STATE OF SOUTH DAKOTA :SS COUNTY OF MINNEHAHA ) )IN CIRCUIT COURT SECOND JUDICIAL CIRCUIT CIV. Plaintiff, vs. AFFIDAVIT OF DEFAULT, MOTION FOR DEFAULT JUDGMENT (AND MOTION FOR APPROVAL OF ADDITIONAL DISBURSEMENTS) Defendant. AFFIDAVIT OF DEFAULT STATE OF SOUTH DAKOTA ) :SS COUNTY OF MINNEHAHA ) ________________, being first duly sworn on oath, deposes and states as follows: The Summons and Complaint in this action were personally served upon ___________, Defendant, on ______, as shown by the proofs of service. More than thirty (30) days have elapsed since the service of the Summons and Complaint. Defendant has made no Answer, appearance or pleading and is now wholly in default. According to information and belief, the Defendant is not in the military service of the United States or any of its allies, and is not a minor or an incompetent person. MOTION FOR DEFAULT JUDGEMNT (AND MOTION FOR APPROVAL OF ADDITIONAL DISBURSEMENTS) The Plaintiff, moves for judgment by default against the Defendant as prayed in the Complaint ((and for approval of ((pre-judgment interest)) ((and attorney’s fees)). ((Plaintiff submits separately an (Affidavit as to Pre-Judgment Interest and Approval )(and an Affidavit as to Attorney’s Fees and approval.)) Dated: _________________. ______________________________ Subscribed and sworn to before me _________________. Attorney for Plaintiff (address) ______________________________ Notary Public, South Dakota My commission expires: (2nd Circuit Default Judgment form #1, August, 2004)