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APPENDIX A. APPENDIX OF FORMS


CONFIDENTIAL INFORMATION FORM (Required by SDCL 15-15A-9)

_______________________________      Case No. _______________
Plaintiff/Petitioner

_______________________________
Defendant/Respondent

The information on this form is protected and shall not be placed in a publicly accessible portion of the court record. The filing documents will be placed in the public part of the court record devoid of this information.

         NAME      
SOCIAL SECURITY NUMBER, EMPLOYER
 
 
IDENTIFICATION NUMBER, TAXPAYER
 
 
IDENTIFICATION NUMBER, AND
 
 
FINANCIAL ACCOUNT NUMBERS
 

Plaintiff/Petitioner
1. ___________________________________________________________________________

Defendant/Respondent
1. ___________________________________________________________________________

Other Parties (including minor children)

1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
4. ___________________________________________________________________________
5. ___________________________________________________________________________
6. ___________________________________________________________________________
7. ___________________________________________________________________________
8. ___________________________________________________________________________

Information supplied: ____________________

Signed: ____________________

Firm:    
Address:    
   
Date:    

Documents to be recorded in the Register of Actions by caption as confidential.

Source: SL 2005, ch 291 (Supreme Court Rule 05-05), effective Feb. 25, 2005; SL 2006, ch 331 (Supreme Court Rule 06-57), eff. July 1, 2006.

CONFIDENTIAL FINANCIAL DOCUMENTS INFORMATION FORM
(Required by SDCL 15-15A-9)

_______________________________      Case No. ________________
Plaintiff/Petitioner

_______________________________
Defendant/Respondent

This form and the attached documents are protected and will be filed in a non-public part of the record.

  Document        Period Covered  
  Income Tax Returns    
  Financial Account Statements    
  Wage Stubs    
  Credit Card Account Statements    
  W2's and Schedules    
  Check Registers    
  Other (list below)    
     
     
     
     
     
     
     

Information supplied: ____________________

Signed: _____________________

Firm:    
Address:    
   
Date:    

Documents to be recorded in the Register of Actions by caption as confidential.

Source: SL 2005, ch 291 (Supreme Court Rule 05-05), effective Feb. 25, 2005; SL 2006, ch 331 (Supreme Court Rule 06-57), eff. July 1, 2006.


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