STATE OF SOUTH CAROLINA
COUNTY OF BEAUFORT ____________________________________
CIVIL CASE NUMBER
_____________________________________________ IN THE MAGISTRATE’S COURT
PLAINTIFF(S)
_____________________________________________
MAILING ADDRESS
_____________________________________________
CITY, STATE, ZIP
_____________________________________________
TELEPHONE
VS APPLICATION FOR EJECTMENT
(EVICTION)
_____________________________________________
DEFENDANT(S)
_____________________________________________
MAILING ADDRESS
_____________________________________________
CITY, STATE, ZIP
_____________________________________________
TELEPHONE
I, _____________________________________________, Plaintiff in this action, state that I am the landlord-lesser of
premises within the jurisdiction of Beaufort County Beaufort Magistrate which is described as: (address and description of premises –
apartment, house, etc.) _________________________________________________________________________________________
____________________________________________________________________________________________________________
I further state that, with regard to the above described premises, a landlord-tenant relationship exists between me and the Defendant,
_____________________________________________, the tenant-lessee, as evidenced by the following: (Attach lease papers or
other written proof.)
____Lease or
____Other written proof
Grounds for this ejectment are one or more of the following:
____ The tenant fails or refuses to pay rent when due or when demanded in the amount of $____________________; or
____ The term of tenancy or occupancy has ended; or
____ The terms or conditions of the lease have been violated as follows:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
SWORN to and Subscribed before me )
)
This ________ day of _______________, 20______ )
)
__________________________________________ ) ___________________________________________
Notary Public of South Carolina ) Signature of Plaintiff or Attorney
NOTICE TO RESPONDENT: YOU HAVE THE RIGHT TO EMPLOY COUNSEL TO REPRESENT YOU.