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Get MN HAR102 2011

Etitioner Respondent Name: (Person harassing you or your minor child): Address: Name: Address: Date of Birth: On behalf of: (names of minor children who are victims of harassment and their dates of birth) Name: DOB: Name: vs. DOB: Date of Birth: Name: DOB: (if known, or approximate age) STATE OF MINNESOTA ) COUNTY OF ) ss (COUNTY WHERE AFFIDAVIT IS SIGNED) I understand that I am under oath/affirmation and I must tell the truth. I state that: 1. I am the Petiti.

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