Small Claims Info Sheet docket by ls723a4r

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									 SMALL CLAIMS DOCKET                                                                                                   SCM#
 IN MAGISTRATE COURT, COUNTY OF                                                    , SD



                                                                Default Hearing:
                                                                Reset Default Hearing:
                                                                Court Trial:
                                                                Reset Court Trial:

 Fees Paid: $
     Sheriff/Personal Service requested – certified mail returned unclaimed – returned refused


    Plaintiff 1:                                                                          Defendant 1:
    Address:                                                                              Address:
    City:                                State:          Zip:                             City:                               State:          Zip:
    Phone:                    Cell:                    Work:                              Phone:                      Cell:                 Work:
    Attorney & Address:                                                                   Attorney & Address:

    Plaintiff 2:                                                                          Defendant 2:
    Address:                                                                              Address:
    City:                                State:          Zip:                             City:                               State:          Zip:
    Phone:                    Cell:                    Work:                              Phone:                      Cell:                 Work:
    Attorney & Address:                                                                   Attorney & Address:




    Certified Mail Service:           Mailed:                                  Returned:                                      Delivered:


    Sheriff/Personal Service:         Authorized:                                 Returned:                                      Served:
    Court Remarks:

    Date Claim Dismissed:                                            With Prejudice               Without Prejudice   Signature:

    Judgment in favor of:                  Plaintiff             Defendant

    Date of Judgment:                             Amount: $                    Interest: $                     Costs: $                    Total: $

                                                         X
                                                                                Clerk-Magistrate or Magistrate Judge

    Date Judgment Satisfied:                                        By:
Plaintiff’s Claim:

                                                                                 6/2012
  Principal                $
  Interest                 $
  Sub Total                $
  Filing Fees              $
  Plaintiff’s Total        $
  Service Fees             $
  Total                    $
                                                                                                      Date:
                                                                                                      X
  Additional Costs                                                                                                       Signature of Plaintiff
  (Service Fees – it is the responsibility of the plaintiff to file the Return of Service)


Plaintiff’s Affidavit of Defendant’s Non-Military Status:
  I, being first duly sworn on my oath, depose and state:
               1. I am over the age of eighteen years and am competent to make this affidavit.
               2. I am the plaintiff or plaintiff’s agent in the above-entitled matter.
               3. That I have either made a personal investigation or personally reviewed the business records of the defendant.
               4. As a result of the investigation or review:
                   It is my belief that the above-named defendant is not in the military services on active duty;
                   It is my belief that the above-named defendant is in the military service on active duty;
                  I have been unable to determine whether or not the defendant is in the military service on active duty.
              My information and belief is based on the following:


  I understand that any false statements in this document are made under perjury, and that making a false statement is a violation of Federal Law and is subject to both
  fine and imprisonment.
              Dated this              day of                                 ,

              __________________________________________________________________
              Signature
              Subscribed and sworn to before me this _______ day of _______________, ________

              __________________________________________________________________
              Deputy Clerk or Notary Public
              If Notary, my commission expires: ______________________
                          (SEAL)

Defendant’s Answer/Denial: Filed on




                                                                                                              Counterclaim         $
                                                                                                              Interest             $
                                                                                                              Filing Fees          $
                                                                                                              Defendant’s Total    $
                                                                                      Date:                   X
  Additional Costs                                                                                                       Signature of Defendant
  Service Fees – it is the responsibility of the defendant to file the Return of Service



                                                                                             6/2012

								
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