State of South Dakota ) in Circuit Court

STATE OF SOUTH DAKOTA ) IN CIRCUIT COURT

COUNTY OF ) SECOND JUDICIAL CIRCUIT

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,

Plaintiff(s) DEFENDANT’S DENIAL/ANSWER/COUNTERCLAIM

vs.

SMC Case No.

,

Defendant(s)

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DENIAL/ANSWER: I am the Defendant (or an authorized representative of the Defendant):
I agree with the Plaintiff’s Statement of Claim. Judgment may be taken as requested in the complaint, plus costs and interest as allowed by law.
I do not agree with the Plaintiff’s Statement of Claim for the following reasons:

COUNTERCLAIM: I believe that Plaintiff owes me and the basis of my claim is as follows:

______

Defendant’s Printed Name Signature of Defendant

Date Home Phone Number Cell Phone Number Email Address

03/2012