Fill and Sign the 03 10 11 Dakota County Tribune Business Weekly Issuu Form

JGM302 State ENG Rev 07/ 04 www. mn courts. gov /forms Page 1 of 1 State of Minnesota District Court County Judicial District Case No. ______________________________ Plaintiff Request for Order for Disclosure Defendant Minn. Stat. § 491A.02, subd. 9 and § 550.011 TO: The Court Administr ator 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 agains t 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 corre ct to the best of my knowledge. Date: Judgment Creditor’s Authorized signature and t itle Print Judgment Creditor’s Name Address City/State Zip Telephone ________ __ ______________________________ E-mail address SEE THE SUMMARY OF EXEMPT PROPERTY FORM FOR IMPORTANT INFORMATION