CSX1702 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: Petitioner (first, middle, last) and Respondent (first, middle, last) In Re the Marriage of: Intervenor Ex Parte Request and Affidavit in Support of Service Upon a PartyRequestI, (Name of party filing request), request that the court order the public authority to serve moving papers on the other party, (Name of party to be served)by U.S. mail. The above-entitled matter qualifies as a IV-D case as defined in Minn. Stat. 247 518A.26, and pursuant to Minn. Stat. 247 518A.47, I may request an order for service from the court. AffidavitI, , state the following reasons why an order for service on the other party should be granted. 1. I am unable to serve moving papers in a support proceeding and do not have access to the address of the other party because: (check one) there is a current protective order on file and the address is unavailable to me.the address is unknown to me and I have made reasonable efforts to locate the other party. (Tell what you have done in trying to find the other party.) 2. To the best of my knowledge, the other party is not represented by counsel. American LegalNet, Inc. www.FormsWorkFlow.com CSX1702 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 2 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