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M/Docs II – Available Forms
M/Docs II has the following available modules. Click on the module name to view a list of available forms:
612.312.1570
800.752.4221
MillerDavis.com
sales@millerdavis.com
MillerDavis.com
sales@millerdavis.com
310 Fourth Avenue South - Suite 1100
Minneapolis, MN 55415
This list of forms is subject to change as we maintain, update and discontinue forms based on changes in state laws and court rules.
Adoption (MN)
Conveyancing (MN)
Family (MN)
Guardianship & Conservatorship (MN)
Judgment Enforcement
Liens, Leases & Waivers (MN)
Probate (MN)
Probate (WI)
Purchase Agreements (MN)
Real Estate Package (MN)
Real Property Sales (MN)
Uniform Commercial Code
Workers' Compensation (MN)
Rev. 11/20/2014
Adoption (MN)
Agency and Private Adoption
Form # Form Name and Description
Notice of Hearing on Petition for Adoption (Child 1)F120
Notice of Hearing on Petition for Adoption (Child 2)F120
Notice of Hearing on Petition for Adoption (Child 3)F120
Petition for Adoption (Child 1)F126
Petition for Adoption (Child 2)F126
Petition for Adoption (Child 3)F126
Addendum of Additional Parties (Child 3)F126A
Addendum of Additional Parties (Child 2)F126A
Addendum of Additional Parties (Child 1)F126A
Addendum of Adoptee Assets (Child 1)F126B
Addendum of Adoptee Assets (Child 2)F126B
Addendum of Adoptee Assets (Child 3)F126B
Petition for Adoption (Hennepin County) (Child 1)F126H
Petition for Adoption (Hennepin County) (Child 2)F126H
Petition for Adoption (Hennepin County) (Child 3)F126H
Petition for Adoption (Ramsey County) (Child 2)F126R
Petition for Adoption (Ramsey County) (Child 3)F126R
Petition for Adoption (Ramsey County) (Child 1)F126R
Petition for Adoption (Co-Parent) (Child 2)F129
Petition for Adoption (Co-Parent) (Child 3)F129
Petition for Adoption (Co-Parent) (Child 1)F129
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Child 3)F140
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Child 2)F140
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Child 1)F140
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Hennepin
County) (Child 3)
F140H
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Hennepin
County) (Child 1)
F140H
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Hennepin
County) (Child 2)
F140H
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Ramsey
County) (Child 3)
F140R
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Ramsey
County) (Child 1)
F140R
Page 2 of 78Adoption (MN)
Rev. 11/20/2014
Findings of Fact, Conclusions of Law, Order for Judgment and Adoption Decree (Ramsey
County) (Child 2)
F140R
Findings Order and Decree of Adoption (Co-Parents) (Child 3)F143
Findings Order and Decree of Adoption (Co-Parents) (Child 2)F143
Findings Order and Decree of Adoption (Co-Parents) (Child 1)F143
Findings Order & Decree of Adoption for Nonagency Placements (Child 3)F146
Findings Order & Decree of Adoption for Nonagency Placements (Child 2)F146
Findings Order & Decree of Adoption for Nonagency Placements (Child 1)F146
Affidavit of Service (Adoption) (Child 3)F147
Affidavit of Service (Adoption) (Child 1)F147
Affidavit of Service (Adoption) (Child 2)F147
Consent of Guardian to Adoption & Waiver of Notice of Hearing (Child 1)F148
Consent of Guardian to Adoption & Waiver of Notice of Hearing (Child 3)F148
Consent of Guardian to Adoption & Waiver of Notice of Hearing (Child 2)F148
Judgment & Decree in Adoption Proceedings (DHS) (Child 3)F150
Judgment & Decree in Adoption Proceedings (DHS) (Child 2)F150
Judgment & Decree in Adoption Proceedings (DHS) (Child 1)F150
Dept of Health
Form # Form Name and Description
Affidavit of Attorney for Use in the Minnesota Fathers' Adoption RegistryF109
Fathers' Adoption Registry Registration (MDH)FA106
Adoptee's Request for Orig Birth Record Info; Search for Aff of Discl-Nondiscl (Child 3)MDH001
Adoptee's Request for Orig Birth Record Info; Search for Aff of Discl-Nondiscl (Child 2)MDH001
Adoptee's Request for Orig Birth Record Info; Search for Aff of Discl-Nondiscl (Child 1)MDH001
Birth Record Amendment Appl (Child 2)MDH002
Birth Record Amendment Appl (Child 1)MDH002
Birth Record Amendment Appl (Child 3)MDH002
Certificate of Adoption (Child 3)MDH003
Certificate of Adoption (Child 2)MDH003
Certificate of Adoption (Child 1)MDH003
Birth Record Application by Adoptee or Birth Parent (Child 2)MDH004
Birth Record Application by Adoptee or Birth Parent (Child 3)MDH004
Birth Record Application by Adoptee or Birth Parent (Child 1)MDH004
App for Cert Recog of Parentage (Child 1)MDH005
App for Cert Recog of Parentage (Child 3)MDH005
App for Cert Recog of Parentage (Child 2)MDH005
Birth Certificate Application (Child 3)MDH006
Birth Certificate Application (Child 1)MDH006
Page 3 of 78Adoption (MN)
Rev. 11/20/2014
