that should he be successful in thisaction and obtain judgment, and if the plaintiff does not appeal within ten days, thisjudgment is final. The defendant cannot commence another action involving the sameparties and issues. I state under the penalty of perjury that the above is correct and truthful.Dated: Signature of Plaintiff