CSX1002 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) Intervenor In Re the Marriage of:Notice of Motion, Motion and Affidavit to Contest Support Judgment LevyNoticeTO: 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 CodePLEASE TAKE NOTICE that on (Date of hearing)at (Time) (a.m./p.m.) at the (Name of building where hearing to be held)County Courthouse or GovernmentCenter, located at (Street address where hearing to be held) American LegalNet, Inc. www.FormsWorkFlow.com CSX1002 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 3 in the city of (City where hearing to be held) Minnesota, (check the public calendar atthe hearing location for the room number), the undersigned will ask the Court to release all or part of any accounts with the financial institution that is holding funds for the purpose of child support or spousal maintenance arrearages pursuant to Minn. Stat. 552.04 and 552.06 (2005). MotionI request that the Court authorize the release of all or part of any seized accounts at the financial institution, namely (Name of financial institution) that is being held for: County Obligee Child Support owed to the: Spousal Maintenance owed to the: County Obligee AffidavitThe facts upon which I base my request are: The seizure or the amount seized is improper due to a mistake of fact. (Explain the mistake.) The seizure or the amount seized is exempt from levy for child support purposes under state or federal law. (Explain how the amount seized is exempt. For example, income is from SSI, etc.) Acknowledgments by Party Making Motion a. I am not serving or filing this document for any improper purpose, such as to harass or to cause unnecessary delay or needless increase in the cost of litigation. b. The claims, defenses, and other legal contentions therein are warranted by existing law or by a nonfrivolous argument for the extension, modification, or reversal of existing law or the establishment of new law. c. The allegations and other factual contentions have evidentiary support or, if specifically so identified, are likely to have evidentiary support after a reasonable opportunity for further investigation or discovery. d. The denials of factual contentions are warranted on the evidence or, if specifically so identified, are reasonably based on a lack of information or belief. e. The court may impose an appropriate sanction upon the attorneys, law firms, or parties that violate the above stated representations to the court, or are responsible for the violation. American LegalNet, Inc. www.FormsWorkFlow.com CSX1002 State ENG Rev 7/15www.mncourts.gov/formsPage 3 of 3f.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 Attorney for: County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com