Minnesota > Statewide > District Court > Dissolution
Affidavit Of Service By Mail Pursuant To Court Order DIV-1304 - Minnesota
| Affidavit Of Service By Mail Pursuant To Court Order Form. This is a Minnesota form and can be used in Dissolution District Court Statewide . |
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State of Minnesota County Judicial District: Court File Number: Case Type: District Court Dissolution In Re the Marriage of: Name of Petitioner and Affidavit of Service by Mail Pursuant to Court Order Minn. Stat. ยง518.11(c) Name of Respondent STATE OF MINNESOTA COUNTY OF (County where Affidavit signed) ) ) SS ) I, (Name of person who mailed documents) state I am at least 18 years old, that on attached Summons and Petition upon , being sworn/affirmed, upon oath, (date), I served the (Full name of by placing a other party) based on the Order for Service by Alternate Means dated true and correct copy of each document in an envelope marked "forwarding address requested" and addressed to: , State of in the City of , Zip Code and depositing the envelope City of . with sufficient first class postage in the United State Mail at the Post Office located in the in the State of 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 ) DIV1304 State ENG Rev 6/05-D www.courts.state.mn.us/forms Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com
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