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Petition For Order Of Proctection Form. This is a South Carolina form and can be use in Magistrate Court-Municipal Court Statewide.
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Tags: Petition For Order Of Proctection, SCCA-744, South Carolina Statewide, Magistrate Court-Municipal Court
STATE OF SOUTH CAROLINA
)
)
COUNTY OF ____________________________ )
)
________________________________________ )
Petitioner )
)
vs.
)
)
________________________________________ )
Respondent. )
)
IN THE FAMILY COURT
_____________JUDICIAL CIRCUIT
PETITION FOR ORDER OF PROTECTION
(For Use in Magistrate’s Court)
FILE NO.
Respondent’s SSN:
DOB:
Race:
Sex:
I ask this court to issue an Order of Protection, because:
1.
This is the county where this case should be handled, since (check one):
a. The person who caused the abuse lives in this county; or,
b. The person who caused the abuse does not live in this State, or can't be found, but I live
in this county; or,
c. The person who caused the abuse last lived with me in this county, and I still live in this
county.
2.
The person who caused the abuse lives at _______________________________________ in or
near the town or city of __________________, which is in __________________ County, and the State
of ____________________.
3.
The person who was abused was (check one or both, and supply information):
a. __________________________, who is the person asking for an Order of Protection; or,
b. __________________________, who is a child under 18 years old who lives with me.
4.
That the abuser and the victim (check one or more):
are husband and wife
were formerly husband and wife
are cohabiting
formerly cohabiting
have a child/children in common
are household or family members pursuant to S.C. Code Section 20-4-20 (a)(2)
5.
The abuse happened on _________________________________, at __________ o'clock,
A.M./P.M, when ________________________________ did this ________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________.
6.
I ask this court to (check one or both and supply information):
a. issue an order of protection which forbids _________________________ from abusing,
threatening to abuse or molesting __________________________.
b hold an emergency hearing within 24 hours.
Sworn to and Subscribed before me
)
this
day of
,
)
)
)
Notary Public for South Carolina
) Signature of Petitioner or
) Person on Behalf of Petitioner under 18 years old
My Commission expires
)
NOTICE TO RESPONDENT: YOU HAVE THE RIGHT TO EMPLOY COUNSEL TO REPRESENT YOU.
SCCA/744 (Amended 05/08)
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