STATE OF SOUTH DAKOTA
)
COUNTY OF _______________
:SS )
IN CIRCUIT COURT
________ JUDICIAL CIRCUIT
___________________________, Plaintiff,
DIV _______ ADMISSION OF SERVICE OF ANSWER
vs. ___________________________, Defendant
(BY HAND DELIVERY)
I, ____________________________________________________, the above-named Plaintiff, admit receiving a copy of the Answer in the above-captioned matter at: _________________________________________________ (city) _________________________________________________ (county) _________________________________________________ (state). This Admission merely acknowledges receipt of the papers; I do not admit or deny any of the statements contained in those papers. Dated this ________ day of ______________________, 20_______.
____________________________________ Signature of Plaintiff (Sign only in front of a notary or Clerk of Court) Sworn/affirmed before me this _______ day of ____________, 20___. _______________________________ (Notary Public/Clerk of Court) _______________________________ If notary, my commission expires (SEAL)
Name: (Printed)_______________________ Address:____________________________ City/State/Zip:________________________ Telephone: (____)_____________________
Page 1 of 1 Form UJS-351 Rev. 02/2014