Affidavit Of Service By Mail

STATE OF MINNESOTA COUNTY OF HENNEPIN __________________________________ __________________________________ Plaintiff FOURTH JUDICIAL DISTRICT DISTRICT COURT AFFIDAVIT OF SERVICE BY MAIL Case No.: 27-CV-HC-__________________ Hearing Date: ________________________ vs __________________________________ Time: ____________ __________________________________ Defendant STATE OF MINNESOTA COUNTY OF ) ) SS ) _______________________________________, states that on (Name of person who mailed documents) ___________________________, 20__, she/he served a Summons and Complaint in an Eviction (Date documents mailed) Action upon ___________________________________________ by placing a true and correct (Name of person(s) to whom documents were mailed) copy of the documents in an envelope addressed to the person(s) at his/her last known address of _________________________________________ in the City of ________________________, (Street address of person to whom documents were mailed) State of Minnesota, and whose Zip Code is ________________, and depositing the envelope with sufficient postage in the U. S. Mail located in the City of ________________________, State of Minnesota. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Signature: ___________________________________ Street Address: _______________________________ City/State/Zip: _______________________________ Daytime Phone: ______________________________ E-mail address: _______________________________ HOU108 District4 ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com