State of Minnesota County Judicial District: Court File Number: Case Type: District Court Family In Re the Marriage of: Name of Petitioner and Responsive Notice of Motion and Motion For Change of Custody Name of Respondent TO: First Street Address City County State Middle Last Apt. No. Zip Code NOTICE PLEASE TAKE NOTICE that on o'clock 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 , in Room of the at .m. before (name of judicial officer) , The current Order or Judgment and Decree is dated: CHC402 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 2. a. Deny the other party's request to change legal custody. b. I would like the Court to amend the current order for legal custody of the minor child(ren) as follows: Joint legal custody to the parties Sole legal custody to a. Deny the other party's request to change physical custody. b. I would like the Court to amend the current order for physical custody of the minor child(ren) as follows: Joint physical custody to the parties Sole physical custody to 3. 4. 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 one): Yes No. 5. 6. (Check below 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 month/day/year to month/day/year 7. For 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. CHC402 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com b) 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. 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. c) d) DATE: Signature Address City/State/Zip Code ( Telephone E-mail address ) CHC402 State ENG Rev 7/15 www.mncourts.gov/forms Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com