Free INSTRUCTIONS - Minnesota

State of Minnesota County Select County

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



In Re the Marriage of:

Plaintiff / Petitioner vs / and Defendant / Respondent Intervenor STATE OF MINNESOTA ) COUNTY OF _____________________ ) SS
(County where Affidavit Signed)

Affidavit in Support of Motion to Reinstate Child Support Interest

I am the (check one) (Petitioner/Plaintiff) oath the following information:

(Respondent/Defendant) in this case and I state under

1. Pursuant to Minnesota Statutes Section 548.091, subdivision 1a(b) (2005), the court may order the reinstatement of interest effective the month in which the obligor fails to make complete and timely payments. 2. The obligor, , has failed to make complete and timely payments as described below: (Indicate the date of the court order that approved child support interest to stop accruing, what month(s) have not been paid in full since interest stopped accruing, how much is due and owing for support and/or arrears, and any other relevant information)

Dated: Sworn / affirmed before me this day of , Signature(Sign only in the presence of Notary or Court Deputy)

Notary Public / Deputy Court Administrator

CSX1303

State

ENG

Rev 12/06

www.mncourts.gov/forms

Page 1 of 1