Birth Certificate Application (Child 2)MDH006
Fathers Adoption Registry Search Request (Child 2)MDH007
Fathers Adoption Registry Search Request (Child 1)MDH007
Fathers Adoption Registry Search Request (Child 3)MDH007
Affidavit of Discl or NonDiscl (Child 1)MDH008
Affidavit of Discl or NonDiscl (Child 3)MDH008
Affidavit of Discl or NonDiscl (Child 2)MDH008
Adoptees Req to Search for Aff of Discl; Nondiscl (Child 2)MDH009
Adoptees Req to Search for Aff of Discl; Nondiscl (Child 3)MDH009
Adoptees Req to Search for Aff of Discl; Nondiscl (Child 1)MDH009
Dept of Human Services
Form # Form Name and Description
Report of Adoptive Placement (Child 3)DHS-0178-ENG
Report of Adoptive Placement (Child 2)DHS-0178-ENG
Report of Adoptive Placement (Child 1)DHS-0178-ENG
Report to Court; Pet for Adoption (Child 2)DHS-0188-ENG
Report to Court; Pet for Adoption (Child 1)DHS-0188-ENG
Report to Court; Pet for Adoption (Child 3)DHS-0188-ENG
Adoption Placement AgreementDHS-0312-ENG
Report of Termination of Pre-Adoptive PlacementDHS-0313-ENG
Information for Attorney or Family to File Adoption Petition (Child 1)DHS-0329-ENG
Information for Attorney or Family to File Adoption Petition (Child 3)DHS-0329-ENG
Information for Attorney or Family to File Adoption Petition (Child 2)DHS-0329-ENG
Adoptive Applicant RegistrationDHS-0968-ENG
Voluntary Out of Home Placement Agreement (Non-Indian)DHS-1776
Consent of Parents-Guardian of Minor Parent to Adoption of ChildDHS-1834-ENG
Consent to Adoption of Child Over 14 Years of Age to Agency Adoption (Formerly F124)
(Child 1)
DHS-1956
Consent to Adoption of Child Over 14 Years of Age to Agency Adoption (Formerly F124)
(Child 3)
DHS-1956
Consent to Adoption of Child Over 14 Years of Age to Agency Adoption (Formerly F124)
(Child 2)
DHS-1956
Agreement, Authority to Place, Waiver of NoticeDHS-2002
Minnesota Voluntary Recognition of Parentage (Child 1)DHS-3159-ENG
Minnesota Voluntary Recognition of Parentage (Child 3)DHS-3159-ENG
Minnesota Voluntary Recognition of Parentage (Child 2)DHS-3159-ENG
Consent of Parents-Guardian of Minor Parent to Adoption of Child (before an agency)DHS-3197-ENG
Voluntary Out of Home Placement Agreement (Indian Child)DHS-3374
Consent of Parent to Adoption; Waiver of Notice of Adopt Hearing (Child 1)DHS-3502-ENG
Page 4 of 78Adoption (MN)
Rev. 11/20/2014
Consent of Parent to Adoption; Waiver of Notice of Adopt Hearing (Child 2)DHS-3502-ENG
Consent of Parent to Adoption; Waiver of Notice of Adopt Hearing (Child 3)DHS-3502-ENG
Notice to the Commissioner of Human Services in Adoption Proceedings (Child 3)F103 (3935)
Notice to the Commissioner of Human Services in Adoption Proceedings (Child 1)F103 (3935)
Notice to the Commissioner of Human Services in Adoption Proceedings (Child 2)F103 (3935)
Intercountry (Foreign) Adoption
Form # Form Name and Description
Affidavit Concerning Exemp from Immigrant Vaccination Reqs for a Foreign Adopted Child
(Child 2)
80002
Affidavit Concerning Exemp from Immigrant Vaccination Reqs for a Foreign Adopted Child
(Child 3)
80002
Affidavit Concerning Exemp from Immigrant Vaccination Reqs for a Foreign Adopted Child
(Child 1)
80002
Petition to Confirm Adoption Finalized in Foreign Country (Child 2)F135
Petition to Confirm Adoption Finalized in Foreign Country (Child 3)F135
Petition to Confirm Adoption Finalized in Foreign Country (Child 1)F135
Petition to Confirm Adoption Finalized in Foreign Country (Single Parent) (Child 2)F135SP
Petition to Confirm Adoption Finalized in Foreign Country (Single Parent) (Child 3)F135SP
Petition to Confirm Adoption Finalized in Foreign Country (Single Parent) (Child 1)F135SP
Findings Order & Decree of Intercountry Adoption (Child 2)F149
Findings Order & Decree of Intercountry Adoption (Child 1)F149
Findings Order & Decree of Intercountry Adoption (Child 3)F149
Findings Order & Decree of Intercountry Adoption (Single Parent) (Child 3)F149SP
Findings Order & Decree of Intercountry Adoption (Single Parent) (Child 1)F149SP
Findings Order & Decree of Intercountry Adoption (Single Parent) (Child 2)F149SP
Request for the Return of Original DocumentsG-884
Instructions for G-884, Request for the Return of Orig DocumentsG-884-instr
Petition to Classify Orphan as Immediate RelativeI-600
Application for Advance Processing of Orphan Petition I-600a
Instructions for I-600A; Appl for Advance Processing of Orphan PetitionI-600A-instr
Instructions for I-600; Petition to Classify Orphan as an Immediate RelativeI-600-instr
Petition to Classify Convention Adoptee as an Immediate RelativeI-800
Application for Determination of Suitability to Adopt Child from Convention CountryI-800a
Instructions for I800A; App for Determination of Suitability to Adopt a ChildI-800A-instr
Supp 1 Listing of Adult Member of the Household (extra pages)I-800B
