CSX103 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: In Re the Marriage of: Petitioner (first, middle, last)and Respondent (first, middle, last) Intervenor Notice to Withdraw Complaint Motion ResponseNoticeTO: Petitioner: First Middle Last Street Address Apt. No. City State Zip CodeRespondent: First Middle Last Street Address Apt. No. City State Zip CodeCounty Attorney's Office: Name of County Attorney Street Address Suite No. City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com CSX103 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 2(Complete option 1 or 2 below)1.If complaint or motion is being withdrawn: I, hereby withdraw my (check one) Complaint Motion Responsethat was filed on . As of the date of this Notice, opposing party has not filed an answerto the complaint, a response or counter motion. (Complaint or motion cannot be withdrawn without approval of opposing party if opposing party has served and filed an answer, a response or counter motion)2.If Answer, Responsive Motion or Counter Motion is being withdrawn: I,hereby withdraw my (check one) . Signature Answer Responsive Motion Counter Motion that was filed onDated: Name: Address: City/State/Zip: Telephone: E-mail address: Attorney for: American LegalNet, Inc. www.FormsWorkFlow.com