Free State of Minnesota - Minnesota

State of Minnesota County Select County

District Court Judicial District: Court File Number: Case Type:

In Re the Marriage of:

Plaintiff / Petitioner
vs / and

Request To Allow Service By Publication

Defendant / Respondent Intervenor STATE OF MINNESOTA ) COUNTY OF ____________________ ) SS
(County where Affidavit Signed)

I, _______________________________________, being duly sworn, upon oath, state:
(Name of party)

1. 2.

I am a party in the above-entitled matter, or an attorney for the party. I must serve the following document on the opposing parties (check all that apply): Summons and Complaint Financial Affidavit Notice and Motion I request that the Child Support Magistrate, Referee, or Judge allow publication of the document because: A. The person to be served is not a resident of Minnesota. B. The person to be served cannot be found within the state. I made the following attempts at service (check all that apply): A. I mailed the summons or notice to the person's last known address which is:
(Address)

3.

4.

B. I attempted personal service at the person's last known address which is:
(Address)

C. After reasonable efforts, I could not determine the address of the other party to complete service.
Dated:
Signature (Sign only in presence of Notary or Court Deputy)

Subscribed and sworn to before me this _________day of ,

Print Name: Address: City/State/Zip:

Notary Public/ Deputy Court Administrator
CSX105 State ENG Rev 5/08

Telephone:
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