DIV703 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 without Children Petitioner (First, Middle, Last) Respondent (First, Middle, Last) andIn Re the Marriage of:Affidavit in Support of Responsive Motion For Temporary Relief Without Children My name is and I state that:1. I am the (check one): Petitioner Respondentin this case, and I make this Affidavit inin support of my Responsive Motion For Temporary Relief Without Children.2. I AM NOT asking for temporary spousal maintenance. I AM asking the Court to decide temporary spousal maintenance LATER. I AM asking the Court for spousal maintenance. I do not have enough income to meet my needs. My spouse has the income to meet his or her needs and is able to help me. My income and expenses are listed in the Parenting /Financial Disclosure Statement and filed with this Affidavit. I need per month. I cannot support myself because: 3. I am asking the Court to order my spouse to pay my attorney's fees: Yes No4. Check one if applies I am asking the Court to order that I have sole use and possession of the homelocated at (full address): I am asking the Court to order my spouse have sole use and possession of our home located at (full address): I am asking the Court to order that my spouse and I share the use and possession ofour home located at (full address): American LegalNet, Inc. www.FormsWorkFlow.com DIV703 State ENG Rev 10/17www.mncourts.gov/formsPage 2 of 2I am asking the Court for the relief checked above because: 5.My spouse and I have already divided our personal belongings, household goods andfurniture (check one): Yes No6.My spouse and I own motor vehicle(s): Yes No7.My spouse and I have debts: Yes No8.I want to change certain medical, dental, automobile or life insurance policies: Yes No9.I am asking for insurance to be reinstated: Yes NoIf Yes, Explain:10.I believe that my spouse's income will increase: Yes No11.I want the Court to order that my spouse shall not spend or otherwise use income raises,income tax refunds, bonuses or other extra income: Yes Nobecause (s)he might not tell me and I want to know because: 12.I am asking the Court for permission to sell or otherwise get rid of other property: Yes No13.I asked the Court for additional relief: Yes NoI declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116. Dated: Signature County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com