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									State of Minnesota                                                                               District Court
                                                            Judicial District:
                                                            Court File Number:
                                                            Case Type:                    Juvenile

In the Matter of the Welfare of the Child(en)of:
                                                                    Affidavit of Diligent Efforts to
                       Parent              Legal Custodian
                                                                          Locate Parent and
                       Parent              Legal Custodian         Order for Service By Publication

STATE OF MINNESOTA                                   )
                                                     ) SS
COUNTY OF                                            )
                   (County where Affidavit signed)

     , being duly sworn upon oath, deposes and states:

1.       Your affiant is employed by            County Social Services and has attempted to locate the parent
         in the above-captioned matter.

2.       The name and birth date of the parent who is the subject of this affidavit is as follows:

            Name                                     DOB

3.       The last known address on record for this parent, for purposes of meeting the requirements for
         publication, is as follows:

4.       Through the following process, your affiant has confirmed that this address is not the current
         address for this parent:
                Attempts to contact parent by phone and mail at this address have failed.
                Attempts to have parent personally served at this address have failed.

5.       Diligent efforts have been made by your affiant, or staff under your affiant’s direction, to locate
         this parent by checking the following resources:

                      Resource                 Date Checked      Last Address on Record        Explanation of Last
                                                                                               Address on Record
           SSIS / CSIS
           [Social Service Records]
           [Economic Assistance Records,
           GA, MFIP]
           County Parental Fee Unit

           Child Support & Collections

           Telephone Directory

CHP602     State        ENG       Rev 5/08-D                              Page 1 of 2
                       Resource                 Date Checked      Last Address on Record       Explanation of Last
                                                                                               Address on Record

           Directory Assistance

           Reverse Directory

           Criminal Check / SIP

           County Corrections Department
           [probation / parole records]

           Other Parent

           Relatives:      [list
           Internet Search


6.       Your affiant’s efforts to locate the above-named parent have been unsuccessful and your affiant
         respectfully requests that service upon this parent be made by publication and that a copy be
         mailed to the last known address.


                                                    For         Social Services

         Subscribed and sworn to before me on
         this ____ day of___________, 20___.
         Notary Public


         Based upon the foregoing Affidavit of Diligent Efforts, this Court hereby orders publication on
         the above-referenced matter and that a copy be mailed to any last known address.

         DATED:                                                      BY THE COURT:

                                                                     Judge of District Court

CHP602     State          ENG      Rev 5/08-D                             Page 2 of 2

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