Fill and Sign the Respondents Statement Form

- 1 - STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, RESPONDENT’S STATEMENT OF THE CASE AND , Respondent, The above-named Respondent gives the following as its Statement of the case in the above- captioned matter: (a) Name, address, and occupation of the client. (Name) (Address) (City, State, Zip) Publishing sales with ___________________ and _________________ (b) Name, address, and phone number of attorney who will try the case. (Name of Attorney) (Address) (Address) (City, State, Zip) (Phone Number) (c) Name of insurance carriers involved, if any. (d) Names and addresses of all witnesses known to attorney or client who may be called at trial by the party, including expert witnesses and the particular area of expertise each expert will be addressing. __________ - 2 - In addition, the following individuals may be called at trial to testify on behalf of the Respondent: (Name) (Address) (Address) (City, State, Zip) (Phone Number) (e) A concise statement of the party's version of the facts. __________ (f) A statement of probable length of trial. (g) The legal basis for all claims and all defenses. (h) In accident cases, a statement by each claimant, whether by complaint or counterclaim, of the following: (i) Names and addresses of doctors not listed above who have examined the injured party. (j) A detailed description of claimed injuries, including claims of permanent injury. If permanent injuries are claimed, the name(s) of the doctor or doctors who will so testify. (k) Whether parties will exchange medical reports (See R.C.P. 35.04). (l) An itemized list of all specials including, but not limited to; (1) Car damage and method of proof thereof; (2) X-ray charges, hospital bills and other doctor and medical bills to date; , and (3) Loss of earnings to date fully itemized. (m) A description of vehicles and other instrumentalities involved with informati on as to ownership or other relevant facts. - 3 - Dated: ________________ ______________________________Attorney for Respondent (Address) (Address) (city, State, Zip) (Telephone Number) (Attorney Reg. No.:)