State of Minnesota County Select County
Judicial District: Court File Number: Case Type:
District Court
In Re the Marriage of:
Plaintiff / Petitioner vs / and Defendant / Respondent STATE OF MINNESOTA COUNTY OF
(County where Affidavit signed)
Ex Parte Request and Affidavit in Support of Service Upon a Party
) ) SS )
Request
, request that the court order the public authority to
I,
serve moving papers on the other party,
(Name)
The above-entitled matter qualifies as a IV-D case as defined in Minnesota Statutes § 518A.26, and pursuant to Minnesota Statutes § 518A.47, I may request an order for service from the court.
(Name of party to be served)
, by U.S. mail.
Affidavit
I, , being first duly sworn, state the following reasons why an order for service on the other party should be granted. 1. I am unable to serve moving papers in a support proceeding and do not have access to the address of the other party because: (check one) the address is unknown to me and I have made reasonable efforts to locate the other party. (Tell what you have done in trying to find the other party.)
there is a current protective order on file and the address is unavailable to me.
2. Dated:
To the best of my knowledge, the other party is not represented by counsel. Signature ( Sign only in presence of Notary or Court Deputy) Print Name: Address: City/State/Zip: Telephone:
Subscribed and sworn to before me this day of , Notary Public/ Deputy Court Administrator
CSX1702
State
ENG
Rev 5/08
www.mncourts.gov/forms
Page 1 of 1