Certification Of Completion Of Premarital Preperation Course {153PC}

CERTIFICATION OF COMPLETION OF PREMARITAL PREPARATION COURSE I certify that , bride and , groom have successfully completed a premarital preparation course, pursuant to S.C. Code § 20-1-230(B), and are entitled to a one-time fifty dollar non-refundable South Carolina state income tax credit as permitted in S.C. Code § 12-6-3381. I further certify that I am a professional counselor who is licensed pursuant to Chapter 75 of Title 40; OR am an active member of the clergy and provided counseling in the course of my service as clergy; OR such services were provided by a clergy's designee, including retired clergy, and that the designee is trained and skilled in premarital preparation. I further certify that the participants completed the course together, rather than separately. I further certify that the course was completed by the couple on I further certify that a minimum of six (6) hours was completed. Counselor (print) Counselor (signature) Counselor's Credentials Course Completion Date Hours Completed SCCA #153PC (12/06) 20- 1-230(B) , 12-6-3381 American LegalNet, Inc. www.FormsWorkFlow.com