Minnesota > Statewide > District Court > Dissolution
Stipulated Findings Of Fact (Dissolution With Children) DIV-806 - Minnesota
| Stipulated Findings Of Fact (Dissolution With Children) Form. This is a Minnesota form and can be used in Dissolution District Court Statewide . |
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State of Minnesota County of Judicial District: Court File Number: Assigned Judge: Case Type: District Court Dissolution with Children In Re the Marriage of: Name of Petitioner (first, middle, last) and Name of Respondent (first, middle, last) Stipulated Findings of Fact, Conclusions of Law, Order for Judgment, Judgment and Decree (Gen. R. Prac. Rule 308.04) ------------------------------------------------------------------------------------------------------------------------------A. This proceeding for dissolution of marriage came before the undersigned judge of district court on _____________________________(date) at _____________________________(location) State of Minnesota. appear. ______________________________________ appeared as attorney for _____________________. Petitioner did did not appear. Respondent did in the did not B. Petitioner Petitioner is NOT represented by an attorney OR is represented by the following attorney: _________________________________ . C. Respondent Respondent is NOT represented by an attorney OR is represented by the following attorney: _______________________________ . D. Service of the Summons and Petition for Dissolution of Marriage: Respondent was personally served on _________________________________, ___________, OR Respondent signed an Admission of Service on ___________________________, ___________, OR Respondent was served by alternate means as ordered by the court as follows: By mailing the Summons and Petition to Respondent at the address(es) stated in the Order for Service by Alternate Means on this date:___________________________________________ By publication of the Summons in _______________________________________ newspaper for 3 consecutive weeks, once each week, on the following 3 dates: ____________________ , ______________________________________________, and ________________________ . DIV806 State ENG Rev 7/11 www.mncourts.gov/forms Page 1 of 40 American LegalNet, Inc. www.FormsWorkFlow.com E. Petitioner was served with an Answer and Counter-Petition: YES NO Month Day Year If YES, Petitioner was served with the Answer and Counter-Petition on ________________, ______. F. Petitioner and Respondent have reached an agreement for marital termination resolving all issues in this case. Petitioner prepared the Findings of Fact, Conclusions of Law, Order for Judgment and Judgment and Decree and incorporated the stipulated facts and terms of the parties' agreement. A signed Acknowledgement regarding this agreement is also included in this document. FINDINGS OF FACT 1. Information about Petitioner Full Name: _______________________________________________________________________ First Middle Street Address Last Apt. No. _______ City County State Zip Code Address: Mailing address where Petitioner agrees to receive papers for this case: OR Same as above address ________________________________________________________________________ Street Address City County State Apt. No. _______ Zip Code Date of Birth: ________________________ Month Day Year Petitioner is the husband wife. List all of Petitioner's former or other names or write "None": First First Middle Middle Last Last 2. Information about Respondent Full Name: First Middle Last DIV806 State ENG Rev 7/11 www.mncourts.gov/forms Page 2 of 40 American LegalNet, Inc. www.FormsWorkFlow.com Address: Street Address Apt. No. City County State Zip Code Date of Birth: ________________________ Month Day Year List all of Respondent's former or other names or write "None": First First Middle Middle Last Last 3. Our Marriage Petitioner and Respondent were married on: (month, day, year) , in the City of _____________________, County of _______________________________, State of __________________________, Country of . 4. 180 Day Requirement Has Petitioner been living in Minnesota for the past six (6) months? Has Respondent been living in Minnesota for the past six (6) months? YES YES NO NO 5. Armed Forces Is Petitioner an active duty member of the armed forces? YES NO YES NO If YES, has Petitioner been stationed in Minnesota for the past six (6) months? Is Respondent an active duty member of the armed forces? YES NO YES NO If YES, has Respondent been stationed in Minnesota for the past (6) months? 6. Marriage Cannot be Saved There has been an irretrievable breakdown of the marriage relationship and the marriage between Petitioner and Respondent cannot be saved. 7. Physical Living Situation Do Petitioner and Respondent live together at this time? If NO, the date of separation was: Month Day Year Page 3 of 40 American LegalNet, Inc. www.FormsWorkFlow.com YES NO . DIV806 State ENG Rev 7/11 www.mncourts.gov/forms If YES, Petitioner and Respondent are living together at this time because: 8. Other Proceedings a. Has a separate court case for marriage dissolution, legal separation, custody, paternity or annulment already been started by Petitioner or Respondent in Minnesota or elsewhere? NO If YES, the type of court case is: YES , and it was started in ________________________ County in the State of __________________ and the Court file number is Open Closed Unknown or , and the status or outcome of the case is: b. Has a County started a Support case involving the Petitioner and the Respondent or their children? YES NO If YES, the case was started in ________________________ . County in the State of ____________________ and the Court file number is The case is Dismissed or Pending or an Order for Support was issued. 9. Protection or Harassment Order Is an Order for Protection or a Harassment/Restraining Order in effect regarding Petitioner and Respondent? If YES: a. The Order protects: in Petitioner Respondent the child(ren) and the Order was filed State on . YES NO YES NO County in date, and the Court file number is b. Does the Order for Protection include an order to pay child support? 10. Juvenile Court Case Is a Juvenile Court case (child protection, delinquency or foster care) involving the joint child(ren) of Petitioner and Respondent taking place in Minnesota or another state? If YES, the case is in Court file number is in the Juvenile Court case is: . YES NO County in the State of __________________ and the . The name of the child or children involved DIV806 State ENG Rev 7/11 www.mncourts.gov/forms Page 4 of 40 American LegalNet, Inc. www.FormsWorkFlow.com 11. Children Petitioner and Respondent have Together (Joint Children) "Child" means a living person under age 18, or under age 20 and
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