Free STATE OF MINNESOTA - Minnesota

State of Minnesota
County
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Plaintiff #1 Name Address City/State/Zip VS. Defendant #1 Name Address City/State/Zip

Conciliation Court
Judicial District: Court File Number: Case Type: Plaintiff #2
P L E A S E P R I N T

Name Address City/State/Zip Defendant #2 Name Address City/State/Zip VS.

Demand for Removal/Appeal From Conciliation Court to District Court and Affidavit of Good Faith
State of Minnesota County of To
(Appellant or Attorney)

) ) ) the above named plaintiff defendant.

, being sworn/affirmed on oath states: That the appealing party is aggrieved by the judgment in Conciliation Court and hereby demands the removal of the above case from Conciliation Court to the District Court for trial De Novo (new trial) by court jury. AND That this appeal is made in good faith and not for the purpose of delay.
(Sign only in front of notary public or court deputy.)

Dated:
Signature of Attorney or the Party if pro se If appealing party is a corporation, the party's attorney must sign

Name of Attorney, or party if pro se:

Sworn/affirmed before me this day of , .

Address: City/State/Zip: Telephone:

Notary Public \ Deputy Court Administrator

CCT402

State

ENG

Rev 8/03

www.courts.state.mn.us/forms

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State of Minnesota
County
Select County

Conciliation Court
Judicial District: Court File Number: Case Type:

State of Minnesota ) ) County of _______ ) Affidavit of Service
, being sworn/affirmed on oath, says I am at least eighteen (18) years of age and not a party to the above-entitled matter. On (date) I served the attached Demand for Removal/Appeal From Conciliation Court to District Court and Affidavit upon _____________________________________________________________by:
(Name of opposing party served or opposing party's lawyer)

Check one:
(Service by First Class Mail) Placing in an envelope a true and correct copy of each document addressed to ___________________ at_____________________________________ in the City of ______________, State of _______________________, Zip Code ______________ and depositing the envelope, with sufficient postage, in the United States Mail at the Post Office located in the City of _______________, in the State of _______________________. (Personal Service)

Personally by handing to and leaving with him/her a true and correct copy. At his/her usual abode at
(Street, City, State)

(Substituted Personal Service)

by handing to and leaving a true and correct copy with a person of suitable age, (eighteen (18) years or older) and discretion who also resides at that address.
(Personal Service on a Corporation or a Partnership)

Personally delivering true and correct copy to:

Agent authorized to receive service of Process: ____________________________________
(Name of agent served)

Officer, Managing Agent, or Member of the entity: _________________________________
(Name and title of person served)

Sworn/affirmed before me this
Signature of person who served papers

day of

,

.

(Sign only in front of notary public or court administrator.)

Notary Public \ Deputy Court Administrator

CCT402

State

ENG

Rev 8/03

www.courts.state.mn.us/forms