Motion And Affidavit To Proceed In Forma Pauperis {SCCA-741}

STATE OF SOUTH CAROLINA, COUNTY OF ___________________ _________________________________ Plaintiff vs. _________________________________ Defendant. ) ) ) ) ) ) ) ) ) ) ) IN THE MAGISTRATE COURT MOTION AND AFFIDAVIT TO PROCEED IN FORMA PAUPERIS FILE NO. _________________________________ I, __________________________________________Error! Reference source not found., being duly sworn, state that I am the Plaintiff and that I do not have the funds available to pay the costs of filing and service in the present matter. I hereby request that the complaint be filed and service made without costs. ) ) ) ) Notary Public for South Carolina ) ) My Commission expires _________________ ) ORDER Leave is granted to proceed in forma pauperis without payment of the filing fee. Leave is granted to proceed in forma pauperis without payment of the service cost. Leave is denied to proceed in forma pauperis. Dated: ____________________ , 2_____ JUDGE/CLERK OF COURT Sworn to and Subscribed before me this ____ day of ________________, 2______. Signature of Plaintiff or Person Filing Complaint on Behalf of Plaintiff ______________________ , NOTICE TO PLAINTIFF: South Carolina The Court may assess costs against either party at hearing. SCCA/741 (Amended 10/2010) American LegalNet, Inc. www.FormsWorkFlow.com