Free Microsoft Word - SPS103 - Minnesota


File Size: 14.7 kB
Pages: 2
Date: August 25, 2008
File Format: PDF
State: Minnesota
Category: Court Forms - State
Author: KantolaM
Word Count: 188 Words, 1,189 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.mn.us/forms/public/forms/Spousal_Support/SPS103.pdf

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State of Minnesota County

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

In Re the Marriage of

Petitioner and AFFIDAVIT OF DEFAULT OF MAINTENANCE JUDGMENT Minn. Stat. ยง 548.091, subd. 1

Respondent STATE OF MINNESOTA ) COUNTY OF ____________________) SS
(County where Affidavit Signed)

, being duly sworn on oath deposes and states that s/he is the According to the order dated per arrears. For the period , payments due amounted to $ $ , and the total amount unpaid is $ , the obligor is to pay $ .

as and for spousal maintenance. Obligor is more than thirty (30) days in , through , the amount paid was . ,

The obligor's full name is obligor's last known employer is obligor's last known address is City of obligor is not in the Armed Services. , State of

. The . The , in the . The

SPS103

State

ENG

4/08

www.mncourts.gov/forms

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All maintenance payments are payable to

Signature ( Sign only in presence of Notary or Court Deputy)

Sworn / affirmed before me this
_________day of ,

Print Name: Address: City/State/Zip:

Notary Public/ Deputy Court Administrator

Telephone: (

)

SPS103

State

ENG

4/08

www.mncourts.gov/forms

Page 2 of 2