Appendix A

APPENDIX TO CHAPTER 16-21A DOCUMENT RETURN REQUEST FORM STATE OF SOUTH DAKOTA, ) In Circuit Court ) County of ___________________ ) _______________ Judicial Circuit A. B., ) Plaintiff ) vs. ) DOCUMENT RETURN C. D., ) REQUEST Defendant ) I am requesting that the following document(s) submitted for scanning or as a trial exhibit in the above-named case be returned: List documents to be returned _____ I request that the document(s) be returned by mail and have enclosed a self-addressed stamped envelope. _____ I will pick up the document(s) on __________. Dated ____________________ Signed: ____________________ Party or Party's Attorney of Record Address: ____________________ RETURN RECEIPT Received document(s) this ____ day of __________, __________. Signed: ____________________ Source: SL 2014, ch 254 (Supreme Court Rule 13-12), eff. July 1, 2014.