Fill and Sign the Supreme Court Rule 13 Illinois Courts Form

- 1 - * * * * * * * * * * * * * * * * * * _ ________________ ___, b ein g f ir s t d uly s w orn , a lle g es f o r h is c au se o f a ctio n: I. T he tr u e an d co rr e ct nam es, ad dre sse s, an d so cia l se cu rity num bers of Pla in tif f an d Defe n dan t a re : P la in tif f: _____ ____________________ _________________________ _________________________S SN : _ ______________ _____ D efe n dan t: _____ ____________________ _________________________ _________________________S SN : _ ______________ _____ II. P la in tif f is bein g re p re se n te d in th ese pro ceed in gs by __ _____ _______________ _________________, Esq uir e , of STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner,C O M PL A IN T (parentage alleged AND by father) , Respondent, - 2 - __ _____ _______________ _________________________________________, (a d dre ss), (c ity ), (s ta te ) ( z ip c o d e). I II. P la in tif f's d ate o f b ir th i s _ _______________, 2 0____, a n d h e i s _ _______________ ( _ ___) ye ars of ag e. Defe n d an t's date of bir th is ________________, 20_ ___, an d sh e is __ _____ _________ ( _ ___ ) y ears o f a g e. IV . Pla in tif f (a n d th e m in or ch ild ) re sid e(s ) in th e C ounty o f _ _______________, S ta te o f Min neso ta . D efe n dan t ( a n d t h e m in or c h ild ) r e sid e(s ) i n t h e C ounty o f _ _______________, S ta te o f Min neso ta . V . On or ab out th e ____ day of ________________, 20____, in th e City of __ _____ _________ , C ounty o f _ _______________, an d S ta te o f _ _______________, P la in tif f, __ _____ _________ , a n d D efe n dan t, _ ______________ _, h ad s e x ual i n te rc o urs e . V I. B y re aso n o f sa id se x ual in te rc o urs e , D efe n d an t b ecam e p re g nan t w ith a (m ale )(fe m ale ) ch ild , _ _______________ , w ho w as b orn ( o ut o f w ed lo ck ) i n t h e C ity o f _ _______________ o n t h e __ __ d ay o f _ ____________ ___, 2 0_ ___. V II. B lo od te sts in dic ate th at th ere is a _ ___ p erc en t lik elih ood th at P la in tif f is th e f a th er o f s a id min or c h ild . (P la in tif f r e q u ests th at h e b e a d ju dic ate d th e f a th er o f s a id m in or c h ild .) (T he p artie s ha v e a g re ed t h at P la in tif f i s t h e f a th er o f t h e m in or c h ild .) V III. A (d ecla ra tio n)(re co gnitio n) o f p are n ta g e, p urs u an t to M in n. S ta t. § (2 57.3 4)(2 57.7 5) h as (n ot) b een s ig ned b y (P la in tif f) (D efe n dan t) (th e p artie s). P la in tif f is th e fa th er o f s a id c h ild , a n d (sa id c h ild b ea rs h is s u rn am e) ( h is n am e a p pears o n t h e b ir th c ertif ic ate o f t h e m in or c h ild ). - 3 - IX . (P la in tif f is a )(th e p artie s a re ) f it a n d p ro per c u sto dia n (s ) f o r s a id m in or c h ild , a n d th e b est in te re sts o f th e c h ild w ill b e s e rv ed if (P la in tif f is )(th e p artie s a re ) a w ard ed (s o le )(jo in t) le g al a n d (P la in tif f i s a w ard ed s o le ) p hysic al c u sto dy. X . Defe n dan t i s c ap ab le o f c o ntr ib utin g t o t h e s u ppo rt o f s a id m in or c h ild . X I. P la in tif f is em plo y ed as a ________________ by ________________, lo cate d at __ _____ _________ . H e h as g ro ss i n co m e o f $ ________________ p er _ _______________ a n d n et in co m e of $___________ _____ per ________________. Defe n dan t is em plo yed as a __ _____ _________ b y _ __ _____________, lo cate d a t _ _______________. S he h as g ro ss in co m e of $________ ________ per ________________ an d net in co m e of $________________ per __ _____ _________ . P la in tif f is d ep en den t u pon D efe n dan t f o r a c o ntr ib utio n to th e s u pport o f th e min or c h ild (re n ) o f t h e p artie s. N eith er p arty r e ceiv es p ublic a ssis ta n ce.W HER EFO RE, P la in tif f p ra y s f o r t h e J u dgm en t a n d D ecre e o f t h is C ourt a s f o llo w s: A DJU DIC ATIO N 1. Adju dic atin g P la in tif f t o b e t