JGM302 State ENG Rev 7/04www.mncourts.gov/formsPage 1 of 1State of Minnesota District Court County of:Select County Judicial District: Court File Number: Case Type: Plaintiff (first, middle, last) Defendant (first, middle, last)vs.Request for Order for Disclosure (Minn. Stat. 247491A.02, subd. 9 and 247550.011)TO: The Court Administrator Concerning: Judgment Debtor's Name: Address: City, State, Zip:The Judgment Creditor states that: 1. The Judgment Creditor has won a Judgment in this lawsuit against the Judgment Debtor.2. The case began in District Court and the Court Administrator docketed the judgment more than thirty (30) days ago OR the case began in Conciliation Court and the Court Administrator has docketed the judgment, 3. The Judgment Debtor has not paid all of the money which is owed to the Judgment Creditor, and 4. The Judgment Creditor and the Judgment Debtor have not agreed to some other way to settle the debt. The Judgment Creditor requests that the Court order the Judgment Debtor to fill out a Financial Disclosure form, and mail it to the Judgment Creditor at the address shown below. The statements made in this request are true and correct to the best of my knowledge. Dated: Judgment Creditor's Authorized Signature and title /s/ County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address:SEE THE SUMMARY OF EXEMPT PROPERTY FORM FOR IMPORTANT INFORMATION American LegalNet, Inc. www.FormsWorkFlow.com