State of Minnesota
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Plaintiff
vs.
Affidavit of Service on Limited Removal from Conciliation Court
Defendant
STATE OF MINNESOTA
) ) ss. COUNTY OF ____________ ) , being sworn/affirmed under oath, states: 1. I am over eighteen years of age and not a party in the above-entitled action.
Check and complete one of the following: 2. day of , , I served the On the Demand For Limited Removal upon , (plaintiff/defendant or attorney for ), by placing a true and correct copy of it in an envelope addressed as follows:
which is the last known address of said party or attorney and depositing it, postage prepaid, in the United States mail. 3. I served a copy of the Demand for Limited Removal on , (title) by delivering a copy personally to him/her at at am/pm, on
, .
4.
After diligent search and inquiry, I was unable to locate (name of party to be served), or any residence or business address for him/her at which service could be attempted.
Signature of Server (Sign only in front of notary public or court administrator.)
Dated:
Subscribed and sworn to before me this day of , .
Telephone
Notary Public \ Deputy Court Administrator
CCT503
State
ENG
Rev 8/08
www.mncourts.gov/forms
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