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- 1 - STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, ORDER AND , Respondent, The a b ove-e n title d m atte r c am e o n fo r h earin g b efo re th e H onora b le _ ______________, (R efe re e)(J u d ge) o f th e a b ov e-n am ed C ourt, o n th e _ ______________d ay o f _ ______________, 19 _ _, o n m otio ns n otic ed b y ( P etitio ner) ( a n d) ( R esp onden t) f o r t h e r e lie f s p ecif ie d t h ere in .P etitio ner a p peare d p ers o nally a n d _ __________ ____, E sq ., a p peare d a s c o unse l f o r a n d o n beh alf o f P etitio ner. R esp onden t a p peare d p ers o nally a n d _ ______________, E sq ., a p peare d a s co unse l f o r a n d o n b eh alf o f R esp onden t.N OW , T H ER EFO RE, p urs u an t to th e o ra l s tip u la tio n e n te re d in to b efo re th is C ourt b y a n d betw een t h e p artie s h ere to , w ith t h e a d vic e o f t h eir r e sp ectiv e a tto rn ey s, t h e C ourt f in ds:1 . Petitio ner h as n et m onth ly in co m e o f $ _______________, a n d s ta te d m onth ly n eed s of $ ________ _______ . R esp onden t h as n et m onth ly in co m e o f $ _______________, a n d sta te d mo nth ly n eed s o f $ _______ ________.2 . [S et f o rth o th er, s p ecif ic f in din gs i n s e p ara te , n um bere d p ara g ra p hs.]I T I S O RD ER ED :1. [S et f o rth t h e s p ecif ic t e rm s o f t h e O rd er i n s e p ara te , n um bere d p ara g ra p hs.]2 . Unle ss o th erw is e in co rp ora te d in th e b od y o f th is d ocu m en t, th e a tta ch ed A ppen dix A i s i n co rp ora te d h ere in b y r e fe re n ce.3 . Serv ic e o f th is O rd er m ay b e m ad e b y U nite d S ta te s m ail u pon o pposin g c o unse l, an d t h e s a m e s h all b e i n l ie u o f p ers o nal s e rv ic e u pon a p arty . D ate d : _ ______ ________ __ _____________ BY T H E C O URT: ______________________________Ju dge o f D is tr ic t C ourt - 2 - APPR O VED A S T O C O NTEN T A ND F O RM :Date d : _ ______ ________ Date d : _ _________________________________________________________________________________________________________________Attorney for PetitionerAttorney for Respondent#1 Address#1 Address#2 Address#2 AddressCity, State ZipCity, State ZipTelephone (____) __________Telephone (____) __________Attorney Reg. No.: ______Attorney Reg. No.: ______