27-ET-CV-_____-______

STATE OF MINNESOTA	DISTRICT COURT
COUNTY OF HENNEPIN	FOURTH JUDICIAL DISTRICT

In the Matter of the Application of

___________________________					AFFIDAVIT IN
								  SUPPORT OF SUMMONS
To Register the Title to Certain Land

This Affidavit is made by ____.

1.	That the Report of Examiner recommended occupants of the land being registered as defendants. The occupants are: ___.

2.	That the Report of Examiner recommended owners, encumbrancers, and occupants of adjoining land as defendants. At this time those parties are:

	Land adjoining to the _____________, PID No. ______________
	
Owners	Encumbrancers	Adult occupants	

Land adjoining to the _____________, PID No. ______________
	
Owners	Encumbrancers	Adult occupants	

3.	That one or more of the defendants (or heirs of defendants) recommended in the Report of Examiner is deceased, as evidenced by ___________ (certified copy of death certificate, probate case, etc.), which has been e-filed in this case. The following heirs are substituted in the Order for Summons: (List heirs as determined by a probate court, or list “unknown heirs of _________, deceased” and the heirs you have ascertained through a diligent search, pursuant to Minn. Stat. §§524.1-201(29) and 524.2-101 and 524.2-106):

Decedent	Date of death	Estate probated? (Yes/No) If yes, attach probate court docs determining heirs	Names of heirs	

4.	That the following defendants recommended in the Report of Examiner have changed their names and the current name is substituted in the Order for Summons:

Name of recommended defendant	Current name	Explain or attach proof of name change	

5.	The Report of Examiner required Applicant’s attorney to ascertain the name of the party/parties maintaining the overhead power lines or cable lines and Applicant’s attorney has determined them to be:

Party maintaining power lines	Party maintaining cable lines	

I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116

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							Signature (Affiant)

							__________________________________________
							Name (typed or printed)

							__________________________________________
							Date signed

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							County, State (Affiant’s location at time of signing)