Free Microsoft Word - HOU111 - Minnesota

State of Minnesota
County

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

Select County

Plaintiff

Affidavit of Service By Posting
vs.
Defendant

STATE OF MINNESOTA

) ) COUNTY OF _________________)
(County where Affidavit signed)

ss.

I,
(Name of person who posted documents)

, being duly sworn/affirmed under oath state that on
(Date

, I served a Summons and Complaint in an Eviction Action on the defendant(s) by posting
documents posted)

a true and correct copy of each document in a conspicuous place at defendant's residence, namely located at
(Exact location where documents posted, including apartment number, if any) (Street address of where documents were posted)

in the City of

, State of Minnesota.

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

Name: Subscribed and sworn to before me this day of , . Address: City/State/Zip: Telephone:
Notary Public \ Deputy Court Administrator

HOU111

State

ENG

Rev 8/08

www.mncourts.gov/forms

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