CSX105 State ENG Rev 07/15www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: In Re the Marriage of: Petitioner (first, middle, last) Respondent (first, middle, last)and Intervenor Request To Allow Service By PublicationI, , state the following: (Name of party)1. I am a party in the above-entitled matter, or an attorney for the party.2. I must serve the following document on the opposing parties (check all that apply): Summons and Complaint Financial Affidavit Notice and Motion 3. I request that the Child Support Magistrate, Referee, or Judge allow the publication of the document because: The person to be served is not a resident of Minnesota. The person to be served cannot be found within the state.4. I made the following attempts at service (check all that apply): I mailed the summons or notice to the person's last known address which is: (Address) I attempted personal service at the person's last known address which is: (Address) After reasonable efforts, I could not determine the address of the other party to complete service. American LegalNet, Inc. www.FormsWorkFlow.com CSX105 State ENG Rev 07/15www.mncourts.gov/formsPage 2 of 2 Dated: Signature County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com