Affidavit Of Service By Mail
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1State of Minnesota
District Court
County
Judicial District:
Court File Number:
Select County
Dissolution with Children
Case Type:
In Re the Marriage of:
Name of Petitioner
Affidavit of Service by Mail
and
Name of Respondent
STATE OF MINNESOTA
)
) SS
COUNTY OF
)
(County where Affidavit signed)
I,
, being sworn, state that I am at least
18 years of age having been born on
, and that on
,
, I served the following papers:
(list all papers mailed to the other party)
by placing in an envelope a true and correct copy of each document addressed to
at
in the City of
, State of
, Zip Code
and depositing the
envelope, with sufficient postage, in the United States Mail at the Post Office located in the City
of
in the State of
.
Dated:
Signature of Person Who Mailed Documents
(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
DIV904
State
ENG
Rev 1/02-D
Page 1 of 1
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Parent category: Legal