Affidavit Of Service Of Notice Of Motion And Motion To Intervene As Party {ADO-405}

State of Minnesota County District Court Judicial District: Court File Number: Case Type: Family Court - Adoption In Re the Petition of: , Petitioner and , Petitioner To Adopt: . (child's current name) Affidavit of Service of Notice of Motion and Motion to Intervene as Party State Of Minnesota ) ) SS County Of ) (County where Affidavit Signed) I, (Name of person who mailed or hand delivered documents) , state that on , I served the attached Notice of Motion and Motion (Date Service Made) to Intervene as a Party by (check one): hand delivering the document to the following persons at the following addresses: OR mailing the document to the following person(s) at the following addresses: 1. First Name Street Address City County Last Name Apt. No. State 2. First Name Street Address City County Last Name Apt. No. State American LegalNet, Inc. www.FormsWorkFlow.com ADO405 State ENG 7/15 www.mncourts.gov/forms Page 1 of 2 3. First Name Street Address City 4. First Name Street Address City 5. First Name Street Address City 6. First Name Street Address City County Last Name Apt. No. State County Last Name Apt. No. State County Last Name Apt. No. State County Last Name Apt. No. State I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated: Signature Name: Street Address: Email Address: City/State/Zip: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com ADO405 State ENG 7/15 www.mncourts.gov/forms Page 2 of 2