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Eviction Action Complaint - Minnesota
| Eviction Action Complaint Form. This is a Minnesota form and can be used in General Housing Court District Court Hennepin Local County . |
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INSTRUCTIONS FOR COMPLETING AN EVICTION ACTION COMPLAINT FORM 1. Complete name, address and zip code of property owner. 2. Complete names and dates of birth of each defendant. 3. Case Number will be filled in by Court Clerk. 4. Fill in name of person (owner or owners agen. Fill in the mt) onth and the year the landlord leased or rented to the tenant. Circle whetheits an orar l or written agreement. Fill in the complete address of the property, including apartment number, upstairs or downstairs. Indicate whether there is a garage or not by circling YES or NO. Fill in the city in which the property is located and fill in the zip code. 5. Fill in the dates the rental agreement is from and to and the dollar amount of the rent and the date that the rent is due. 6. Complete the name of the owner of the property. 7. Under number 3 on the form, A and B or C must be checked. If A and B are checked, you must indicate where the information is posted. If C is checked, you must indicate how the information in A was made known to the tenants. 8. Under number 4 on the form, select either A, B, C or a combination. If A is checked, you must fill in the months rent is owed, the dollar amount that is owed, any other fees that are owed and the total dollar amount owed. If B is checked, circle whether the tenant was given or gave notice to vacate. Fill in the date the notice to vacate was served and the date when the tenant was to vacate the property. If C is checked, fill in dates and specific deils ofta how the tenant broke the terms of the rental agreement. Attach a copy of the lease to the complaint. 9. Fill in the Verification and Affidavit of Non-Military Status and the person signing the complaint form fills in his/her name and title. 10. Sign before a Notary Public or Court Clerk and fill in daytime phone number. 11. Present to Hennepin County Housing Court along with the fee (Fee Schedule) at: Hennepin County District Court, Public Service Level Civil Filing Intake Desk nd 300 South Sixth Street, 2 Floor Minneapolis, MN 55487 Housing Claim Form and Instructions Last Revised 10/29/01 <<<<<<<<<********>>>>>>>>>>>>> 2 STATE OF MINNESOTA FOURTH JUDCIAL DISTRICT COUNTY OF HENNEPIN DISTRICT COURT Plaintiff(s)/Owner EVICTION ACTION COMPLAINT Street Address Case No. _____________________________ City/State/Zip -vs- Defendant(s) - include birthdate, if known _________________________________________ (NAME OF PERSON SIGNING COMPLAIN T) states upon oath: 1) Landlord leased or rented to tenant(s) on __________, _____ by an ORAL/WRITTEN agreement the premises at: ______________________________________________________ Apartment # ______, and garage YES/NO, in the city of ___________________________, the state of Minnesota, Zip code ____________, in the County of Hennepin. The agreement was from _____________ to _______________. The current rent due and payable under this agreement each month is $__________ due on the ________day of the month. 2) The owner of the premises described above is _______________________________________________________. 3) Owner having present right of possession of said property, has complied with M.S.A. 504b.181 by: _____ a. disclosing to tenant either in the rental agreement or otherwise in writing prior to commencement of tenancy the name and address of: 1. the person authorized to manage premises AND 2. an owner or agent authorized by owner to accept service of process and receive and give receipts for notice and demands AND _____ b. posting in a conspicuous place on the premises a printed or typewritten notice containing the above information _____________________________________________________ (WHERE POSTED) OR _____ c. the above information was known by tenant(s) NOT LESS than 30 DAYS before the filing of this action because: ________________________________________________________________________________. 4) Owner seeks to have the tenant evicted for the following reasons: _____ a. The tenant is still in possession of above premises and has failed to pay rent for the month(s) of _______ ___________________________________________ in the amount of $_____________, plus ___________ ________________________________ in the amount of $____________, for a total of $______________. _____ b. The tenant has failed to vacate property after tenant WAS GIVEN/GAVE written notice to do so. This notice was served on TENANT/LANDLORD on __________________ and tenant WAS GIVEN/GAVE notice to vacate the property by _________________. _____ c. The tenant has broken the terms of the rental agreement with property owner by: (be specific) ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 5) The property owner seeks judgment against the above tenant(s) for restitution of said premises plus costs and disbursements herein. Verification and Affidavit of Non Military Status _______________________________, being duly sworn, says that ___he is ________________________ plaintiff in this action, that ___he has read the complaint and that it is true of h___ own knowledge; that defendant(s) is/are not now in the military of the United State, to the best of h___ information and belief. Subscribed and sworn to before me this _____ day of __________, 20___. Signed: ______________________________________ _____________________________________________ Daytime Phone: _______________________________ Notary Public/Court Clerk Housing Claim Form and Instructions Last Revised 10/29/01
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