Verification of Account Case Number: _ _ _ _ - SC - 86 - _ _ _ _ Caption vs. Plaintiff Defendant If no answer is received and the Defendant has been served for thirty days, complete this form and return it to the Court by fax (843) 724-6785 or U.S. Mail. A judgment will not be issued until the Court receives this form. 1. Amount Requested in Complaint $ 2. Payments received or adjustments made to - $ account since complaint was filed = 3. Outstanding Balance $ 4. Interest (if interest is included in the contract, you may compute it at contract rate - please specify rate + _____%. If not included in the contract, the statutory interest rate is 8.75% per year) $ + 5. Court Costs $ = 6. Grand Total Requested for Judgment www.charlestoncounty.o rg