Free EXPEDITED CHILD SUPPORT PROCESS - 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

Notice of Motion, Motion and Affidavit to Contest Support Judgment Levy

Defendant / Respondent TO: Other Party
Name

County Attorney's Office
Name of County Attorney

Street Address City / State/ Zip

Street Address City / State / Zip

PLEASE TAKE NOTICE that on
(Date: Month, Day, Year)

at

o'clock

.m.

at the
(Name of building where hearing to be held)

County Courthouse or Government Center
(Street address where hearing to be held)

located at in the City of __________________________, Minnesota, the undersigned will ask the Court to
(City where hearing to be held)

release all or part of any accounts with the financial institution that is holding funds for the purpose of child support or spousal maintenance arrearages pursuant to Minn. Stat. §§ 552.04 and 552.06 (2005).

Motion
I request that the Court authorize the release of all or part of any seized accounts at the financial institution, namely that is being held for:
(Name of financial institution)

child support owed to the: county spousal maintenance owed to the: county

obligee obligee

CSX1002

State

ENG

Rev 6/08-D

www.mncourts.gov/forms

Page 1 of 2

Affidavit
STATE OF MINNESOTA ) COUNTY OF _____________________ ) SS
(County where Affidavit signed)

The facts upon which I base my request are:



The seizure or the amount seized is improper due to a mistake of fact. (Explain the mistake.)

The seizure or the amount seized is exempt from levy for child support purposes under state or federal law. (Explain how the amount seized is exempt, i.e. income from SSI, etc.)



ACKNOWLEDGEMENTS BY PARTY MAKING MOTION: a. b. c. d. e. f. Dated:
Signature (Sign only in front of Notary or Court Administrator)
Name: ________________________________ Subscribed and sworn to before me this ______ day of ____________, ___________ ____________________________________ Notary Public / Deputy Court Administrator Address: __________________________________________ City/State/Zip: _________________________ Telephone: _____________________________ Attorney for: ___________________________

I am not serving or filing this document for any improper purpose, such as to harass or to cause unnecessary delay or needless increase in the cost of litigation. The claims, defenses, and other legal contentions therein are warranted by existing law or by a nonfrivolous argument for the extension, modification, or reversal of existing law or the establishment of new law. The allegations and other factual contentions have evidentiary support or, if specifically so identified, are likely to have evidentiary support after a reasonable opportunity for further investigation or discovery. The denials of factual contentions are warranted on the evidence or, if specifically so identified, are reasonably based on a lack of information or belief. The court may impose an appropriate sanction upon the attorneys, law firms, or parties that violate the above stated representations to the court, or are responsible for the violation. I understand that the existing order remains in full force and effect and I must continue to comply with that order until a new order is issued.

CSX1002

State

ENG

Rev

6/08-D

www.mncourts.gov/forms

Page 2 of 2