Fill and Sign the Sample Domestic Relations Order to Divide a Minnesota Form

- 1 - STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, QUALIFIED DOMESTIC RELATIONS ORDER AND , Respondent, WHER EA S, p urs u an t t o P ara g ra p h _ _ o f t h e F in din gs o f F act, C onclu sio ns o f L aw , O rd er fo r J u dgm en t a n d J u dgm en t a n d D ecre e e n te re d h ere in , _ ______________'s i n te re st i n t h e __ _____ ________ i s t o b e d iv id ed p urs u an t t o t h e O rd er o f t h is C ourt;W HER EA S, _ _____ _________ ( h ere in afte r " P artic ip an t" ) i s a p artic ip an t i n t h e __ _____ ________ ( h ere in afte r " P la n "); a n dW HER EA S, _ _____ _________, ( h ere in afte r " A lte rn ate P ay ee"), s h all b e a n A lte rn ate Pay ee o f P arti c ip an t's i n te re st i n t h e P la n .N OW , T H ER EFO RE, I T I S H ER EB Y O RD ER ED : A p ortio n o f P artic ip an t's i n te re st i n t h e P la n i s h ere b y a ssig ned a n d d is tr ib ute d t o A lte rn ate P ay ee as f o llo w s: 1 . Assig n m en t. F ro m t h e b en efits w hic h w ould o th erw is e b e a llo cate d t o P artic ip an t, t h e P la n s h all i r re v ocab ly a ssig n _ ______ ________ ( _ _) o f t h e p re se n t b ala n ce o f Pa rtic ip an t's a cco unt d ete rm in ed a s o f t h e d ate o f e n tr y o f t h e J u dgm en t a n d D ecre e here in , t o p ro vid e a n a ccru ed b en efit f o r A lte rn ate P ay ee u nder t h e P la n t o b e p aid dir e ctly t o A lte rn ate P ay ee. T he d olla r a m ount o f b en efits p ay ab le t o A lte rn ate Pay ee s h all b e _ ______________ ( _ _)o f t h e v alu e o f P artic ip an t's a cco unt de te rm in ed a s o f t h e l a st v alu atio n d ate f o r t h e P la n , a n d _ ______________ ( _ _)o f th e f ra ctio nal p ortio n o f a n y a d ditio nal e arn in gs a n d c o ntr ib utio ns t o P artic ip an t's - 2 - ac co unt a s r e fle cte d b y t h e f ir s t a n nual v alu atio n r e p ort i s su ed b y t h e P la n a fte r t h e da te o f e n tr y o f t h e J u dgm en t a n d D ecre e; t h e n um era to r o f s a id f ra ctio n b ein g t h e nu m ber o f m onth s, o r p ortio ns t h ere o f, f ro m t h e l a st v alu atio n r e p ort t o t h e d ate o f en tr y o f t h e J u dgm en t a n d D ecre e a n d t h e d en om in ato r o f w hic h i s t h e n um ber o f mo nth s i n t h e a n nual a cco un tin g p erio d. T he a ssig ned p ortio n s h all b e pro portio nally c re d ite d ( a d ju ste d ) w ith f u tu re e arn in gs a n d l o sse s a ris in g f ro m t h e in vestm en t o f t h e a sse ts o f t h e P la n b etw een t h e d ate o f e n tr y o f t h e J u dgm en t a n d Decre e a n d d is tr ib utio n o f t h e a ssig ned p ortio n. A fte r t h is a ssig nm en t, P artic ip an t sh all h av e n o r e m ain in g r ig hts t o t h e d is tr ib utio n o f t h e A ssig ned P ortio n ( a s ad ju ste d ). A fte r t h is a ssig nm en t, A lte rn ate P ay ee s h all f o r a ll p urp ose s b e t r e ate d a s a b en efic ia ry t o w hom p ay m en t o f t h e A ssig ned P ortio n ( a s a d ju ste d ) m ust b e m ad e. Al te rn ate P ay ee s h all h av e n o r ig hts i n t h e p ortio n o f P artic ip an t's a ccru ed b en efit no t a ssig ned t o A lte rn ate P ay ee a n d s h all h av e n o r ig hts i n a n y c o ntr ib utio ns t o o r ea rn in gs o n P artic ip an t's p o rtio n o f t h e P la n a fte r t h e d ate o f t h e e n tr y o f t h e Ju dgm en t a n d D ecre e h ere in . 