Petition to Classify Convention Adoptee as an Immediate RelativeI-800-instr
Hague Processing Tip SheetM-738
Orphan Home Study Tip Sheet for AdoptionM-760
Hague Convention on Intercountry Adoption; Guide for Prosp ParentsPAP Guide-1
Page 5 of 78Adoption (MN)
Rev. 11/20/2014
Parentage
Form # Form Name and Description
Petition to Vacate Recognition of Paternity5147
Denial of PaternityADO102
Not to Regis Put Father & Not of Juris (Child 3)ADO103
Not to Regis Put Father & Not of Juris (Child 2)ADO103
Not to Regis Put Father & Not of Juris (Child 1)ADO103
Intent to Claim Parental RightsADO104
Motion for Blood Genetic TestingF706
Order for Blood Genetic TestingF707
Paternity Statement of RightsPAT101
Special Circumstances
Form # Form Name and Description
Petition for the Termination of Parental RightsCHP802 (CF3952)
Stepparent Adoption
Form # Form Name and Description
Putative Father's Adoption Registration.pdf5148
Instructions - Stepparent Adoption (Uncontested)ADO201
Petition for Stepparent Adoption UncontestedADO202
Consent to Adoption by ParentADO203
Consent to Adoption by Child Over 14 (Stepparent)ADO204
Consent to Adoption by Adult AdopteeADO204A
Motion to Waive One Year Residency RequirementADO205
Affidavit to Waive One Year Residency RequirementADO206
Order Waiving One Year Residency RequirementADO207
Motion to Waive Post-Placement AssessmentADO208
Affidavit to Waive Post-Placement AssessmentADO209
Checklist if Post-Placement Assessment is WaivedADO210
Order Waiving Post-Placement AssessmentADO211
Stepparent Adoption Communication and Contact AgreementADO212
Findings of Fact, Conclusions of Law, Order for Judgment and Judgment and Decree of
Adoption (Stepmother)
ADO213
Findings of Fact, Conclusions of Law, Order for Judgment and Judgment and Decree of
Adoption (Stepfather)
ADO213
Findings of Fact, Conclusions of Law, Order for Judgment and Judgment and Decree of
Adoption
ADO213
Petition for Adoption of an AdultADO400
Consent to Adoption by an AdultADO401
Page 6 of 78Adoption (MN)
Rev. 11/20/2014
Findings Order and Decree of Adoption (Adult Adoption)ADO402
Consent of Guardian to Adoption & Waiver of Notice of Hearing (Child 3)F148
Consent of Guardian to Adoption & Waiver of Notice of Hearing (Child 2)F148
Consent of Guardian to Adoption & Waiver of Notice of Hearing (Child 1)F148
Page 7 of 78Adoption (MN)
Rev. 11/20/2014
Conveyancing (MN)
Affidavits
Form # Form Name and Description
Legal Schedule -- LS
Aff of Atty-in-Fact of Non-Term or Non-Revoc100.2.1
Aff of Auth of Successor Atty-in-Fact100.2.2
Aff by an Initial Transee by Indiv100.2.3
Aff by an Initial Transee by Bus Entity100.2.4
Affidavit of Mailing for Verified Claim of Unregistered Interest130B
Affidavit of Purchaser of Registered Land2278
Affidavit of Agent of Purchaser of Registered Land2279
Affidavit of Purchaser of Registered Land Corporation2280
Affidavit of Residue Owner of Registered Land2281
Affidavit of Survivorship Joint Tenancy or Remainderman3816
Aff of Serv of Mech Lien Stmt by Pers Serv40.4.1
Aff of Serv of Mech Lien Stmt by Cert Mail40.4.2
Aff Re Pur by Indiv(s)50.1.1
Aff Re Seller by Indiv(s)50.1.2
Aff Re Bus Entity-Seller50.1.3
Aff Re Bus Entity-Buyer50.1.3
Affidavit of Identity50.2.1
Affidavit of Identity and Survivorship50.2.2
Aff of Identity and Survshp for Transf on Death Deed50.2.3
Certificate of Translation50.3.1
Affidavit Regarding Farm Disposal of Solid Waste50.3.2
Affidavit Re Underground or Above Ground Storage Tank50.3.3
Affidavit Re Removal of Underground or Above Ground Storage Tank50.3.4
Affidavit of Severance of Manufactured Home (Indiv Owner)50.3.5
Affidavit of Severance of Manufactured Home (Corp Owner)50.3.5
Affidavit Regarding Release of Private Transfer Fee50.3.6
Affidavit of Additional Amount Due on Redemption60.5.3
Affidavit of Allowable Costs60.5.7
Aff of Postponement60.8.1
Affidavit of Creditor Regarding Non-Homestead Status60.8.2
Aff of Serv of Not to Commr to the Commr70.3.4
Aff of Serv of Amend to Not70.3.5
Aff of Serv of Amend to Not70.3.6
Page 8 of 78Conveyancing (MN)
Rev. 11/20/2014
Affidavit of Trustee Re Cert of Trust or Trust Instrument90.1.3
Affidavit of Trustee Re Cert of Trust or Trust Instrument BE Trustee (Buyer)90.1.4
Affidavit of Trustee Re Cert of Trust or Trust Instrument BE Trustee (Seller)90.1.4
Bills Of Sale & Promissory Notes
Form # Form Name and Description
Legal Schedule -- LS
Real Estate Mortgage Note1051
Promissory Note - Short Form1411
Promissory Note1412
Bill of Sale (By Individual)1520
Bill of Sale (Warranty Title)1520.5
Bill of Sale (By Corporation or Partnership)1520.75
Bill of Sale; Motor Vehicle1671
Bill of Sale (By Individual to Joint Tenant)1778
Cancellations Of Purchase Agreement
Form # Form Name and Description
Legal Schedule -- LS
Not of Canc of Res Prop Pur Agt (with right to cure)110.1.1
