EXAMINER OF TITLES	COUNTY OF HENNEPIN
CPT FILE No.  	

In the Matter of the Application of

as Joint Tenants
To Register Possessory Title to Certain Land

APPLICATION 
for Certificate of Possessory Title

STATE OF MINNESOTA        )
) ss COUNTY OF HENNEPIN	)

TO THE JUDGES OF THE ABOVE-NAMED COURT

Applicants hereby apply to register the possessory title to the land described in this Application pursuant to Minnesota Statutes, Chapter 508A and solemnly swear that the contents of this Application are true to the best of Applicants’ knowledge, except as to those matters stated on Applicants’ information and belief, and as to those matters Applicants believe them to be true.

A.	Names:	 Address: 	

[Note: If Applicants are not residents of the state of Minnesota, see Minn. Stat. §508A.07 regarding appointment of an agent]

Applicants are 18 years of age or older and are not under legal incapacity.

B.	Applicants are married to each other [or]
Applicant 	is      married to  	                                                           who resides at  			                                                                                                                                 and Applicant		is         married to  	                                                       who resides at  			 
Neither Applicant has ever 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:

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 Applicants [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 following persons or parties have or claim some right, title, estate, lien or interest in the land: [State the names of the persons or parties who appear of record or are known to the applicants and the nature and character of the claims.]

G.	The land is subject to the following liens or encumbrances: [State the character and amount of each lien or encumbrance, the name and post office address of the holder, and the recording information.]

H.	Applicants are in actual or constructive possession of the land.
A.	
Applicants request the registration of a possessory estate in the land as joint tenants under a CPT.

Applicant's Signature

Applicant's Signature

Notary Seal

Subscribed and sworn to before me on

 	   by  	
date

applicants

Notary Public

Attorney for Applicants:
Name: 		Approved for Filing: Address: 	
Telephone:			 Fax: 		Deputy Examiner of Titles
Attorney Registration No.: 		                                     Email: