COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. ALTERNATIVE INFORMATIONAL STATEMENT : (Family Court Matters) See Minnesota General Rules of Practice 30402 JUDICIAL SUBPOENA Plaintiff(s) -againstSTATE OF MINNESOTA : FOURTH JUDICIAL DISTRICT COURT COUNTY OF HENNEPIN : FAMILY COURT DIVISION In Re the Marriage of: : PRO SE INFORMATIONAL STATEMENT _______________________________ Defendant(s) : . . . . . . . . . . . . . . . . . . . . .Name. of. Petitioner . . . . . . . . . . . . . . . . . . . . ... . ....... Vs THE PEOPLE OF THE STATE OF NEW YORK _______________________________ File No.______________________ Name of Respondent TO PLEASE READ THE FOLLOWING CAREFULLY. COURT PERSONNEL ARE NOT ALLOWED TO HELP YOU COMPLETE THIS FORM. GREETINGS: These questions must be answered to help the Court make a schedule for dissolution of your marriage. This statement is your opportunity to tell the Court those factors that will requireand each of you attend before If the WE COMMAND YOU, that all business and excuses being laid aside, you consideration in scheduling. information is incomplete, the Court will design its own schedule from the information supplied. , the Honorable at the Court located at County of If you are representing yourself, please complete questions 1 through 6. If you are an attorney, please complete the in room , on the day of , 20 , at o'clock in the noon, and at any recessed entire Scheduling Informational Statement. or adjourned date, to testify and give evidence as a witness in this action on the part of the Some questions have more than one part. Be sure to read and answer all questions completely. 1. Your failure to complyfilled out: subpoena is punishable as a contempt of court and will make you liable to This form is being with this the party on whose behalf this Jointly (both parties together) subpoena was issued for a maximum penalty of $50 and all damages sustained as a Separately result of your failure to comply. Check or complete the following (if they apply): Witness, Honorable , one of the Justices of the An Order for Protection petition has been filed at some time during the marriage. Court in County, Order for Protection is, in effect. day of 20 An Is the Court file number for the Order for Protection 2. Final Hearing by Default (Attorney must sign above and type name below) The parties are in agreement on all matters and this dissolution will proceed by default. Yes No If you answered yes to the preceding question, please check all of the following that apply: Attorney(s) 306. Default hearing by General Rules of Practice, Rule for Marriage includes minor children Approval without a hearing pursuant to M.S.A. 518.13, subd. 5. The marriage includes minor child(ren), a lawyer represents each party and each party has signed a stipulation. Office and P.O. Address The marriage does not include minor child(ren) and each party has signed a stipulation. The marriage does not include minor children; at least 50 days have elapsed since service of the Summons and Petition, and the Respondent has not appeared in the action. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Last Revised 5/22/02 American LegalNet, Inc. www.USCourtForms.com 1 COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Calendar No. Children A. Do you have minor child(ren) born or adopted into the marriage? : JUDICIAL SUBPOENA Plaintiff(s) many: _________ Yes No If yes, how -against: B. If there are minor children: Do you agree who will have custody? Yes No : Do you agree on a visitation schedule? Yes No : C. A problem of emotional or physical disability or chemical dependency exists on the part of one party Defendant(s) or the other which affects the welfare of the child(ren). : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wife . . . . . . . . . Children . . .... ....... Husband 3. D. Attach an additional page(s) to explain what custody and/or visitation plan is best for the children. (If you cannot agree, each person should submit separate plans.) THE PEOPLE OF THE STATE OF NEW YORK TO 4. Asset and Debt Information A. Are you satisfied that you have sufficient information about your assets and debts to make an informed decision about how they should be divided? Yes No GREETINGS: If yes, do you agree or disagree about how the assets and debts should be divided? Agree Disagree WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at that Court If no, check the following terms the still need to be evaluated: located at County of a. Home in room , on the b. day of , 20 , at o'clock in the noon, and at any recessed Business or adjourned date, to testify and give evidence as a witness in this action on the part of the c. Retirement benefits and pensions, (include 401K plans, IRAs, deferred compensation) d. Saving and checking accounts e. Life insurance policies f. Stock options, bonds, mutual funds, etc. