DIV814 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 Service by Mail I, , state that I am at least 18 years of age having been born on and that onI served the Findings of Fact,Conclusions of Law, Order for Judgment and Judgment and Decree on Respondent by placing a true and correct copy of said document in an envelope addressed to: at in the City of , State of Zip Codeand depositing the envelope, with sufficient postage, in the United States Mail at the Post Office located in the City of in the State of.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