STATE OF MINNESOTA DISTRICT COURT
COUNTY OF JUDICIAL DISTRICT
FAMILY COURT DIVISION
In Re the Marriage of: Court File No.
,
Petitioner,
ORDER FOR TEMPORARY
RELIEF
AND
,
Respondent,
Based upon the Stipulation for Temporary Relief signed by the parties hereto and their
attorneys,
IT IS HEREBY ORDERED:
1. (Petitioner)(Respondent) is hereby awarded the temporary and exclusive use and
possession of the family residence located at _____________ and the household goods and
furnishings contained therein.
2. (Petitioner)(Respondent) is hereby awarded the temporary and exclusive use and
possession of (his)(her) residence located at _____________ and the household goods and
furnishings contained therein.
3. Petitioner and Respondent are hereby granted joint legal custody of their minor
child(ren):
_____________ , born _____________ , presently _____________
( ___ ) years of age; AND
_____________ , born _____________ , presently _____________
( ___ ) years of age; AND
_____________ , born _____________ , presently _____________
( ___ ) years of age.
(Petitioner)(Respondent) is hereby granted the sole physical custody of the minor child(ren).
(He)(She) shall provide for their routine daily care and make all final decisions regarding the
minor child(ren), after consultation with (Petitioner)(Respondent).
4. Unless otherwise agreed by the parties, (Petitioner) (Respondent) shall have the
right to (reasonable) (reasonable and liberal) visitation with said minor child(ren) which shall
include (every other weekend and one (1) overnight each week).
([set forth schedule])
5. Commencing _____________ , (Petitioner)(Respondent) shall pay to (Petitioner)
(Respondent) as and for the support of the minor child(ren) of the parties the sum of
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_____________ Dollars ($ _____________ ) per month in equal installments of _____________
Dollars ($ _____________ ) on the first (1st) and fifteenth (15th) days of each month.
6. Commencing _____________ , (Petitioner)(Respondent) shall pay to (Petitioner)
(Respondent) as and for temporary maintenance the sum of _____________ Dollars
($ _____________ ) per month in equal installments of _____________ Dollars
($ _____________ ) on the first (1st) and fifteenth (15th) days of each month.
7. a. The _____________ State and Federal Income Tax refunds of the parties,
of approximately _____________ Dollars ($ _____________ ), shall be equally divided between
the parties after _____________ Dollars ($ _____________ ) has been paid to (Petitioner's)
(Respondent's) attorney and _____________ Dollars ($ _____________ ) has been paid to
(Petitioner's) (Respondent's) attorney.
b. Petitioner shall utilize (his)(her) share of the refunds for
_____________ _____________ _____________ _____________ .
c. Respondent shall use (his)(her) share of the refunds for
_____________ _____________ _____________ _____________ .
d. Each party shall provide an accounting of the disposition of the refunds.
8. a. Commencing with (Petitioner's)(Respondent's) use of the lake cabin of the
parties on _____________ , _____________ , the parties shall alternate use of said cabin on a
weekly basis, running from Monday to Monday.
b. (Petitioner)(Respondent) shall pay to (Petitioner)(Respondent) the sum of
_____________ Dollars ($ _____________ ) for each week, or part thereof, that (he)(she) enjoys
the use of the cabin, as and for (his)(her) contribution to the expenses of maintaining the same.
c. Each party shall leave the cabin in good order and in an appropriate state
of cleanliness.
d. (Petitioner)(Respondent) shall notify (Petitioner) (Respondent) in the
event that (he)(she) does not intend to exercise (his)(her) use of the cabin.
e. (Petitioner)(Respondent) shall have the option of demanding two (2)
weeks usage of the cabin, out of sequence, on the condition that (he)(she) provide to (Petitioner)
(Respondent) three (3) weeks notice of such election.
9. Temporary attorneys' fees, other than the payments provided herein, are hereby
reserved.
10. (Petitioner)(Respondent) shall be responsible for making payment of the parties'
indebtedness incurred prior to _____________ , except for the debts to _____________ , which
shall be serviced by (Petitioner)(Respondent).
11. (Petitioner)(Respondent) shall maintain all existing medical and life insurance for
the benefit of (Petitioner) (Respondent) and the minor child(ren) of the parties.
12. Each party shall maintain their own automobile insurance, and (Petitioner)
(Respondent) shall maintain appropriate automobile insurance for the minor child(ren) of the
parties.
13. (Petitioner)(Respondent) is hereby awarded the temporary and exclusive use of
the _____________ automobile as well as the _____________ automobile used by the child(ren)
of the parties, and (Petitioner)(Respondent) is hereby awarded the temporary and exclusive use
of the _____________ automobile.
14. Each party is hereby restrained from selling, transferring, encumbering, or
otherwise disposing of any assets of the marriage, except in the normal course of business, or
from seeking credit in the name of the other party, without the written agreement of the other
party, or further Order of this Court.
15. Each party is hereby restrained from annoying, molesting or interfering with each
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other in any manner whatsoever during the pendency of this proceeding.
16. Unless otherwise incorporated in the body of this document, the attached
Appendix A is incorporated by reference.
17. Service of this Order may be made by United States mail upon opposing counsel,
and the same shall be in lieu of personal service upon a party.
Dated: _____________ BY THE COURT:
______________________________
Judge of District Court
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