2. Dis tr ib utio n t o A lt e rn ate P ayee. [ T he d is tr ib utio n o f t h e a ssig ned p ortio n s h all b e e ffe cte d b y t r u ste e t o t r u ste e t r a n sfe r s o a s n ot t o i n cu r l ia b ility f o r i n co m e t a x with hold in g p urs u an t t o I R S r e g ula tio ns a n d t h e I n te rn al R ev en ue C ode e ffe ctiv e Jan uary 1 , 1 993.] T he f o rm o f d is tr ib utio n o f t h e a ssig ned p ortio n s h all b e i n a f o rm dete rm in ed i n a cco rd an ce w ith t h e r u le s o f t h e P la n . T he t im e o f d is tr ib utio n o f t h e assig ned p ortio n s h all b e t h e e arlie st t im e f o r d is tr ib utio n p erm itte d b y t h e P la n , a n d sh all b e n o l a te r t h an t h e t im e w hen d is tr ib utio n i s m ad e t o P artic ip an t, o r, i f e arlie r, wh en P artic ip an t r e ach es t h e e arlie st r e ti r e m en t a g e p erm itte d u nder t h e P la n wheth er o r n ot P artic ip an t r e tir e s. 3 . Dete rm in atio n o f Q ualif ie d D om estic R ela tio n s O rd er. A s s o on a s p ossib le , P artic ip an t s h all s e rv e a c o py o f t h e J u dgm en t a n d D ecre e h ere in o n t h e P la n Adm in is tr a to r, w ho s h all d ete rm in e w ith in a r e aso nab le t im e w heth er t h e J u dgm en t an d D ecre e o f d is so lu tio n e n te re d h ere in i s a q ualif ie d d om estic r e la tio ns o rd er a s t h e sa m e i s d efin ed i n S ectio n 2 06(d ) o f t h e E m plo yee R etir e m en t I n co m e S ecu rity A ct of 1 974, a s a m en ded b y t h e R etir e m en t E quity A ct o f 1 984. P artic ip an t a n d Alte rn ate P ay ee s h all b e n otif ie d i n w ritin g o f s u ch d ete rm in atio n b y t h e P la n Adm in is tr a to r. I n c o nnectio n w ith t h at d ete rm in atio n, t h e f o llo w in g r e cita tio ns s h all be c o nsid ere d : a ) th e J u dg m en t a n d D ecre e h ere in r e la te s t o t h e p ro vis io n o f m arita l p ro perty rig hts t o a s p ouse o f P artic ip an t a n d i s m ad e p urs u an t t o M in neso ta D om estic Re la tio ns L aw ; b ) th e n am e, a d dre ss a n d S ocia l S ecu rity N um ber o f P artic ip an t a re __ _____________ , _ ______________, _ ______________; c ) th e n am e, a d dre ss a n d S ocia l S ecu rity N um ber o f A lte rn ate P ay ee a re __ _____________ , _ ______________, _ ______________; - 3 - d) th e J u dg m en t a n d D ecre e h ere in a p plie s i n itia lly t o P artic ip an t's e n tir e be n efit a s o f t h e d ate o f d iv is io n; e ) th e J u dg m en t a n d D ecre e h ere in r e la te s t o t h e _ ______________ D efin ed Co ntr ib utio n P en sio n . 4. Lim it a tio n s. N oth in g h ere u nder s h all r e q uir e d is tr ib utio n o f a n i n cre ase d b en efit t o P artic ip an t o r A lte rn ate P ay ee. N o b en efits c o nfe rre d h ere u nder a re r e q uir e d t o b e pa id t o a n oth er A lte rn ate P ay ee u nder a n y o th er O rd er p re v io usly d ete rm in ed t o b e a qu alif ie d d om estic r e la tio ns o rd er. T his O rd er d oes n ot r e q uir e t h e P la n t o p ro vid e an y t y pe o r f o rm o f b en efit o r a n y o ptio n n ot o th erw is e p ro vid ed u nder t h e P la n ; pr o vid ed , h o w ev er, t h e O rd er a u th oriz es t h e p ay m en t o f b en efits t o A lte rn ate P ay ee be fo re P artic ip an t h as s e p ara te d f ro m s e rv ic e. 5 . Sep ara te O wnersh ip . E ach p arty s h all h av e a s e p ara te o w ners h ip i n t h e d iv id ed in te re st, t o geth er w ith t h e s e p ara te r e sp o nsib ility f o r t h e t a x l ia b ility a ttr ib uta b le th ere to . I t i s i n te n ded t h at t h e t a x c o nse q uen ces o f t h e r e ceip t o f t h ese p ay m en ts b e bo rn e a cco rd in g t o t h e p ro portio nate s h are o f t h e t o ta l i n te re st r e ceiv ed b y e ach party . T his d iv is io n s h all b e m ad e i n a ll e v en ts , a n d s h all n ot b e m odif ie d b y a n y ch an ge o f c ir c u m sta n ces o f e ith er p arty . 6. Ju ris d ic tio n . E ach p arty s h all k eep t h e P la n A dm in is tr a to r a d vis e d o f h is o r h er c u rre n t a d dre ss. T he C ourt s h all r e ta in j u ris d ic tio n t o e ffe ct t h is d iv is io n a n d t h e allo catio n o f t a x c o nse q uen ces i n a cco rd an ce h ere w ith . T his d iv is io n i s a p ro perty settle m en t, a n d t h e r e te n tio n o f j u ris d ic tio n b y t h e C ourt i s f o r t h e p urp ose o f ef fe ctin g t h e d iv is io n i n a cco rd an ce h ere w ith . D ate d : _ ___ ___________ BY T H E C O URT: ______________________________Ju dge o f D is tr ic t C ourt