) ) COUNTY OF ______________________ ) ) ) Plaintiff, ) ) vs. ) ) ) Defendant. ) Pursuant to an Order dated ( / / STATE OF SOUTH CAROLINA IN THE FAMILY COURT ____JUDICIAL CIRCUIT ARREST WARRANT Docket No. ___________________________ ), the ( Plaintiff/ Defendant) was ordered to pay $_____________ (child support) and/or $____________ (alimony) and/or $____________ (court costs) and/or $____________ (fine) to the office of the Clerk of Court for __________________ County on or before ( / / ) or in the alternative be committed to jail to serve a sentence of _____________________________________________________. Upon affidavit of the __________________ County Clerk of Court, it appears that the ( Plaintiff/ Defendant) failed to pay in accordance with the above referenced Order and there is now cause for the issuance of a warrant for the arrest of ________________________________ for _________________________________________. It is therefore ordered that the Sheriff or any lawful deputy arrest ______________________________________, and commit ( him/ her) to the county jail to be held for __________________________________________, provided however, that the said ( Plaintiff/ Defendant) may be released upon the payment of $____________ (child support) and/or $_____________ (alimony) and/or $____________ (court costs) and/or $____________ (fine) to the office of the Clerk of Court for ___________________ County. It is further ordered that ____________________________________________________ _____________________________________________________________________________. IT IS SO ORDERED. Date: _____________________, 20____ ___________________________, S.C. Custodial Parent (if applicable): ___________________________________________________ S.C. Code of Laws Ann. §§ 63-17-390, 63-17-410 __________________________________ Family Court Judge SCCA 412 (4/2010) American LegalNet, Inc. www.FormsWorkFlow.com _______________ vs. ________________ FOR: ___________________ Date Served Served by: Charge: ___________________________ Warrant No. Barcode __________ Warrant No. __________________ ARREST WARRANT - orDate Returned __________________ Reason for Return __________________ Surety: _________________ Address: ________________ Docket No. _________________________ Arrest Warrant No. (Ind.) ______________ Issued ____________________________ Court: Family Court Home Address ______________________ ______________________ 2nd Address ______________________ ______________________ Sex _____ Race _____ DOB _______ Height ________ Weight ____________ Eyes __________ Hair ___________ Social Security No. __________________ Case Party Name _____________________________ Tel. No.:________________ Amt of Bond: ____________ American LegalNet, Inc. www.FormsWorkFlow.com