STATE OF MINNESOTA	DISTRICT COURT
COUNTY OF HENNEPIN	FOURTH JUDICIAL DISTRICT
	OTHER CIVIL: TORRENS

In the Matter of the Application of		

____________________________,		
a ___________________________,	APPLICATION	

To Register the Title to Certain Land		
		
STATE OF MINNESOTA	    )		
                                                  )  ss		
COUNTY OF HENNEPIN         )		

TO THE JUDGES OF THE ABOVE-NAMED COURT

The undersigned, on behalf of the Applicant, hereby applies to register the title to the land described in this Application and solemnly swears that the contents and statements made in this Application are true to the best of the undersigned’s knowledge, except as to those matters stated on the undersigned’s information and belief, and as to those matters the undersigned believes them to be true.

A.	Name of Entity:	
	Principal Place of Business:	
			
	County of 	                                                         , State of 	

B.	Organized under the laws of 																		   

C.	Description of land:
[For the registration of easements over unregistered land, the fee simple estate to which the easements are appurtenant must also be described]

	

D.	Estate or interest claimed in the land is fee simple.

E.		The land is unoccupied [or]  
	
	  The land is occupied as follows:
[State the full name and address of each party and the nature of the 	estate, interest, lien, or charge which the party or parties have, or claim to have, in the land]

F.	The land is encumbered by the following liens and interests, recorded or unrecorded:
[Describe each lien or interest, recorded or unrecorded, which the undersigned recognizes as encumbering the land, including the nature of the lien or interest, any information about its recording, and the name of the interested party]

G.	Applicant seeks a determination terminating or modifying the following liens or interests:
[Describe each lien or interest, recorded or unrecorded, for which applicant seeks a determination terminating or modifying the interest, together with the reason for the relief requested, and including the nature of the lien or interest, any information about its recording, and the name of the interested party]

H.	The title to the land is subject to the following other defects:
[Describe the defects and state the reasons for curing them]

I.	  Applicant does not wish to fix and establish the boundary lines of the land  [or]

	  Applicant desires to fix and establish the 			 	boundary line(s) of the land:
[State the full names and addresses of all owners of adjoining lands, which are 	in any manner affected, and the legal description of the affected adjoining lands.] 

Applicant requests the Court to adjudicate that the Applicant is vested with title to the estate or estates in the lands as described in this Application, and that the Court direct the Registrar of Titles to register the same in the Applicant’s name, and for such other relief as the Court finds appropriate.

		
		Name of Entity

		
		Signature

		
		Title

Subscribed and sworn to before me on 

		by 	
	date	

	Notary Public

Notary Seal	

	Attorney for Applicant:	
Name:		
Address:	
Telephone:		
Attorney Registration No.:	
Email:  ____________________________________