CSX1303 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 1State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Petitioner (first, middle, last) and Respondent (first, middle, last) In Re the Marriage of: Intervenor Affidavit in Support of Motion to Reinstate Child Support InterestI am the Petitioner Respondentin this case and I state the following information:1.Pursuant to Minn. Stat. 247 548.091, subd. 1a(b) (2014), the court may order thereinstatement of interest effective the month in which the obligor fails to make complete and timely payments. 2.The obligor,has failed to make complete and timely payments as described below: (state the date of the court order that approved child support interest to stop accruing, what month(s) have not been paid in full since interest stopped accruing, how much is due and owing for support and/or arrears, and any other relevant information.) Signature I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116.Dated: County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com