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Fill and Sign the Affidavit of Personal Service Minnesota 497312779 Form

Fill and Sign the Affidavit of Personal Service Minnesota 497312779 Form

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State of Minnesota District Court County Judicial District: Court File Number: Case Type: Name Change In the Matter of the Application of: First Middle Last On Behalf of (current name of minor(s)): Affidavit of Personal Service First Middle Last For a change of name to (new name of minor(s)): First Middle Last STATE OF MINNESOTA ) ) SS COUNTY OF ) (County where Affidavit signed) I, , state that I am at least (Name of person who hand-delivered documents) 18 years of age having been born on and that on , I served the Application for a Name Change of a Minor and a notice of hearing upon (Full name of non- applicant parent) at (address where documents were served) by handing a true and correct copy of the documents to him/her. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated : Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: NAM205 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 1

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