<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><meta http-equiv='content-language' content='en-us'/><title>SDLRC - Codified Law 15-39-78 - Forms for use in small claims procedure. </title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s2044404Normal { margin-top: 0; margin-bottom: 0; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2044404SENU { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2044404CL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } p.s2044404Normal-000000 { margin-top: 0; margin-bottom: 0; text-indent: 0.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2044404DefaultParagraphFont { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2044404000001 { font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s2044404CLP { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s2044404Normal-000002 { margin-top: 0; margin-bottom: 0; margin-left: 3.50in; text-indent: -3.50in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-right: 0; } p.s2044404Normal-000003 { margin-top: 0; margin-bottom: 0; text-indent: 0.25in; text-align: justify; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; margin-left: 0; margin-right: 0; } span.s2044404DefaultParagraphFont-000004 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: italic; font-weight: normal; margin: 0; padding: 0; } span.s2044404SCL { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s2044404SCL-000005 { font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } body { text-decoration-skip-ink: none; } </style></head><body><div><p dir="ltr" class="s2044404Normal"><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=15-39-78"><span class="s2044404SENU">15-39-78</span></a><span xml:space="preserve" class="s2044404SENU">. </span><span class="s2044404CL">Forms for use in small claims procedure.</span></p><p dir="ltr" class="s2044404Normal-000000"><span class="s2044404DefaultParagraphFont">The following forms are prescribed for use in small claims procedure, but failure to use or fill out completely or accurately any of the same shall not avoid any acts done pursuant to this chapter provided compliance with the preceding sections is made and the information required by such sections or the following forms is substantially and accurately recorded and furnished in writing as required by this chapter.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">STATE OF SOUTH DAKOTA )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ) SS IN SMALL CLAIMS COURT</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">COUNTY OF _____________ )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404CLP">    NOTICE TO PLAINTIFF AND DEFENDANT OF TIME FOR HEARING</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">TO: ________________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Plaintiff</span></p><p dir="ltr" class="s2044404Normal-000002"><span xml:space="preserve" class="s2044404DefaultParagraphFont">TO: ________________________________    </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Defendant</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">The Defendant has denied your claim in whole or in part.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">The Court will hold a hearing on this claim on ____, ____, 20____, at ____ M. in the hearing room/courtroom at __________, __________, South Dakota.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">If your claim is supported by witnesses, account books, receipts or other documents, you should produce them at the hearing. Subpoenas for witnesses, if requested in advance, will be issued by the Clerk.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">If you have any questions you should contact the Clerk of this Court.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Dated this ____ day of ____, 20____.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">Magistrate Clerk</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">By:</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">Address</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">Phone</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">STATE OF SOUTH DAKOTA )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ) SS IN SMALL CLAIMS COURT</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">COUNTY OF _____________ )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_________________________, Plaintiff vs. _________________________, Defendant</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404CLP">    NOTICE OF SMALL CLAIMS LAWSUIT</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">TO:__________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">___________________________________ has made a claim against you in this Court for the following sum: $____________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Amount of Claim</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont-000004">Description of Claim:</span><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ___________________________________________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p></div><div><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">You will lose this lawsuit and a judgment by default will be entered against you for the full amount of the claim at ____ o'clock ____ M., ____, ____, 20____, UNLESS you personally appear at or notify this office at least ____ days prior to that time and deny the claim in whole or in part specifying your reason for denial.</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">IF YOU DENY THIS CLAIM:</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">____ The matter will be heard at the time and place set forth above.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">____ The Plaintiff will be notified of your denial and the matter will be set for hearing and the parties notified of the time and place.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">If you make such a denial, you must appear at the hearing and should bring with you such evidence, witnesses, account books, receipts or documents upon which you rely to support your denial. Subpoenas for witnesses, if requested by you in advance of hearing, will be issued by the Clerk.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">If you admit the claim but desire time to pay, you must appear on or before the above date personally or by attorney, and state to the Clerk that you desire time to pay and show your reasons therefor.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">If you have any questions, you should contact the Clerk of this Court.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Dated this ____ day of ____, 20____.</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">Magistrate Clerk</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">By:</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">Address</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">_____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">Phone</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">STATE OF SOUTH DAKOTA ) IN CIRCUIT COURT</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ) ss _______ JUDICIAL CIRCUIT</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">COUNTY OF __________ ) SMALL CLAIMS COURT</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> SC Docket No. _______</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">________________________________ )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Plaintiff, ) AFFIDAVIT</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ) CLAIMING PAYMENT</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">vs. ) OF SMALL CLAIMS</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ) JUDGMENT</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">________________________________ )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Defendant.</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">State of South Dakota )</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ) ss</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">County of _________ )</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">__________, being first duly sworn on oath deposes and states that he/she is the defendant in the above entitled small claims case which resulted in a judgment against him/her in the sum of $ ____ entered on __________ and that he/she has paid the judgment and any applicable costs or interest awarded against him/her in full but that the plaintiff has failed or refused to satisfy the judgment of record despite request.</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Affiant further states he/she made payment on the following date: __________ in the following manner (please explain in detail the circumstances of payment and attach copies of any supporting documents):</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">__________</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Dated this ____ day of __________, ____.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> (Sign form and provide your ______________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> current and complete mailing ______________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> address and phone number) ______________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ______________________________</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Subscribed and sworn to before me this ____ day of __________, ____.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> _______________________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Notary Public </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> My Commission Expires: __________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404CLP">    ORDER TO SHOW CAUSE</span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404DefaultParagraphFont">TO: ____________________, The Plaintiff in this action:</span></p><p dir="ltr" class="s2044404Normal-000003"><span xml:space="preserve" class="s2044404DefaultParagraphFont">Based upon the foregoing affidavit it appears that this judgment may have been paid in full but that you have failed or refused to satisfy it of record in violation of SDCL § </span><a href="https://sdlegislature.gov/Statutes/Codified_Laws/DisplayStatute.aspx?Type=Statute&amp;Statute=15-39-76.1"><span class="s2044404DefaultParagraphFont">15-39-76.1</span></a><span class="s2044404DefaultParagraphFont">;</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Now therefore, YOU ARE HEREBY ORDERED to satisfy this judgment of record with the clerk of this court or to appear before this court in the court room of the courthouse in the City of __________ at ____ o'clock __________ m. on the ____ day of __________, 20____ to show cause, if any you have, why the said judgment should not be ordered satisfied of record by this court.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> BY THE COURT</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> _____________________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> ATTEST ____________________ Judge</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Clerk of Courts</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404CLP">    AFFIDAVIT OF MAILING</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Being first duly sworn on oath, I swear or affirm that on the ____ day of __________, 20____, I served a true and correct copy of the "Affidavit Claiming Payment of Small Claims Judgment" and "Order to Show Cause" in the above captioned matter, by United States mail, first class, postage prepaid, upon:</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">____________________</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">____________________</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">____________________</span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">____________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> _________________________________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Signature </span></p><p dir="ltr" class="s2044404Normal-000003"><span class="s2044404DefaultParagraphFont">Subscribed and sworn to before me this ____ day of __________, 20____.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> _________________________________________ </span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> Notary Public</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404DefaultParagraphFont"> My commission expires: _____________________</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p><p dir="ltr" class="s2044404Normal"><span class="s2044404SCL">Source:</span><span xml:space="preserve" class="s2044404SCL-000005"> Supreme Court Rule 81-4; SL 2005, ch 294 (Supreme Court Rule 05-08), effective Feb. 25, 2005.</span></p><p dir="ltr" class="s2044404Normal"><span xml:space="preserve" class="s2044404000001"> </span></p></div></body></html>