h e f a th er o f t h e m in or c h ild , _ _______________. C UST O DY/V IS IT A TIO N 1. Gra n tin g _ _ ___________ ___ t h e s o le l e g al a n d p hy sic al c u sto dy o f s a id m in or c h ild su bje ct to _ __________ _____'s rig ht to (re aso nab le ) (s u perv is e d ) (re aso nab le a n d lib era l) v is ita tio n.2 . Gra n tin g P la in tif f a n d D efe n dan t th e jo in t le g al c u sto dy o f sa id m in or c h ild , a n d desig natin g __________ ______ as (h is )(h er) so le physic al cu sto dia n su bje ct to ________ ________ 's rig ht to (re aso nab le ) (s u perv is e d ) (re aso nab le an d lib era l) vis ita tio n.3 . Gra n tin g P la in tif f an d D efe n dan t jo in t le g al an d p hysic al cu sto dy o f sa id m in or ch ild .4 . Ord erin g s u ch c u sto dy, c are a n d c o ntr o l o f s a id m in or c h ild a s th e C ourt d eem s in (his )(h er) b est i n te re st. - 4 - CH IL D S U PP O RT 1. Ord erin g su ch su pport fo r sa id m in or ch ild as th e C ourt deem s ju st, fa ir an d eq uita b le .2 . Ord erin g _ __________ _____ to p ay to _ _______________ a re aso nab le su m o f mo n ey f o r t h e s u pport o f s a id m in or c h ild .3. Rese rv in g t h e i s su e o f s u pport f o r s a id m in or c h ild . IN CO M E W IT H HOLD IN G 1. Req uir in g t h at t h e c h ild s u pport p ay m en t b y _ _____ __________ b e m ad e b y i n co m e with hold in g p urs u an t t o M in n. S ta t. § 518.6 13. IN SU RANC E 1. Req uir in g th at (_ _____ __________)(b oth partie s) pro vid e m ed ic al (a n d den ta l) in su ra n ce f o r t h e b en efit o f s a id m in or c h ild ( in a j u st a n d e q uita b le m an ner). N AM E C H AN G E 1. Ord erin g th at th e min or ch ild 's nam e be ch an ged fro m ________________ to ________ ________ . S U CH O TH ER 1. For s u ch o th er a n d fu rth er re lie f a s th e C ourt d eem s ju st, fa ir a n d e q uita b le in th e pre m is e s.D ate d : _ ______ _________ _ _____ ___________________ F ir m B y _ ________________________ _ ________________________ P rin te d N am e - 5 - _ ________________________ _ ________________________ _ ________________________ A ddre ss _ ________________________ T ele p hone A tto rn ey f o r _ _____________ V ER IF IC ATIO N ST A TE O F M IN NESO TA ) ) S S .C O UNTY O F _ __________ ___) ______________ , b ein g f ir s t d uly s w orn , u pon o ath d ep ose s a n d s a y s th at h e is th e P la in tif f in th e a b ove-e n title d a ctio n; th at h e h as re ad th e fo re g oin g C om pla in t, k now s th e c o nte n ts th ere o f an d th at th e s a m e is tr u e a n d c o rre ct, e x cep t a s to th ose m atte rs th ere in s ta te d o n in fo rm atio n a n d belie f a n d a s t o t h ose m atte rs h e b elie v es t h em t o b e t r u e. _ _____________________________N am e o f C lie n tP la in tif f D ate d :_ _ _____ _______ _ _____ _______________ _P etitio ner/R esp onden tS ub sc rib ed a n d s w orn to b efo re m e th is _ ____ day o f _ ___________, 2 0___ .___ ___ _________________________N OTA RY P U BLIC - 6 - ACK NO W LED G M EN T ST A TE O F M IN NESO TA ) ) S S. C O UNTY O F _ __________ ___) _________________ _________, th e a tto rn ey fo r P la in tif f in th e a b ove-c ap tio ned m atte r, an d _ __________________ _______, P la in tif f h ere in , h ere b y a ck now le d ge th at p urs u an t to M in n. St a t. § 549.2 1, c o sts , d is b urs e m en ts , w itn ess f e es a n d r e aso nab le a tto rn ey s' f e es m ay b e a w ard ed to Defe n dan t i n t h e e v en t P la in tif f i s f o und t o b e a ctin g i n b ad f a ith a n d/o r a sse rtin g a f riv olo us c la im . _____________________________N am e o f C lie n tP la in tif f S ubsc rib ed a n d s w orn t o b efo re m eth is _ ____ d ay o f _ _______ ______, 2 0_ __. _ ____________________________N ota ry P ublic_ ____________________________A tto rn ey f o r P la in tif f S ubsc rib ed a n d s w orn t o b efo re m eth is _ ____ d ay o f _ _______ ______, 2 0_ __. _ ____________________________N ota ry P ublic