Free Microsoft Word - JGM104 - Minnesota

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___________________________________________ ___________________________________________ ___________________________________________ Plaintiff vs. ___________________________________________ ___________________________________________ ___________________________________________ Defendant

Affidavit of Identification of Judgment Debtor (Minn. Stat. §548.09, subd. 2)

STATE OF MINNESOTA

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

ss.

___________________________________________ being duly sworn/affirmed on oath says; that he/she is the Judgment Creditor, or the _________________________ for the Judgment Creditor, that to the best of his/her knowledge, information, and belief, the full name(s) of the Judgment Debtor(s) in the action above entitled is as follows:

That the business and occupation of said judgment debtor(s) is as follows:

That the place(s) of residence of said judgment debtor(s) is as follows:

That the place(s) of business of said judgment debtor(s) is as follows:

That the post office address(es) of said judgment debtor(s) is as follows:

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 JGM104 State ENG Rev 8/08 www.mncourts.gov/forms Page 1 of 1