Judgment And Decree For Marriage Dissolution With Children
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43State of Minnesota
District Court
County of:
Judicial District:
Court File Number:
Dissolution with Children
Case Type:
In Re the Marriage of:
,
Name of Petitioner A (First, Middle, Last)
Joint Petition, Agreement, and
Judgment and Decree for
and
Marriage Dissolution
With Children
.
Name of Petitioner B (First, Middle, Last)
1.
Information about Petitioner A:
Full Name:
First
Middle
Last
Address:
Street Address
Apt. No.
City
County
State
Zip Code
Date of Birth: __________________________
Month
Day
Year
Petitioner A’s former or other names:
(Or write “none)
First
Middle
Last
First
Middle
Last
Petitioner A’s social security number is listed on Confidential Form 11.1 and submitted
along with the Joint Petition.
2.
Information about Petitioner B:
Full Name:
First
Middle
Last
Address:
Street Address
Apt. No.
City
County
State
Zip Code
DIV1702
State
ENG
Rev 09/13
Page 1 of 43
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