Affidavit Of Default - Minnesota
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1State of Minnesota
District Court
County
Judicial District:
Court File Number:
Case Type:
Dissolution
In Re the Marriage of:
Name of Petitioner
Affidavit of Default
and
Name of Respondent
STATE OF MINNESOTA
)
COUNTY OF
)SS
(County where Affidavit signed)
, being duly sworn, says:
I am the Petitioner in this action. The Summons and Petition were personally served on
the Respondent on
(date) as shown by the Affidavit of Service on file.
More than (30) thirty days have elapsed since the date service was made. No answer has been
served on Petitioner or Petitioner’s attorney.
Wherefore, Petitioner requests that this action be scheduled for hearing as a default.
Dated:
Signature of Petitioner
(Sign only in front of notary public or court administrator.)
Name:
Sworn/affirmed before me this
Address:
day of
,
.
City/State/Zip:
Telephone: (
)
Notary Public \ Deputy Court Administrator
NOTICE TO PETITIONER: If Respondent has not served you with an Answer, the Court will
review your pleadings administratively.
No court hearing is required.
To request an
administrative review, wait until 51 days after the date Respondent was served with the
Summons and Petition. Then file the scheduling request form, asking for an administrative
review- default with no children.
Affidavit of Default
Page 1 of 1
Approved by Conference of Chief Judges: Draft
Last Revised: 03/2003
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