Not of Declar Canc of Res Prop Pur Agt (without right to cure)110.1.2
Certificates Of Trust & Trustee's Deeds
Form # Form Name and Description
Legal Schedule -- LS
Trustee's Deed by Individual Trustee10.4.1
Trustee's Deed by Indiv Trustee to Joint Tenants10.4.2
Trustee's Deed by Bus Entity Trustee10.4.3
Trustee's Deed by Bus Entity Trustee to Joint Tenants10.4.4
Certificate of Trust by Individual90.1.1
Certificate of Trust by Business Entity Trustee90.1.2
Affidavit of Trustee Re Cert of Trust or Trust Instrument90.1.3
Affidavit of Trustee Re Cert of Trust or Trust Instrument BE Trustee (Buyer)90.1.4
Affidavit of Trustee Re Cert of Trust or Trust Instrument BE Trustee (Seller)90.1.4
Affidavit of Trustee Re Testamentary Trust90.1.5
Certificate of Custodianship90.2.1
Affidavit of Custodian90.2.2
Conservatorship Deeds
Form # Form Name and Description
Legal Schedule -- LS
Conservator's Deed10.6.1
Page 9 of 78Conveyancing (MN)
Rev. 11/20/2014
Conservator's Deed to Joint Tenants10.6.2
Contracts For Deed
Form # Form Name and Description
Legal Schedule -- LS
Well Discl of Grantee in Deed Purs to Contract for Deed10.7.1
Important Information About Contracts for Deed1517IACD
Modification of Contract for Deed1784
Contract for Deed by Indiv(s)30.1.1-MD
Contract for Deed by Bus Entity30.1.2
Contract for Deed Addendum30.2.1
Assgt of Contract for Deed by Indiv(s)30.3.1
Assgt of Contract for Deed and Warr Deed by Indiv(s)30.3.2
Assgt of Contract for Deed and Quit Claim Deed by Indiv(s)30.3.3
Assgt of Contract for Deed by Bus Entity30.3.4
Assgt of Contract for Deed and Warr Deed by Bus Entity30.3.5
Assgt of Contract for Deed and Quit Claim Deed by Bus Entity30.3.6
Not of Canc of Contract for Deed30.4.1
Transfer Statement for Contract for Deed30.5.1
Part Payment Certificate by Individual61-M
Part Payment Certificate by Corporation62-M
Corrective Deeds
Form # Form Name and Description
Quit Claim Deed (Corrective) Bus Entity to Bus EntityMD10.3.14
Quit Claim Deed (Corrective) Bus Entity to Joint TenantsMD10.3.15
Quit Claim Deed (Corrective) Indiv(s) to Indiv(s)MD10.3.9
Liens & Lien Waivers
Form # Form Name and Description
Legal Schedule -- LS
Deed of Appurtenant Easement1528M
Certificate on Jdgt Liens and Bkcy Dockets1745
Notice of Lis Pendens; Foreclosure of Mechanic's Lien1877
Subordination Agt by Indiv(s)20.8.1
Subordination Agt by Bus Entity20.8.2
Notice of Foreclosure (Association)2025
Mech Lien Stmt by Indiv(s)40.1.1
Mech Lien Stmt by Bus Entity40.1.2
Atty Lien Minn. Stat. 481.1340.1.3
Extension of Atty Lien40.1.4
Page 10 of 78Conveyancing (MN)
Rev. 11/20/2014
Assgt of Mechs Lien by Indiv(s)40.2.1
Assgt of Mechs Lien by Bus Entity40.2.2
Satis of Mech Lien by Indiv(s)40.3.1
Satis of Mech Lien by Bus Entity40.3.2
Rel of Land from Judg Lien40.3.3
Satis and Rel of Atty Lien40.3.4
Aff of Serv of Mech Lien Stmt by Pers Serv40.4.1
Aff of Serv of Mech Lien Stmt by Cert Mail40.4.2
Receipt and Waiver of Mechanic's Lien Rights40.5.1
Not of Lis Pendens (General)40.6.1
Not of Lis Pendens Forecl of Mech Lien40.6.2
Disch of Not of Lis Pendens Partial or Complete40.6.3
Partial Release of Property from Notice of Lis Pendens40.6.4
Claim of Unregistered Interest40.7.1
Disch of Claim of Unreg Int by Indiv40.7.2
Disch of Claim of Unreg Int by Bus Entity40.7.3
Demand for Disch of Claim of Unreg Interest40.7.4
Cert and Req for Not by Indiv(s)60.6.1
Cert and Req for Not by Bus Entity60.6.2
Rel of Land from Lien in Marriage Dissol Jdgt and Decree80.1.1
Summary Real Estate Disposition Jdgt80.1.2
Limited Warranty Deeds
Form # Form Name and Description
Legal Schedule -- LS
Ltd Warr Deed Indiv(s) to Indiv(s)10.2.1
Ltd Warr Deed Indiv(s) to Indiv(s) (Multi)10.2.1+
Ltd Warr Deed Except Assessments Bus Entity to Bus Entity10.2.10
Ltd Warr Deed Bus Entity to Joint Tenants10.2.11
Ltd Warr Deed Except Assessments Bus Entity to Joint Tenants10.2.12
Ltd Warr Deed Except Assessments Indiv(s) to Indiv(s)10.2.2
Ltd Warr Deed Indiv(s) to Bus Entity10.2.3
Ltd Warr Deed Except Assessments Indiv(s) to Bus Entity10.2.4
Ltd Warr Deed Indiv(s) to Joint Tenants10.2.5
Ltd Warr Deed Except Assessments Indiv(s) to Joint Tenants10.2.6
Ltd Warr Deed Bus Entity to Indiv(s)10.2.7
Ltd Warr Deed Except Assessments Bus Entity to Indiv(s)10.2.8
Ltd Warr Deed Bus Entity to Bus Entity10.2.9
Page 11 of 78Conveyancing (MN)
Rev. 11/20/2014
Mortgages, Foreclosures & Releases
Form # Form Name and Description
Legal Schedule -- LS
Minnesota Statutory Uniform Short Form Mortgage100-M
Second Mortgage1402
Foreclosure Advice to Tenants1517FAT
Foreclosure Prevention Counsel1517FPC
Foreclosure Advice Notice1517HFH
Notice of Redemption Rights1517NRR
Homestead Designation Notice (Foreclosure by Action)1894
Homestead Designation Notice (Foreclosure by Advertisement)1895
Mtge by Indivs20.1.1
Mtge by Bus Entity20.1.2
Mortgage Addendum20.2.1
