APPENDIX A. APPENDIX OF FORMS
_______________________________ 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 |
Defendant/Respondent
1. ___________________________________________________________________________
Other Parties (including minor children)
1. ___________________________________________________________________________
2. ___________________________________________________________________________
3. ___________________________________________________________________________
4. ___________________________________________________________________________
5. ___________________________________________________________________________
6. ___________________________________________________________________________
7. ___________________________________________________________________________
8. ___________________________________________________________________________
Information supplied: ____________________
Signed: ____________________
Firm: | |
Address: | |
Date: |
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) | ||
Signed: _____________________
Firm: | |
Address: | |
Date: |
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.