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

In the Matter of the Application of		
		
___________________________	APPLICATION	

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

TO THE JUDGES OF THE ABOVE-NAMED COURT

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

A.	Name:		
	Address:		
			
[Note: If Applicant is not a resident of the state of Minnesota, see Minn. Stat. §508.07 regarding appointment of an agent.]

Applicant is 18 years of age or older and is not under any legal incapacity.

B.	Applicant is  single [or] 
 married to 																			
				who resides at 																		

	Applicant has never been divorced, except:
[State the date of the divorce decree, the county and state where granted, the court file number and the name of the former spouse; if no divorce strike “except”]

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 and is         subject to homestead [or] 
	 not subject to homestead.

E.		The land is occupied by Applicant  [or]  
	
	  The land is unoccupied     [or]

	  The land is occupied as follows:
[State the full name and address of each occupant and the nature of the 	estate, interest, lien, or charge which the occupant or occupants 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 applicant 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 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 Applicant’s name, and for such other relief as the Court finds appropriate.

		
		Applicant's Signature

Subscribed and sworn to before me on 

		by 	
	date	

_________________________________________
                            applicant

	Notary Public

Notary Seal	

OPTIONAL ASSENT OF SPOUSE

I hereby assent to the registration of the above-described land as requested by the Applicant who is my spouse.

STATE OF MINNESOTA	)																	
	)	SS							Spouse’s Signature
COUNTY OF HENNEPIN	)

This assent was acknowledged before me on 

		by 	
	date	spouse of applicant

	Notary Public

Notary Seal	
	Applicant or Attorney for Applicant:	
Name:		
Address:	
Telephone:		
Fax:		
Attorney Registration No.:	
Email: _____________________________________