UNIFORM TRAFFIC TICKET

SUMMONS-COMPLAINT

PCN ______________

State of South Dakota

In Circuit Court

Magistrate Division

County of_______________

____________Judicial Court

State of South Dakota (Plaintiff)

vs

___________________________________

(Defendant)

No. _____________HP

THE UNDERSIGNED PEACE OFFICER COMPLAINS AND STATES THAT

ON OR ABOUT

AT OR NEAR (LOCATION/MILE POST)

AT TIME

A.M.

P.M.

_________________

____________________________________

________

WITHIN THE COUNTY AND STATE AFORESAID

NAME

HEIGHT

SEX

_____________________________

________

_____

ADDRESS

WEIGHT

_____________________________

________

CITY

STATE

BIRTH DATE

_____________________________

________

____________

DRIVER'S LICENSE NO.

STATE

_____________________________

________

DID UNLAWFULLY

OPERATE

_________

PARK

______

VEHICLE MAKE

_______________

BODY STYLE

_____________

STATE LICENSE NO.

YEAR

STATE

FR______Y

_____________________________

______

_______

______N

AND THEN AND THERE COMMIT THE FOLLOWING OFFENSE TO WIT:

PETTY OFF _____

MIS ______

DESCRIBE VIOLATION:

_________________________________________________

CDL ____Y____N

C Veh.____Y____N____E

_________________________________________________

Haz. Materials ____Y____N

in violation of SDCL_________________________________

_____Municipal

SPEEDING

_____Interstate

_____Other

______M.P.H. IN

______M.P.H. ZONE

OFFICER ISSUING SUMMONS

NO.

CITY

COUNTY

STATE

___________________________

_____

______________

_________

_______

ABOVE COMPLAINT IS TRUE AS I VERILY BELIEVE

DATE

OFFICER SIGN IN PRESENCE OF COURT OR NOTARY

__________________________________________________________________

_______

SUBSCRIBED AND SWORN TO ME THIS DATE (NAME AND TITLE)

DATE

__________________________________________________________________

_______

SUMMONS and PROMISE TO APPEAR

Defendant is ordered and does promise to appear in the above Court located in the city of

_______________________________

on

________________________________  at

a.m.

p.m.

_______

X ____________________________________________________________________________

Defendant's signature

(Signing this form is a promise to appear - not an admission of guilt. Violation of promise to

appear is a Class 2 misdemeanor, and a warrant may be issued.)

_____Yes _____No

Court appearance required.

_____Yes _____No

Power of attorney in lieu of appearance.  Amount $______________

(2) Form B:

UNIFORM TRAFFIC TICKET

SUMMONS-COMPLAINT

State of South Dakota

In Circuit Court

Magistrate Division

County of_______________

____________Judicial Court

State of South Dakota (Plaintiff)

vs

___________________________________

(Defendant)

THE UNDERSIGNED PEACE OFFICER COMPLAINS AND STATES THAT

ON OR ABOUT

AT OR NEAR (LOCATION/MILE POST)

AT TIME

A.M.

P.M.

_________________

____________________________________

________

WITHIN THE COUNTY AND STATE AFORESAID

NAME

HEIGHT

SEX

_____________________________

________

_____

ADDRESS

WEIGHT

_____________________________

________

CITY

STATE

BIRTH DATE

_____________________________

________

____________

DRIVER'S LICENSE NO.

STATE

_____________________________

________

DID UNLAWFULLY

OPERATE

_________

PARK

______

VEHICLE MAKE

_______________

BODY STYLE

_____________

STATE LICENSE NO.

YEAR

STATE

FR______Y

_____________________________

______

_______

______N

AND THEN AND THERE COMMIT THE FOLLOWING OFFENSE TO WIT:

PETTY OFF _____

MIS ______

DESCRIBE VIOLATION:

_________________________________________________

CDL ____Y____N

C Veh.____Y____N____E

_________________________________________________

Haz. Materials ____Y____N

in violation of SDCL_________________________________

_____Municipal

SPEEDING

_____Interstate

_____Other

______M.P.H. IN

______M.P.H. ZONE

OFFICER ISSUING SUMMONS

NO.

CITY

COUNTY

STATE

___________________________

_____

______________

_________

_______

ABOVE COMPLAINT IS TRUE AS I VERILY BELIEVE

DATE

OFFICER SIGN IN PRESENCE OF COURT OR NOTARY

__________________________________________________________________

_______

SUBSCRIBED AND SWORN TO ME THIS DATE (NAME AND TITLE)

DATE

__________________________________________________________________

_______

SUMMONS and PROMISE TO APPEAR

Defendant is ordered and does promise to appear in the above Court located in the city of

_______________________________

on

___________________________________  at

a.m.

p.m.

_______

X ____________________________________________________________________________

Defendant's signature

(Signing this form is a promise to appear - not an admission of guilt. Violation of promise to

appear is a Class 2 misdemeanor, and a warrant may be issued.)

_____Yes _____No

Court appearance required.

_____Yes _____No

Power of attorney in lieu of appearance.  Amount $________________

PETTY OFFENSES:  If charged with  a petty offense involving  the operation and use of a motor

vehicle and you  possess or have proof of  a valid  South Dakota driver's license,  you may choose

alternatives  1, 2 or 3 below.  If unable to meet the  license requirement or if  charged  with a non-

traffic offense, you may choose alternate 2 or 3 below. Upon refusal of the following  alternatives

you will be taken immediately to a magistrate for hearing.

1. Promise to Appear.  You may  sign the complaint  as a written  promise to  appear.   Intentional

failure to appear is a Class 2 misdemeanor

2. Admission and Deposit.  You may  sign a stipulation admitting the allegations in the complaint

which, together with the required deposit, will be filed with the clerk of courts.

3. Deposit.  You may  immediately mail said deposit  to the clerk of courts or personally make the

deposit,  either alternative to be in  the presence of the officer.  Refer to schedule of petty offenses

for amount required for the deposit.

If you  choose  alternative 2 or 3  and do not  appear in court  on the date specified,  the clerk  will

enter  judgment  against you  and you will  forfeit  your  deposit.  You  may  appear in court  after

signing  an admission and  the court may,  upon  motion,  relieve you  from the stipulation and the

effects thereof.