CSX802 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 3State 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 Motion For Review Combined MotionNotice TO: Other Party: First Middle Last Street Address Apt. No. City State Zip CodeCounty Attorney's Office: Name of County Attorney Street Address Suite No. City State Zip CodeMotionI, (Name of person making request) request that the Order dated (Date court order signed) be reviewed and that an amended order be issued. American LegalNet, Inc. www.FormsWorkFlow.com CSX802 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 3Requests 1. I request that the Order be reviewed by (check one): The Child Support Magistrate who issued the Order A District Court Judge2. The parts of the Order that I want reviewed and the reasons I am requesting the review are as follows (if this is a Combined Motion, please state all typographical, clerical and mathematical mistakes, all errors of law and other reasons why you feel the Order is incorrect): A. Page Paragraph Reason it should be changed or reviewed: B. Page Paragraph Reason it should be changed or reviewed: C. Page Paragraph Reason it should be changed or reviewed: D. Page Paragraph Reason it should be changed or reviewed: E. Page Paragraph Reason it should be changed or reviewed: F. Page Paragraph Reason it should be changed or reviewed: Attach additional sheets if necessary3. I request that the Child Support Magistrate or Judge issue an amended order. In addition, I would like the order to say: (Check each of the following only if they apply to you) 4. I would like permission to submit new information that I was unable to obtain at the time of the prior hearing. The information I would like permission to submit and the reason it was not previously submitted is: 5. I request the Child Support Magistrate or Judge schedule a new hearing because: American LegalNet, Inc. www.FormsWorkFlow.com CSX802 State ENG Rev 7/15www.mncourts.gov/formsPage 3 of 3 6.I have ordered a transcript of the prior hearing. I ordered the transcript from theCourt Administrator on (Date Request for Transcript filed).Notice To The Other Party You have the right to object to this motion. If you wish to object, within thirty (30) days from service of the original Notice of Filing of your order, you must serve upon the other party and the county attorney's office, and file with the Court Administrator, a response to this motion. A form entitled Response to Motion for Review / Counter Motion is available from the Court Administrator. The time frame for responding to a Motion for Review is explained on the Notice of Filing attached to the order being reviewed. Acknowledgments by Party Making Motion a.I am not serving or filing this document for any improper purpose, such as to harass or tocause unnecessary delay or needless increase in the cost of litigation.b.The claims, defenses, and other legal contentions therein are warranted by existing law orby a nonfrivolous argument for the extension, modification, or reversal of existing law orthe establishment of new law.c.The allegations and other factual contentions have evidentiary support or, if specificallyso identified, are likely to have evidentiary support after a reasonable opportunity forfurther investigation or discovery.d.The denials of factual contentions are warranted on the evidence or, if specifically soidentified, are reasonably based on a lack of information or belief.e.The court may impose an appropriate sanction upon the attorneys, law firms, or partiesthat violate the above stated representations to the court, or are responsible for theviolation.f.I understand that the existing order remains in full force and effect and I must continue tocomply with that order until a new order is issued. Dated: Signature Name: Address: City/State/Zip: Telephone: E-mail address: Attorney for: American LegalNet, Inc. www.FormsWorkFlow.com