DIV1403 State ENG Rev 10/17www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Dissolution Name of Petitioner (first, middle, last) Name of Respondent (first, middle, last) andIn Re the Marriage of:Affidavit in Support of Responsive Motion For Contempt of Court 1.My true and correct name is . I state that the information contained in this Affidavit is true and correct to the best of myknowledge.2.I am the (check one): Petitioner Respondent in the above-entitled matter, and Imake this Affidavit in Support of My Responsive Motion that I not be found in contempt of court. 3.Prior to receiving the other party's court papers to find me in contempt, I (check one): did did not receive a copy of the Order dated.4.Check one of the following: I have obeyed the court's Order because (state what you did to obey the Order): I was not able to obey the court's Order because (state why you were unable to obey): Signature I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116.Dated: American LegalNet, Inc. www.FormsWorkFlow.com DIV1403 State ENG Rev 10/17www.mncourts.gov/formsPage 2 of 2 County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com