CIVIL CASE NUMBERSTATE OF SOUTH CAROLINA ) ) COUNTY OF CHEROKEE ) IN THE MAGISTRATES COURT ) ) PLAINTIFF(S) ) ) AFFIDAVIT AND vs. ) ITEMIZATION OF ACCOUNTS ) ) ) DEFENDANT(S) ) Plaintiff, personally appeared before me, who being duly sworn, states that he is the plaintiff in thisaction, and the itemization of accounts which follows is true and correct. He further states that no part of the sum included in the itemization below has been paidor satisfied in any fashion, and is today due and owed to him. Itemization of Accounts $ $ $ $ $ TOTAL $Copies of bills, papers or any other proof of any of the above accounts should be attached to this documentSworn to before me, this ) S ignature Plaintiffday of 20 ) ) Magistrate or Notary Public for ) South Carolina ) My Commission Expires: )