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to g. Personal property the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a h. result of your failure to comply. Automobiles and trucks i. Boats, motorcycles, snowmobiles, etc. j. Collectibles Witness, Honorablek. Vacation property , one of the Justices of the Court in County, Other of day , 20 l. B. Do you agree on how to divide the debts from the marriage? Yes No (Attorney must sign above and type name below) If no, estimate the total debt: __________ C. Have you filed or do you plan on filing bankruptcy? Attorney(s) for Yes No D. Do you agree on the amount of spousal maintenance (alimony), if any? Yes No If no, please explain why or why not on anOffice and P.O. Address attached page. E. Do you agree on the amount of child support? Yes No If yes, is the amount agreed upon pursuant Telephone No.: to the child support guidelines? Facsimile No.: Yes No E-Mail If no, please explain why not on an attached page. Address: Mobile Tel. No.: Last Revised 5/22/02 American LegalNet, Inc. www.USCourtForms.com 2 COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : Index No. : Calendar No. Alternative Dispute Resolution Have the parties talked with a third person to decide any of the problems listed in this form? : JUDICIAL SUBPOENA Plaintiff(s) Yes No -against: If yes, please check one or all of the following: Property/Financial problems : Custody problems Visitation problems : Third person is on the Supreme Court’s roster of qualified neutrals. Defendant(s) : . . . . . . . . . . .a.. . . .Meeting: . . . . parties .(or .their .attorneys). met .on. ______________ to discuss case management issues. . . . . . . . . The . . . . . . . . . . . . . . . . . . . . . 5. (date) b. ADR Process: (check one) (descriptions can be obtained from the Court Administrator): THE PEOPLE OF THE STATE OF NEW YORK that ADR is appropriate and choose the following: You Both Parties agree TO Mediation Arbitration (non-binding) Arbitration (binding) Mediation/Arbitration GREETINGS: Early Neutral Evaluation Moderated Settlement Conference WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Mini-Trial , the Honorable at Court Consensual Special Magistrate the located at County of Impartial Fact-Finder in room , on the day Dignity , 20 , at o'clock in the noon, and at any recessed Divorce with of or adjourned date, to testify and give evidence as a witness in this action on the part of the Collaborative Law Hennepin County Settlement Program Other (describe) _____________________________________________________________ Your failure to comply with this subpoena that ADR is appropriate but request that the Court selectliable to You Both Parties agree is punishable as a contempt of court and will make you the process. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to You comply. Both Parties agree that ADR is not appropriate because: Witness, Honorable the case implicates the federal or state constitution of the Justices of the , one other day of with particularity) (explain Court in County, , 20 _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ (Attorney domestic violence has occurred between mustparties and type name below) the sign above c. Provider (check one) You Other Party have selected the following ADR neutral: ________________________ Attorney(s) for cannot agree on an ADR neutral and request the Court to appoint one agreed to select an ADR neutral on or before ___________________ (date) d. Deadline (check one) You Other Party Office and P.O. Address recommend that the ADR process be completed by__________________ (date) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Last Revised 5/22/02 American LegalNet, Inc. www.USCourtForms.com 3 COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : 6. Index No. : Calendar No. List any other information that may help the Court schedule your dissolution on attached sheets if necessary. : JUDICIAL SUBPOENA Plaintiff(s) -against_____________________________________ : Signature of Pro Se Petitioner : Signature of Pro Se Respondent _____________________________________ : _____________________________________ Defendant(s) : . . . . . . _____________________________________. . . . . . . . . . . . .................................... _____________________________________ Address City, State, Zip Code _____________________________________ Address City, State, Zip Code _____________________________________ Home Telephone THE PEOPLE OF THE STATE OF NEW YORK _____________________________________ _____________________________________ _____________________________________ Work Telephone Work Telephone _____________________________________ _____________________________________ Date Date TO Home Telephone GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Last Revised 5/22/02 American LegalNet, Inc. www.USCourtForms.com 4