Assgt of Mtge by Indivs20.3.1
Assgt of Mtge by Bus Entity20.3.2
Assgt of Mtge by Bus Entity with Change of Name or Iden20.3.3
Amendment of Mortgage (by Individual Borrowers)20.4.1
Amendment of Mortgage (by Bus Entity Borrowers)20.4.2
Mtge Satis by Indivs20.5.1
Mtge Satis by Bus Entity20.5.2
Mtge Satis by Bus Entity with Change of Name or Iden20.5.3
Mtge Satis by Assignee by Indiv20.5.4
Mortgage Satisfaction by Assignee by Bus Entity20.5.5
Mtge Satis by Assignee by Bus Entity with Change of Name or Iden20.5.6
Partial Rel of Mtge by Indivs20.6.1
Partial Rel of Mtge by Bus Entity20.6.2
Partial Rel of Mtge by Bus Entity with Change of Name or Iden20.6.3
Cert of Full Rel of Mtge by Title Ins Co or Its Agt20.7.1
Cert of Partial Rel of Mtge by Title Ins Co or Its Agt20.7.2
Cert of Full Rel of Mtge and Assgt of Rents and Profits by Title Co20.7.3
Cert of Part Rel of Mtge and Assgt of Rents and Profits by Title Co20.7.4
Appt of Agent to Rel Mtge20.7.5
Revoc of Appt of Agent to Rel Mtge by Title Ins Co20.7.6
Subordination Agt by Indiv(s)20.8.1
Subordination Agt by Bus Entity20.8.2
Mortgage (FNMA-FHLMC)3024
Extension of Mortgage48-M
Page 12 of 78Conveyancing (MN)
Rev. 11/20/2014
Extension of Mtge by Corp and Indivs49-M
Not of Pendency of Proceeding and Power of Atty to Forecl Mtge by Indivs60.1.1
Not of Pendency of Proceeding and Power of Atty to Forecl Mtge by Bus Entity60.1.2
Notice of Pendency of Proceeding to Foreclose Mortgage60.1.5
Not of Mtge Foreclosure Sale60.2.1
Not of Mtge Foreclosure Sale (Debt Collector)60.2.1-B
Sheriff's Certificate of Sale60.3.1
Sheriff's Certificate of Sale and Foreclosure Record60.3.2
Sheriff's Certificate of Sale Under Decree of Mortgage Foreclosure60.4.1
Notice of Intention to Redeem by Individuals60.5.1
Notice of Intention to Redeem by Business Entity60.5.2
Affidavit of Additional Amount Due on Redemption60.5.3
Certificate of Redemption by Individual(s)60.5.4
Certificate of Redemption by Business Entity60.5.5
Certificate of Redemption by Sheriff60.5.6
Affidavit of Allowable Costs60.5.7
Aff of Postponement60.8.1
Part Payment Certificate by Individual61-M
Part Payment Certificate by Corporation62-M
Forecl Data AddendumMD2023
Notices Of
Form # Form Name and Description
Legal Schedule -- LS
Demand for Disch of Claim of Unreg Interest130.1
Demand for Disch of Claim of Unreg Interest - Possessory130.2
Verified Claim of Unreg Interest130A
Homestead Designation Notice (Foreclosure by Action)1894
Homestead Designation Notice (Foreclosure by Advertisement)1895
Not of Canc of Contract for Deed30.4.1
Not of Lis Pendens (General)40.6.1
Not of Lis Pendens Forecl of Mech Lien40.6.2
Disch of Not of Lis Pendens Partial or Complete40.6.3
Partial Release of Property from Notice of Lis Pendens40.6.4
Claim of Unregistered Interest40.7.1
Disch of Claim of Unreg Int by Indiv40.7.2
Disch of Claim of Unreg Int by Bus Entity40.7.3
Demand for Disch of Claim of Unreg Interest40.7.4
Not of Pendency of Proceeding and Power of Atty to Forecl Mtge by Indivs60.1.1
Page 13 of 78Conveyancing (MN)
Rev. 11/20/2014
Not of Pendency of Proceeding and Power of Atty to Forecl Mtge by Bus Entity60.1.2
Notice of Pendency of Proceeding to Foreclose Mortgage60.1.5
Not of Mtge Foreclosure Sale60.2.1
Not of Mtge Foreclosure Sale (Debt Collector)60.2.1-B
Sheriff's Certificate of Sale and Foreclosure Record60.3.2
Notice of Intention to Redeem by Individuals60.5.1
Notice of Intention to Redeem by Business Entity60.5.2
Cert and Req for Not by Indiv(s)60.6.1
Cert and Req for Not by Bus Entity60.6.2
Notice to the Comsr of Hum Servs Re Poss Claims70.3.1
Amend to Not to Commr Re Poss Claims Prior to Closing of Estate70.3.2
Amend to Not to Commr Re Poss Claims After Closing of Estate70.3.3
Aff of Serv of Not to Commr to the Commr70.3.4
Aff of Serv of Amend to Not70.3.5
Aff of Serv of Amend to Not70.3.6
Powers Of Attorney, HUD & Miscellaneous
Form # Form Name and Description
Legal Schedule -- LS
Stat Short Form Power Of Atty Minn. Stat. 523.23100.1.1
Revocation of Power of Atty Minn. Stat. 523.11, subd. 2100.1.2
Cert of Ack1003
Well Discl Cert and Inst1517WDC
Well Discl Cert Cont Pg1517WDC-1
Deed of Appurtenant Easement1528M
Option Contract (Any Kind of Property)1687
Option Contract with Acknowledgment1749
Power of Attorney to Foreclose Mortgage by Individual(s)60.1.3
Power of Attorney to Foreclose Mortgage by Business Entity60.1.4
Statement of Limiting Conditions and Appraiser's Certification (FHLMC)F439
USDA Description of MaterialsFmHA-1924-2
Good Faith Estimate of Borrower's Settlement CostsGFE
Settlement Statement (2010)HUD-1
Settlement Statement (Non-RESPA)HUD-1 (Non-RESPA)
Certification for FHAHUD-1 CERT-A
Certification of AccuracyHUD-1 CERT-B
Settlement Statement (Refinancing)HUD-1A
Settlement Statement SupplementHUD-1AS
Page 14 of 78Conveyancing (MN)
