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Affidavit In Support Of Motion To Stop COLA CSD-403 - Minnesota

Affidavit In Support Of Motion To Stop COLA Form. This is a Minnesota form and can be used in Child Support District Court Statewide .
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State of Minnesota County Judicial District: Court File Number: Case Type: District Court In Re the Marriage of: Petitioner and Respondent STATE OF MINNESOTA COUNTY OF ) ) SS Affidavit in Support of Motion To Stop COLA (County where Affidavit signed) (Your name) , being first duly sworn/affirmed, says that: 1. I am the Petitioner / Respondent (circle one) in this action: 2. I am employed by: Employer Address Work Number Length of Employment Gross Pay 3. I was previously employed by 4. I have the following additional sources of income: Source: $ per month Source: $ per month Source: $ per month 5. There has not been a sufficient cost-of-living or other increase in my income to allow for an adjustment in my child support. Occupation Supervisor per (circle one) Monthly / Weekly / Semi-Monthly / Bi-Weekly for ________ years. 6. Copies of my tax returns and any other documentation of my income for the past three years, as an attachment and provided to court administration. 7. I am submitting this affidavit in support of my motion to stop the cost-of-living adjustment. Dated: Subscribed and sworn to before me this day of , (year) , (year) and (year) is provided to the other party of this action Signature (Sign only in presence of Notary or Court Deputy) Print Name: _________________________________ Address: ____________________________________ City/State/Zip: _______________________________ Telephone: __________________________________ Notary Public / Deputy Court Administrator CSD403 State ENG Rev 6/08 www.mncourts.gov/forms Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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