DIV815 State ENG Rev 10/17www.mncourts.gov/formsPage 1 of 1State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Dissolution with ChildrenIn the Marriage of: Petitioner (first, middle, last)and Respondent (first, middle, last)Affidavit of Default says that:I am the Petitioner in this action. The Summons and Petition were personally served on the Respondent on, (date) as shown by the Affidavit of Service on file. More than (30) thirty days have elapsed since the date service was made. No answer has been served on Petitioner or Petitioner's attorney. Wherefore, Petitioner requests that this action be scheduled for hearing as a default.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: Signature County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com