Rev. 11/20/2014
SupplementHUD-1S
Title I Refinancing ReportHUD-27029
Certificate of Real Estate ValuePE-20
Certificate of Real Estate Value Supplemental SchedulePE-20A
Legal Description AddendumPE-20LDA
Uniform Res Loan Application (FHLMC Form 65)URLA
Probate
Form # Form Name and Description
Legal Schedule -- LS
Deed of Distribution by Indiv PR10.5.1
Deed of Distrib by Bus Entity PR10.5.2
Deed of Sale by Indiv PR to Indiv10.5.3
Deed of Sale by Indiv PR to Joint Tenants10.5.4
Deed of Sale by Indiv PR to Bus Entity10.5.5
Deed of Sale by Bus Entity PR to Indiv10.5.6
Deed of Sale by Bus Entity PR to Joint Tenants10.5.7
Deed of Sale by Bus Entity PR to Bus Entity10.5.8
Order of Complete Settlement of the Estate and Decree of Distribution101-M
Order of Complete Settlement of the Estate and Order of Distrbution102-M
Decree of Descent103-M
Decree of Descent; Omitted or Incorrectly Described Property104-M
Final Decree Summary Assignment or Distribution105-M
Consent of Spouse to Deed of Sale-; PR70.1.1
Notice to the Comsr of Hum Servs Re Poss Claims70.3.1
Amend to Not to Commr Re Poss Claims Prior to Closing of Estate70.3.2
Amend to Not to Commr Re Poss Claims After Closing of Estate70.3.3
Aff of Serv of Not to Commr to the Commr70.3.4
Aff of Serv of Amend to Not70.3.5
Aff of Serv of Amend to Not70.3.6
Cert of Consent to an Early Distrib of Assets Pursuant to Minn. Stat70.3.7
Decree of Distribution of Exempt Estate89-M
Decree of Descent (Other Property)90-M
Decree of Descent (Homestead)90-M
Decree of Descent (Other Property)91-M
Decree of Descent (Homestead)91-M
Order of License to Sell Land at Private Sale (Homestead)92-M
Order of License to Sell Land at Private Sale (Other Property)92-M
Order Confirming Private Sale Pursuant to License (Other Property)93-M
Page 15 of 78Conveyancing (MN)
Rev. 11/20/2014
Order Confirming Private Sale Pursuant to License (Homestead)93-M
Application for Certificate of Clearance for Medical Assistance Claims - Transfer on Death
Deed
DHS-5893-ENG
Quit Claim Deeds
Form # Form Name and Description
Legal Schedule -- LS
Quit Claim Deed Indiv(s) to Indiv(s)10.3.1
Quit Claim Deed Indiv(s) to Indiv(s) (Multi)10.3.1+
Quit Claim Deed Indiv(s) to Bus Entity10.3.2
Quit Claim Deed Indiv(s) to Joint Tenants10.3.3
Quit Claim Deed Bus Entity to Indiv(s)10.3.4
Quit Claim Deed Bus Entity to Bus Entity10.3.5
Quit Claim Deed Bus Entity to Joint Tenants10.3.6
Quit Claim Deed Reserv Lien in Marriage10.3.7
Severance of Joint Tenancy10.3.8
Quit Claim Deed (Corrective)10.3.9
Registration of Land
Form # Form Name and Description
Legal Schedule -- LS
Application To Register the Title to Certain Land3153
Application for Initial Registration of Title to Land (By Corporation)3155
Sheriff's
Form # Form Name and Description
Legal Schedule -- LS
Sheriff’s Notice of Foreclosure Sale Under Judgment2021
Sheriff's Report of Sale in Foreclosure by Action2022
Sheriff's Certificate of Sale60.3.1
Sheriff's Certificate of Sale and Foreclosure Record60.3.2
Sheriff's Certificate of Sale Under Decree of Mortgage Foreclosure60.4.1
Sheriff's Certificate of Sale (Mechanic's Lien Foreclosure)60.4.2
Sheriff's Certificate of Sale (upon execution, or pursuant to jdgt or order)60.4.3
Assignment of Sheriff's Certificate by Individual(s)60.4.4
Assignment of Sheriff's Certificate by Business Entity60.4.5
Notice of Intention to Redeem by Individuals60.5.1
Notice of Intention to Redeem by Business Entity60.5.2
Certificate of Sale Under Decree of Mech. Lien Foreclosure69-M
Addendum to Sheriffs Certificate of Sale and Foreclosure RecordMD2024
Page 16 of 78Conveyancing (MN)
Rev. 11/20/2014
Transfer on Death Deeds
Form # Form Name and Description
Legal Schedule -- LS
Transf on Death Deed by Unmarried Grantor Owner10.8.1
Revoc of Transf on Death Deed10.8.10
Transf on Death Deed by Married Separate Owner10.8.2
Transfer on Death Deed by Married Grantor Owners (Joint Tenants)10.8.3
Transf on Death Deed Stat Form10.8.4
Clearance Certificate for Public - Medical Assistance Claim10.8.9
Aff of Identity and Survshp for Transf on Death Deed50.2.3
Application for Certificate of Clearance for Medical Assistance Claims - Transfer on Death
Deed
DHS-5893-ENG
Warranty Deeds
Form # Form Name and Description
Legal Schedule -- LS
Warr Deed Indiv(s) to Indiv(s)10.1.1
Warr Deed Indiv(s) to Indiv(s) (Multi)10.1.1+
Warr Deed Exc Assessments Bus Entity to Bus Entity10.1.10
Warr Deed Bus Entity to Joint Tenants10.1.11
Warr Deed Exc Assessments Bus Entity to Joint Tenants10.1.12
Warr Deed Exc Assessments Indiv(s) to Indiv(s)10.1.2
Warr Deed Indiv(s) to Bus Entity10.1.3
Warr Deed Exc Assessments Indiv(s) to Bus Entity10.1.4
Warr Deed Indiv(s) to Joint Tenants10.1.5
Warr Deed Exc Assessments Indiv(s) to Joint Tenants10.1.6
Warr Deed Bus Entity to Indiv(s)10.1.7
