Free State of Minnesota - Minnesota

FORM 11.2 SEALED FINANCIAL SOURCE DOCUMENTS (Gen. R. Prac. 11.02) State of Minnesota County of District Court Judicial District Case Type: Case No. Plaintiff/Petitioner and Defendant/Respondent SEALED FINANCIAL SOURCE DOCUMENTS (Provided in Accordance With Rule 11.02 of the Minnesota General Rules of Practice)

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THIS LISTING OF SEALED FINANCIAL SOURCE DOCUMENTS IS ACCESSIBLE TO THE PUBLIC BUT THE SOURCE DOCUMENTS SHALL NOT BE ACCESSIBLE TO THE PUBLIC EXCEPT AS AUTHORIZED BY COURT RULE OR ORDER Income tax records Periods covered: __________________________________________________________ Bank statements Periods covered:__________________________________________________________ Pay stubs Periods covered:__________________________________________________________ Credit card statement Periods covered:__________________________________________________________ Other:__________________________________________________________________

Information supplied by: _________________________________________________________________ (print or type name of party submitting this form to the court) Signed: Attorney Reg. #: Firm: Address: Date:

CON112

State

ENG

Rev 7/05-R

www.courts.state.mn.us/forms

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