State of Minnesota District Court County Judicial District: Court File Number: Case Type: Dissolution without Children In Re the Marriage of: Admission of Service Summons and Petition for Dissolution of Marriage , Name of Petitioner and . Name of Respondent I, the undersigned Respondent, acknowledge that I have personally received a copy of the Summons and Petition for Dissolution of Marriage. I understand that: 1. Signing this document starts the divorce/dissolution process; 2. Signing this document does not mean that I agree with everything in the Petition for Dissolution of Marriage. It only means that I have received a copy of the Summons and Petition; 3. I have thirty (30) days from the date of signing this document to serve on the Petitioner an Answer to the Petition; 4. If I do not serve an Answer within thirty (30) days, I will be found in default and Petitioner may ask the Court to give him/her everything (s)he has asked for in the Petition for Dissolution of Marriage; 5. I do not have to sign this Admission. But if I do not sign, Petitioner can commence the divorce/dissolution by having the Summons and Petition for Dissolution of Marriage personally served upon me and I may have to pay the cost of Petitioner doing this. I declare under penalty of perjury that everything I have stated in this document is true and correct and that I personally received a copy of the Summons and Petition at , on . (City) (State) (Month/Day/Year you received the papers). Dated: Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: DIV405 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com