Fill and Sign the Petitionerrespondent for Hisher Statement of the Case States as Follows Form

- 1 - STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, STATEMENT OF CASE AND , Respondent, (P etitio ner/R esp onden t) f o r ( h is /h er) S ta te m en t o f t h e C ase , s ta te s a s f o llo w s: a . Nam e, a d dre ss a n d o ccu patio n o f t h e c lie n t.A nsw er:b . Nam e, a d dre ss, a n d p hone n um ber o f a tto rn ey w ho w ill t r y t h e c ase .A nsw er:c . Nam e o f i n su ra n ce c arrie rs i n volv ed , i f a n y.A nsw er:d . Nam es a n d a d dre sse s o f a ll w itn esse s k now n t o a tto rn ey o r c lie n t w ho m ay b e c alle d at th e tr ia l b y th e p arty in clu din g e x pert w itn esse s a n d th e p artic u la r a re a o f e x pertis e e ach e x pert wi ll b e a d dre ssin g.A nsw er:e . A c o ncis e s ta te m en t o f t h e p arty 's v ers io n o f t h e f a cts .A nsw er:f. A s ta te m en t o f t h e p ro bab le l e n gth o f t r ia l. - 2 - Answ er:g . The l e g al b asis f o r a ll c la im s a n d a ll d efe n se s.A nsw er:h . In accid en t case s, a sta te m en t of each cla im an t w heth er by co m pla in t or co unte rc la im , o f t h e f o llo w in g: 1. Nam es a n d a d dre ss e s o f d octo rs n ot lis te d a b ove w ho h av e e x am in ed th e in ju re d party . A nsw er: 2 . A d eta ile d d esc rip ti o n o f c la im ed in ju rie s, in clu din g c la im s o f p erm an en t in ju ry . If pe rm an en t i n ju rie s a re c la im ed , t h e n am e o f t h e d octo r o r d octo rs w ho w ill s o t e stif y . A nsw er: 3 . Wheth er p arty w ill e x ch an ge m ed ic al r e p orts . A nsw er: 4 . An ite m iz ed lis t o f a ll sp ecia ls in clu din g, b ut n ot lim ite d to (a ) c ar d am ag e a n d meth od o f p ro of th ere o f, (b ) x -ra y ch arg es, h osp ita l b ills an d o th er d octo r an d med ic al b ills t o d ate , a n d ( c ) l o ss o f e arn in gs t o d ate f u lly i te m iz ed . A nsw er: 5 . A d esc rip tio n o f v eh ic le s a n d o th er i n str u m en ta litie s i n volv ed w ith i n fo rm atio n a s t o ow ners h ip o r o th er r e le v an t f a cts . A nsw er: D ate d t h is _ ___ ______ d ay o f _ _________, 2 0_ _ __________________________ A tto rn ey f o r ( A ddre ss)(A ddre ss)(C ity , S ta te , Z ip )(T ele p hone N um ber)(A tto rn ey R eg . N O.: )