STATE OF SOUTH CAROLINA COUNTY OF RICHLAND ) ) ) ) ) ) ) ____________________________ CIVIL CASE NUMBER IN THE MAGISTRATE’S COURT APPLICATION FOR EJECTMENT PLAINTIFF(S) Vs DEFENDANT(S) Plaintiff, ________________________________ appearing before me states that s/he is the Landlord/Lessor of the premises within the jurisdiction of the RICHLAND COUNTY MAGISTRATE COURT, which are located at ___________________________________ , ______________________________________________, and which are further described as ____________________________________________, and that a Landlord/Tenant relationship exists between him/herself and the Tenant(s)/Lessee(s), as evidenced by the attached Lease or Other written proof. Plaintiff, _________________________________ requests by this application that Ejectment Proceedings be initiated against the Defendant(s)/Tenant(s)/Lessee(s) based on the facts described below: Such tenant/lessee has failed or refused to pay rent when due or demanded. The Term of Tenancy or occupancy has ended. The terms or conditions of the lease have been violated. Sworn to before me on ____________, 20______ ______________________________________ JUDGE or Notary Public My Commission Expires: _________________ ___________________________________ Plaintiff/Attorney American LegalNet, Inc. www.USCourtForms.com