SDCL tit. 26, ch. 7A, APPENDIX OF FORMS, form 4

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Current through the 2024 Legislative Session

Form 4 - PETITION

(SDCL 26-7A-13 )

STATE OF SOUTH DAKOTA IN CIRCUIT COURT

SS.

COUNTY OF __________ ________ JUDICIAL CIRCUIT

THE PEOPLE OF THE STATE OF SOUTH (Case No. JUV. ________)

DAKOTA IN THE INTERESTS OF

_____________________________________

MINOR CHILD(REN), AND CONCERNING PETITION

____________________________________

RESPONDENTS.

TO: Judge of the Circuit Court, _____ Judicial Circuit, State of South Dakota, in and for _____ County, South Dakota.

Petitioner alleges as follows:

1. The above-named child(ren) is (are) located or residing in _______ County, South Dakota, and is (are) alleged to be [child(ren) in need of supervision] [delinquent child(ren)], as defined by SDCL 26-7A and (SDCL 26-8B) (SDCL 26-8C).

2. The name(s), date(s) of birth and residence of the child(ren) are as follows:

Name Date of Birth Residence

______________________________________________________________________________

______________________________________________________________________________ ______________________________________________________________________________

3. The names and residences of the parents, guardian or custodian of the child(ren) are as follows:

Name Residence

______________________________________________________________________________

4. The facts which bring the child(ren) within the Court's jurisdiction are as follows: _____. Affidavits of _____, dated _____, attached hereto, is (are) incorporated by reference as part of this Petition.

5. It appears the Indian Child Welfare Act (is not) (is) applicable for the following reasons: _____.

WHEREFORE, Petitioner requests the Court to issue Summons requiring the appropriate parties to appear and answer to the Petition, to schedule hearing on this Petition and to conduct adjudication and dispositional proceedings according to law.

IN INTERESTS OF PETITION

______________________________________________________________________________

Dated the ___ day of _____, 20__.

Petitioner: _________________________

___________________ State's Attorney

______________ County, South Dakota

(OR)

Petitioner: __________

State of South Dakota

SS.

County of __________

_____, being first duly sworn on oath, deposes and states that (s)he is the Petitioner in the foregoing PETITION and that its contents are true according to the best information and belief of the Petitioner.

_________________________________

Subscribed and sworn before me on this the ___ day of _____, 20__.

(SEAL)

_________________________________

(Signature of Officer)

_________________________________

(Title of Officer)

SDCL tit. 26, ch. 7A, APPENDIX OF FORMS, form 4

SL 1991, ch 217, § 177.