Free DOMESTIC ABUSE - Minnesota


File Size: 38.4 kB
Pages: 1
File Format: PDF
State: Minnesota
Category: Court Forms - State
Author: MSC
Word Count: 167 Words, 1,100 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.mn.us/forms/public/forms/Domestic_Abuse/Change_of_Address/OFP801.pdf

Download DOMESTIC ABUSE ( 38.4 kB)


Preview DOMESTIC ABUSE
State of Minnesota
County
Select County

District Court
Judicial District: Court File Number: Case Type: Domestic Abuse

In the Matter of:
Petitioner

Notice of Change of Address (Minn. Stat. 518B.01)
vs.

Respondent

I, place of residence from that of:

, the above named (Petitioner) (Respondent), changed my permanent

to:

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

Name: Sworn/affirmed before me this day of , . Address: City/State/Zip: Telephone:
Notary Public \ Deputy Court Administrator

Notice of Change of Address
You are hereby notified that Petitioner/Respondent in the above named action has changed address, as indicated above. If Petitioner changed residence, a copy of this notice shall be filed with the District Court. Upon Petitioner's request, Petitioner's address shall be confidential. A copy of this notice shall be mailed with a copy of the original order to the Police Department having jurisdiction over Petitioner's new residence.

Date: Court Administrator/Deputy

OFP801

State

ENG

Rev 5/01

www.mncourts.gov/forms

Page 1 of 1