Minnesota > Statewide > District Court > Dissolution
Certificate Of Dissolution DIV-103 - Minnesota
| Certificate Of Dissolution Form. This is a Minnesota form and can be used in Dissolution District Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
State of Minnesota County Judicial District: Court File Number: Case Type: District Court In re the Marriage of: Petitioner and Respondent 1. Petitioner's name is: 2. Petitioner's prior name(s) or other name(s) are: First First Middle Middle Certificate of Dissolution Minn.Stat. ยง518.148 . None OR Last Last 3. Respondent's name is: 4. Respondent's prior name(s) or other name(s) are: First First Middle Middle None OR Last Last 5. The marriage of Petitioner and Respondent is dissolved. The date of the Judgment and Decree is: . 6. Name Changes in the Judgment and Decree: (Check all that apply) None Petitioner's name is changed to: Respondent's name is changed to: First Middle Last First Middle Last DIV103 State ENG Rev 4/12 www.mncourts.gov/forms Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 7. The parties have each child is: living minor or dependent children together. The nam e of 8. Refer to "Form 11. Confidential Infor mation Form" for social s ecurity numbers. (Per Minn. Gen. R. Prac. 11). This Certificate of Dissolution is conclusive evidence of the facts recited herein. Dated: Judge of District Court DIV103 State ENG Rev 4/12 www.mncourts.gov/forms Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
