State of Minnesota County Dakota Judicial District: Court File Number: Case Type: First Family District Court Plaintiff VS. Notice of Intent to Enter and Docket Support Judgment Defendant To the Above ­ Named obligor: ____________________________ You are hereby notified pursuant to Minnesota Statutes, section 548.091, subdivisions 1a, 2a. and 3a., that based on the attached affidavit, judgment shall be entered and docketed upon the filing of these documents by the court administrator against you in favor of ______________________ __ for the arrears accrued under the court order dated _________________. The total amount of said judgment shall be $ . You may request a hearing under the rules of civil procedure on the issue of whether the judgment amount has been paid, and may move the court for an order directing the court administrator to vacate or modify the judgment on the docket register. _____________________ Dated Signature Address City/State/Zip Telephone American LegalNet, Inc. www.FormsWorkFlow.com State of Minnesota County Dakota Judicial District: Court File Number: Case Type: First Family District Court Plaintiff VS. Affidavit of Default of Support and Identification Defendant , being duly sworn on oath deposes and states that she/he is the obligee. According to the order dated per , the obligor is to pay $ as and for child support. Judgment was obtained by operation of law for unpaid child support as follows: Payment Due Date(s) Amount Paid Amount Unpaid American LegalNet, Inc. www.FormsWorkFlow.com Total Due The obligor's full name is employer is . The obligor's last known . The obligors last known address is in the City of , State of . The obligor is not in the Armed Services. All support payments are payable to . Signature Address City/State/Zip Telephone Subscribed and sworn to before me This day of , 20 Notary Public/Deputy American LegalNet, Inc. www.FormsWorkFlow.com AFFIDAVIT OF SERVICE BY MAIL STATE OF ___________________ COUNTY OF _________________ ) ) ss ) I, ____________________________, do hereby state that on _____________, 20 ___ at Person mailing documents ______________________________, in said County and State, did serve the attached: City List titles of documents mailed to other party(ies) on said party(ies) by mailing a true and correct copy thereof, enclosed in an envelope, postage prepaid, by depositing the same in the U.S. Mail at _______________________ City and State and addressed as follows: (name and address of party being served) Dated: __________________ Signature of Person mailing documents Subscribed and sworn to before me on 20 Notary Public/Court Administration American LegalNet, Inc. www.FormsWorkFlow.com