Warr Deed Exc Assessments Bus Entity to Indiv(s)10.1.8
Warr Deed Bus Entity to Bus Entity10.1.9
Page 17 of 78Conveyancing (MN)
Rev. 11/20/2014
Family (MN)
Contempt Proceedings
Form # Form Name and Description
Legal Schedule -- LS
Instructions - Contempt Motion for Divorce DecreeDIV1401
Notice of Motion and Motion for ContemptDIV1402
Affidavit in Support of Motion for Contempt (Child Support)DIV1403
Affidavit in Support of Motion for Contempt (Spousal Support)DIV1403
Affidavit in Support of Motion for Contempt (Parenting Time)DIV1403
Affidavit in Support of Motion for Contempt (Delivery of Property)DIV1403
Affidavit in Support of Motion for Contempt (Other)DIV1403
Order to Show CauseDIV1404
Affidavit of Personal Service - Motion for ContemptDIV1405
Responsive Motion for ContemptDIV1502
Affidavit in Support of Responsive Motion for ContemptDIV1503
Affidavit of Personal Service - Response to Motion for ContemptDIV1504
Custody & Visitation
Form # Form Name and Description
Legal Schedule -- LS
Summons to Establish Custody and Parenting TimeCHC102
Petition to Establish Custody and Parenting TimeCHC103
Notice of Motion and Motion to Establish Custody and Parenting TimeCHC104
Affidavit in Supp of Motion to Est Custody and Parenting Time (Child Support)CHC105
Affidavit in Supp of Motion to Est Custody and Parenting Time (No Child Support)CHC105
Responsive Notice of Motion and Motion to Establish Child Custody and ParentingCHC202
Affidavit in Support of Responsive Motion to Establish Child Custody and Parenting TimeCHC203
Answer and Counter-Petition to Establish Custody and Parenting TimeCHC204
Notice of Motion and Motion for Change of CustodyCHC302
Affidavit in Support of Motion to Change Custody (Legal Custody Only)CHC303
Affidavit in Support of Motion to Change CustodyCHC303
Responsive Notice of Motion and Motion for Change of CustodyCHC402
Affidavit in Response to Motion to Change CustodyCHC403
Motion for Parenting Time AssistancePAR102
Affidavit in Support of Motion for Parenting Time AssistancePAR103
Responsive Motion for Parenting Time AssistancePAR202
Affidavit in Support of Responsive Motion for Parenting Time AssistancePAR203
Page 18 of 78Family (MN)
Rev. 11/20/2014
Discovery, Disclosure & Representation
Form # Form Name and Description
Legal Schedule -- LS
Certificate of Representation and Parties (Petitioner)CIV102
Certificate of Representation and Parties (Respondent)CIV102
Certificate of Representation and Additional PartiesCIV102+
Petition for Access to Confidential or Sealed File and OrderCON101
Instructions for Confidential and Sealed Financial Source FormsCON110
Confidential Information Form (Form 11.1)CON111
Sealed Financial Source Documents (Form 11.2)CON112
Approved as to Form StatementF447
Request for Production of Documents (No Business Interests)F449
Request for Production of DocumentsF449BUS
InterrogatoriesF451
Waiver of Independent CounselF460
Notice of Association of AttorneysF903
Notice of Substitution of Counsel (Replacement)F906
Notice of Substitution of Counsel (Withdrawn)F906
Notice of Taking DepositionF907
Notice of Taking Deposition (Incl Documents)F907DT
Notice of Withdrawal of Counsel (Replacing)F909
Notice of Withdrawal of Counsel (Withdrawing)F909
Authorization to Release Educational RecordsF912
Authorization to Release Employment RecordsF915
Authorization to Release Financial RecordsF918
Authorization to Release Retirement Plan or Pension RecordsF921
Minnesota Standard Consent Form to Release Health InformationF924
Domestic Abuse
Form # Form Name and Description
Legal Schedule -- LS
Petitioner's Affidavit and Petition for Order of ProtectionOFP102
Attachment for Descrip of Addt'l AbuseOFP102A
Notice to Petitioner Regarding Information Provided in Petition and AffidavitOFP103
Petitioner's Information SheetOFP104
Petitioner's Information Sheet Ramsey County)OFP104R
Law Enforcement Information SheetOFP105
Law Enforcement Information Sheet (Ramsey County)OFP105R
Confidential Address Phone RequestOFP107
Page 19 of 78Family (MN)
Rev. 11/20/2014
Request for HearingOFP202
Request for Hearing (Ramsey County)OFP202R
Affidavit and Order to Show Cause for ContemptOFP301
Affidavit and Motion to Modify Order for ProtectionOFP401
Affidavit and Order for Alternate Service or PublicationOFP501
Affidavit of Personal Service by Peace Officer; Corrections OfficerOFP502
Affidavit for Filing Foreign Protective OrderOFP503
Affidavit and Order for DismissalOFP601
Application for Extension of Order for ProtectionOFP701
Notice of Change of Address (Petitioner)OFP801
Notice of Change of Address (Respondent)OFP801
Harassment
Form # Form Name and Description
Legal Schedule -- LS
Petitioner's Affidavit and Petition for Harassment Restraining OrderHAR102
Law Enforcement Information SheetHAR103
Law Enforcement Information Sheet (Ramsey)HAR103R
