Free F-SPT-REN - Minnesota

State of Minnesota
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District Court
Judicial District: Court File Number: Case Type:

In the Matter of:
Petitioner / Plaintiff

and / vs

Notice of Intent to Recover Attorney Fees and Collection Costs

Respondent / Defendant
To the Above Named: You are hereby notified pursuant to Minnesota Statutes, § 518A.735 (2007), that (obligee) intends to recover attorney fees and collection costs incurred to collect the child support judgment(s) docketed against you on the date(s) and in the amount(s) shown below. Please take further notice that you have 20 days from the date of this notice to request a hearing on the issue of whether the fees and costs itemized below are reasonable or to contest the child support judgment based upon mistake of fact (e.g., whether the amounts shown below are correct, whether you were a party to the original judgment, and etc.). If you fail to request a hearing, the fees and costs will become an additional judgment against you for child support. The amount of attorney fees and collection costs sought by the obligee are as follows: $ $ $ Judgment(s) for which costs and fees incurred: Balance Due (Includes Accrued Interest) $ $ $ $ (Attorney Fees) (Collection Costs) Total Fees and Costs

Docketed Date

Docketed Amount $ $ $ $

Dated:
Signature of Obligee (Sign only in front of notary public or court administrator.)

Name: Subscribed and sworn to before me this day of , . Address: City/State/Zip: Telephone: Notary Public \ Deputy Court Administrator

CSD102

State

ENG

Rev 5/08

www.mncourts.gov/forms

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