DIV903 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 Re the Marriage of: Petitioner (first, middle, last)and Respondent (first, middle, last)Affidavit of Personal ServiceI, state that I am at least 18 years of age (Name of person who hand-delivered documents) having been born on and that onI served the (List all papers handed to the other party) uponby handing a true and correct copy of (Name of other party) the documents to him/her at (Street address) (Apt.) (City) (State) (Zip Code).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