Free STATE OF MINNESOTA IN DISTRICT COURT - 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 Defendant / Respondent Intervenor TO: held on
(Date of Hearing)

Request for Transcript

Court Administration I,
(Your Name)

, request a transcript of the hearing , before the Honorable
(Name of Magistrate, Judge, or Referee)

Purpose of the Request: (Check one) For Information Only: Motion to Correct Clerical: Motion for Review: Appeal to Court of Appeals:

An original transcript and one copy will be made An original transcript and two / three copies will be made An original transcript and two / three copies will be made An original transcript and three / four copies will be made ______ no If yes, provide name and

Is the County Agency a party in this action? _____ yes address of the county attorney:

Clearly print your name, address, and a daytime phone number where you can be reached in the area below. The transcriber who will prepare the transcript will contact you by telephone or by mail with the estimated cost of the transcript. Payment for the transcript and all additional copies must be made to the transcriber before the transcript is prepared. Failure to do so may result in your request being cancelled. If you cannot afford to pay the transcriber's fee, you may file a request to proceed In Forma Pauperis. See the Instructions page on how to get an In Forma Pauperis application form. You must send a copy of the order that waives your costs for the transcript to the transcriber as soon as possible to verify that the court will pay for the transcript. Failure to do so may result in your request being cancelled. Dated: (Include the other party's name and address below) Signature Print Name: Address: City/State/Zip: Telephone: Attorney for:
www.mncourts.gov/forms Page 1 of 1

CSX1502

State

ENG

Rev 8/05-D