DIV602 State ENG Rev 07/15www.mncourts.gov/formsPage 1 of 5State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Dissolution without Children Name of Petitioner (first, middle, last) Name of Respondent (first, middle, last)andIn Re the Marriage of:Notice of Motion And Motion For Temporary Relief Without ChildrenTo: Petitioner Respondent First Middle Last Address Apt. No. City County State Zip CodeNOTICE PLEASE TAKE NOTICE that on the day of Select Month , at o'clock .m. before in Room (name of judge/judicial officer) of the located in, Minnesota.I will ask the Court for an Order granting the following relief:1. The Court should order the other party and me to use mediation to help us reach an agreement: Yes No2. Temporary maintenance (alimony) should be granted as follows: (check one) a. Temporary maintenance should not be granted either to me or the other party. b. The Court should decide temporary maintenance later. c. The other party should pay to me per month for temporary 3. Attorney's fees should be awarded as follows: (check one)maintenance. The payment should be automatically withheld from the other party's wages or salary and paid to me according to Minn. Stat. 247518A.53 American LegalNet, Inc. www.FormsWorkFlow.com DIV602 State ENG Rev 07/15www.mncourts.gov/formsPage 2 of 5 a. The Court should require me and the other party to each pay our own attorney's fees b. The Court should require the other party to pay me towards my c. The Court should decide attorney's fees later. and expenses if we have any. attorney's fees and expenses.4. Until the final decree is ordered (check one): a. I should have sole use and possession of the home located at in the city of in the state of , and (check one) I the other partyshould pay the mortgage and other expenses for the home. b. The other party should have sole use and possession of the home located at in the city of in the state of , and (check one) I the other partyshould pay the mortgage and other expenses for the home. c. The other party and I should share the use and possession of the home located at in the city of in the state of .The mortgage and other expenses for the home should be paid as follows. Expense Who Should Pay d. The other party and I should share the use and possession of the home located at in the city of in the state of .The mortgage and other expenses for the home should be paid as follows. Expense Who Should Pay 5. Until the final decree is ordered (check one): a. The other party and I should have temporary use and possession of the personal American LegalNet, Inc. www.FormsWorkFlow.com DIV602 State ENG Rev 07/15www.mncourts.gov/formsPage 3 of 5belongings, household goods, and furnishings that each of us now has in possession. b. The Court should give me temporary sole use and possession of the following personalbelongings, household goods, and furnishings (list the items you want). c. The Court should give the other party temporary sole use and possession of the following personal belongings, household goods, and furnishings (list the items they want). 6. Check one a. Until the final decree is ordered, temporary use and possession of the vehicle(s) shouldbe divided, and the vehicle loan(s) and insurance should be paid, as follows: Year Make Model Awarded to whom Who pays vehicle loan/insurance b. We do not own any vehicles.7. Check one a. Until the final decree is ordered, our debts should be paid as follows: Creditor (to whom the money is owed) Total Balance Owed Monthly Amount Due Who Should Pay American LegalNet, Inc. www.FormsWorkFlow.com DIV602 State ENG Rev 07/15www.mncourts.gov/formsPage 4 of 5 Creditor (to whom the money is owed) Total Balance Owed Monthly Amount Due Who Should Pay b. We do not have any debts.8. The Court should allow me to change certain medical, dental, automobile, or life insurance policies: Yes No9. The other party should reinstate insurance: Yes No10. The Court should order the other party to immediately notify me of any salary or wage increase, bonuses or other extra income. Yes No11. The Court should order that the other party shall not spend or otherwise use income raises, income tax refunds, bonuses, or other extra income: Yes No12. Restrain both parties from transferring, encumbering, concealing or disposing of property, including any tax refunds, except in the usual course of business or for the necessities of life, except as to any future earned income, except as the parties with their attorneys may mutually agree in writing.13. The Court should allow me to sell or otherwise get rid of other property: Yes No14. Restrain both parties from harassing, vilifying, mistreating, molesting, disturbing the peace, or restraining the liberty of the other party of the children of the parties.15. The Court should grant the additional relief: Yes No16. The Court should grant other additional relief that is fair and just.The grounds for this Motion are as stated in the Affidavit and the Application for Temporary Relief which accompanies this Notice of Motion and Motion. VERIFICATION AND ACKNOWLEDGEMENTS a) I have read this document. To the best of my knowledge, information and belief, the information contained in this document is well grounded in fact and is warranted by existing law. b) I have not been determined by any court in Minnesota or in any other state to be a frivolous litigant and I am not the subject of an Order precluding me from serving or filing this document. American LegalNet, Inc. www.FormsWorkFlow.com DIV602 State ENG Rev 07/15www.mncourts.gov/formsPage 5 of 5c)I am not serving or filing this document for any improper purpose, such as to harass theother party or to cause delay or needless increase in the cost of litigation or to commit afraud on the court.d)I understand that if I am not telling the truth, or if I am misleading the court or servingor filing this document for an improper purpose, the court can order me to pay moneyto the other party, including the reasonable expenses incurred by the other partybecause of filing or serving this document, court costs, and reasonable attorney222s fees.NOTICE TO THE OTHER PARTY After you receive these papers, if you want to respond to anything raised by the other party in his/her papers, your written response must be personally served on the other party at least five (5) days before the hearing or mailed to the other party at least eight (8) days before the hearing. Your responsive papers must be filed with the Court Administrator at least five (5) days before the hearing. If you want to raise new issues at the hearing the other party has scheduled, your Motion and Affidavit must be personally served on the other party at least ten (10) days before the hearing or mailed to the other party at least thirteen (13) days before the hearing. Your papers raising new issues must be filed with the Court Administrator at least ten (10) days before the hearing. Dated: Signature Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com