Fill and Sign the Default Scheduling Request Form

State of Minnesota District Court County Judicial District: Court File Number: Case Type: Dissolution with Children In Re the Marriage of: Name of Petitioner Default Scheduling Request And Name of Respondent STATE OF MINNESOTA ) COUNTY OF )SS (County where Affidavit signed) The above entitled matter is submitted for default scheduling as follows: (Check all appropriate boxes.) □ Approval without a hearing pursuant to Minn. Stat. § 518.13, subd. 5. □ The marriage includes minor children, each party is represented by a lawyer and each party has signed a stipulation. □ The marriage does not include minor children and each party has signed a stipulation. □ The marriage does not include minor children, at least 50 days have elapsed since service of the Summons and Petition, and the respondent has not appeared in the action. □ Default hearing required or requested. □ Marriage includes minor children. Submitted by: Name of Party Dated: Attorney Signature Name: Attorney Lic. #: Street Address: City/State/Zip: DIV809 State ENG Rev 11/01-D www.courts.state.mn.us/forms Page 1 of 2 Telephone: ( ) DIV809 State ENG Rev 11/01-D www.courts.state.mn.us/forms Page 2 of 2