Free STATE OF MINNESOTA - Minnesota

State of Minnesota
County

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

Select County
In Re the Marriage of: ,
Name of Petitioner

and ,
Name of Respondent

Application for an Order for Service by Alternate Means Minn. Stat. §518.11(c)

I, 1. 2. 3. 4. 5.

, being duly sworn/affirm state: I am the Petitioner in this action for dissolution of marriage. The last known location of respondent as of (date) was at

My most recent contact with respondent was (when and where) The last known location of respondent's employment was The names and locations of respondent's parents, siblings, children and other close relatives are as follows:

6.

The names and locations of other person who are likely to know the respondent's whereabouts are: I have made the following efforts to locate the respondent: I believe that it is not likely that respondent's location will become known to me, but there is reasonable possibility that mail will be forwarded or otherwise reach respondent if addressed as follows: This matter involves real estate in County, Minnesota.

7. 8.

9. 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

DIV1302

State

ENG

Rev 6/2005-D

www.courts.state.mn.us/forms

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