CSX1502 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 Request for TranscriptTO: Court Administration I, (Name of Party), request a transcript of the hearing held on (Date of Hearing)before the Honorable (Name of Magistrate, Judge, or Referee) Purpose of the Request: (check one) For information Only: Two transcripts will be made Motion to Correct Clerical: Three or four transcripts will be made Motion for Review: Three or four transcripts will be made Appeal to Court of Appeals: Three or four transcripts will be made Is the County Agency a party in this action? Yes No If yes, provide the name and address of the County Attorney: Clearly print your name, address, and a daytime phone number where you can be reached in the area below. The transcriber who will prepare the transcript will contact you by telephone or by mail with the estimated cost of the transcript. Payment for the transcript and all additional copies must be made to the transcriber before the transcript is prepared. Failure to do so may result in your request being canceled. American LegalNet, Inc. www.FormsWorkFlow.com CSX1502 State ENG Rev 7/15www.mncourts.gov/formsPage 2 of 2If you cannot afford to pay the transcriber's fee, you may file a request to proceed In Forma Pauperis. See the Instructions page on how to get an In Forma Pauperis application form. You must send a copy of the order that waives your costs for the transcript to the transcriber as soon as possible to verify that the court will pay for the transcript.. Failure to do so may result in your request being canceled. Dated: Signature(Name and address of other party) Name: Address: City/State/Zip: Telephone: E-mail address:(Your name and address) Name: Address: City/State/Zip: Telephone: E-mail address: Attorney for: American LegalNet, Inc. www.FormsWorkFlow.com