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. Currently 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: 

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

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

							__________________________________________
							Signature (Affiant)

							__________________________________________
							Name (typed or printed)

							__________________________________________
							Date signed

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