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http://www.sdjudicial.com/forms/Domestic_Protection_Order_Forms/UJS-091M-Domestic%20Denial%20of%20Petition.pdf

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STATE OF SOUTH DAKOTA

) IN CIRCUIT COURT ) COUNTY OF _________________ ) ____________ JUDICIAL CIRCUIT _______________________________________________________________________ ) _____________________________, ) TPO NO. ________________ ) Petitioner, ) DENIAL OF PETITION ) -vs) FOR PROTECTION ORDER ) _____________________________, ) (DOMESTIC ABUSE) ) Respondent. ) ____________________________________)__________________________________ Having examined the Petition for Protection Order it is found that sufficient grounds are not alleged for relief and the Petition is denied without hearing. Dated ____/_____/______. ______________________________________ Circuit Court Judge

Attest: ___________________, Clerk of Courts By: ___________________, Deputy

Form UJS-091M (Domestic Denial of Petition) Rev. 07/09