State of Minnesota County Judicial District: Court File Number: Case Type: District Court Family In Re the Marriage of: , Name of Petitioner and . Name of Respondent TO: First Street Address City County State Middle Last Apt. No. Zip Code Notice of Motion and Motion for Change of Custody NOTICE PLEASE TAKE NOTICE that on o'clock of the .m. before (name of judicial officer) , (date) at in Room located at , Minnesota, I will ask the Court for an Order granting the following relief: MOTION 1. The name(s) and date(s) of birth of the minor child(ren) of the parties is/are: Child's Full Name Date of Birth CHC302 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 2. The current order or judgment and decree regarding custody, which I am now seeking to change, is dated: . I would like the Court to amend the current order for legal custody of the minor child(ren): Yes No If yes, I would like the Court to amend the current order for legal custody of the minor children as follows: Joint legal custody to the parties Sole legal custody to I would like the Court to amend the current order to change physical custody of the minor child(ren): Yes No If yes, I would like the Court to change the current order for physical custody of the minor children as follows: Joint physical custody to the parties Sole physical custody to . If a change of physical custody is ordered, then I ask the Court to change the parenting time schedule as set forth in my Affidavit. If a change of physical custody is ordered, I ask the Court to determine each party's obligation to pay child support, including medical and child care support, to the other party in regard to the child(ren) in his or her physical custody. (Check only if you have been ordered to pay child support and you stopped paying child support because the children have been living with you.) If a change of custody is ordered, I ask the Court to order that my child support obligation has been satisfied by providing the child(ren) a home, care and support while the child(ren) was/were living with me from to month/day/year month/day/year 3. 4. 5. 6. 7. 8. I request such other and further relief as the Court may deem just, fair and equitable. VERIFICATION AND ACKNOWLEDGEMENTS a) I have read this document. To the best of my knowledge, information and belief, the information contained in this document is well grounded in fact and is warranted by existing law. I have not been determined by any Court in Minnesota or in any other state to be a frivolous litigant and I am not the subject of an Order precluding me from serving or filing this document. b) CHC302 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com c) I am not serving or filing this document for any improper purpose, such as to harass the other party or to cause delay or needless increase in the cost of litigation or to commit a fraud on the Court. I understand that if I am not telling the truth, or if I am misleading the Court or serving or filing this document for an improper purpose, the Court can order me to pay money to the other party, including the reasonable expenses incurred by the other party because of filing or serving this document, court costs, and reasonable attorney's fees. NOTICE TO THE OTHER PARTY d) After you receive these papers, if you want to respond to anything raised by the other party in his/her papers, your written response must be personally served on the other party at least five (5) days before the hearing or mailed to the other party at least eight (8) days before the hearing. Responsive papers are available from the Court Administrator's office. Your responsive papers must be filed with the Court Administrator at least five (5) days before the hearing. If you want to raise new issues at the hearing the other party has scheduled, your Motion and Affidavit must be personally served on the other party at least ten (10) days before the hearing or mailed to the other party at least thirteen (13) days before the hearing. Your papers raising new issues must be filed with the District Court Administrator at least ten (10) days before the hearing. DATE: Signature Address City / State / Zip Code ( Telephone ) E-mail address CHC302 State ENG Rev 7/15 www.mncourts.gov/forms Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com