Free Microsoft Word - HAR701 - Minnesota

State of Minnesota
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District Court
Judicial District: Court File Number: Case Type: Harassment

Petitioner(s) vs.

Affidavit and Order for Publication (Harassment) (Minn. Stat. § 609.748, subd. 3(b))

Respondent(s)

STATE OF MINNESOTA

) ) COUNTY OF _________________)
(County where Affidavit signed)

ss.

Affidavit
I am the Petitioner(s) in this matter. I understand that I am under oath/affirmation and that I must tell the truth. I request that the Court allow publication of the Court's Order dated because: Personal Service was attempted by the sheriff and was not made because it is believed that the Respondent(s) is avoiding service by hiding or other means, AND a copy of the Petition and Order or Notice of Hearing was mailed to Respondent(s) at Respondent's last known address or place of business. OR The present address and residence of the Respondent(s) is unknown, but I have reason to believe it was .

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

Name: Subscribed and sworn to before me Date:
Notary Public \ Deputy Court Administrator

Address: City/State/Zip: Telephone:

Order
Based upon the Affidavit, IT IS ORDERED: 1. The notice shall be published one time in a legal newspaper in 2. Costs for notice by publication shall be paid by the Court. 3. Other: Dated: Judge of District Court
HAR701 State ENG Rev 8/08 www.mncourts.gov/forms Page 1 of 1

County.