Petitioner's Request to Keep Address or Phone ConfidentialHAR104
Notice to RespondentHAR201
Notice to Respondent (Hennepin)HAR201H
Notice to Respondent (Ramsey)HAR201R
Request for HearingHAR301
Request for Hearing (Ramsey)HAR301R
Petitioner's Request and Order for Dismissal of Harassment Restraining OrderHAR401
Affidavit and Order to Show Cause for ContemptHAR501
Motion and Notice of Motion to Change Harassment Restraining OrderHAR601
Affidavit and Order for PublicationHAR701
Order Upon Petition for Harassment Restraining OrderHAR802
In Forma Pauperis
Form # Form Name and Description
Legal Schedule -- LS
Affidavit for Proceeding In Forma PauperisIFP102
Supplemental Affidavit for Proceeding In Forma PauperisIFP103
Proposed Order for Proceeding In Forma PauperisIFP104
Motion and Affidavit for Proceeding In Forma Pauperis in the Court of AppealsIFP114
Order Denying In Forma Pauperis in Ct AppIFP115D
Order Granting In Forma Pauperis in Ct AppIFP115G
Affidavit for Proceeding In Forma Pauperis (Inmate)IFP201
Page 20 of 78Family (MN)
Rev. 11/20/2014
Name Change
Form # Form Name and Description
Legal Schedule -- LS
Felony Notification AffidavitDIV810
Instructions - Name Change ApplicantsNAM101
Application for Name ChangeNAM102
Criminal History Check Release (Petitioner)NAM103
Criminal History Check Release (Respondent)NAM103
Felon Name Change Notice to ProsecutorsNAM104
Inmate Affidavit for Name Change (Petitioner)NAM105
Inmate Affidavit for Name Change (Respondent)NAM105
Notice to Persons Who Have Had Their Name ChangedNAM106
Proposed Order Granting Name ChangeNAM107
Instructions - Minor Name ChangeNAM201
Application for Name Change of a MinorNAM202
Criminal History Check Release for Name Change of a Minor (Child 1)NAM203
Criminal History Check Release for Name Change of a Minor (Child 4)NAM203
Criminal History Check Release for Name Change of a Minor (Child 4) (Spouse)NAM203
Criminal History Check Release for Name Change of a Minor (Child 2) (Spouse)NAM203
Criminal History Check Release for Name Change of a Minor (Child 1) (Spouse)NAM203
Criminal History Check Release for Name Change of a Minor (Child 3) (Spouse)NAM203
Criminal History Check Release for Name Change of a Minor (Child 2)NAM203
Criminal History Check Release for Name Change of a Minor (Child 3)NAM203
Instructions for Affidavit of Personal ServiceNAM204
Affidavit of Personal Service (Petitioner)NAM205
Affidavit of Personal Service (Respondent)NAM205
Instructions for Publishing Notice of Minor's Name ChangeNAM206
Affidavit in Support of Order for Publication and Order for PublicationNAM207
Proposed Order Granting Minor Name ChangeNAM208
Notices, Scheduling Requests & Enforcement
Form # Form Name and Description
Legal Schedule -- LS
Default Scheduling RequestDIV1202
Notice of Intent to Proceed to Judgment without ChildrenDIV812
Notice of Intent to Proceed to Judgment with ChildrenDIV812
National Medical Support NoticeF248
Alternate Initial Case Management Statement (Respondent)FAM104
Alternate Initial Case Management Statement (Petitioner)FAM104
Page 21 of 78Family (MN)
Rev. 11/20/2014
Initial Case Management Statement (Petitioner)FAM105
Initial Case Management Statement (Respondent)FAM105
Certificate of Settlement EffortsFAM106
Certificate of Settlement Efforts (Ramsey County)FAM106R
Notice of Intent to Collect Health Care Expenses for Joint Children (Petitioner)FAM402
Notice of Intent to Collect Health Care Expenses for Joint Children (Respondent)FAM402
Affidavit of Health Care Expenses and Demand for Payment (Respondent)FAM403
Affidavit of Health Care Expenses and Demand for Payment (Petitioner)FAM403
Addendum – Unreimbursed or Uninsured Health Care ExpensesFAM403A
Notice of Motion and Motion to Collect Health Care ExpensesFAM404
Aff in Support of Motion to Collect Health Care ExpensesFAM404A
Notice of Motion and Motion and Affidavit to Contest Collection of Health Care Expenses for
Joint Children
FAM406
Notice of Entry of Judgment and DecreeFAM407
Notice to County Support and Collections (Petitioner)FAM408
Notice to County Support and Collections (Respondent)FAM408
Parentage
Form # Form Name and Description
Legal Schedule -- LS
Petition to Vacate Recognition of Paternity5147
Denial of PaternityADO102
Not to Regis Put Father & Not of Juris (Child 1)ADO103
Intent to Claim Parental RightsADO104
Affidavit of Attorney for Use in the Minnesota Fathers' Adoption RegistryF109
Paternity Statement of RightsPAT101
Petitions & Answers
Form # Form Name and Description
Legal Schedule -- LS
Division of Assets and ValueAttachment A
Division of Liabilities-DebtsAttachment B
Real Property Information Addendum (Homestead)Attachment C
Real Property Information Addendum (Other Property)Attachment C
Certificate of DissolutionDIV103
Jt Petition, Agreement, Jdgt Decree w-o children (Plaintiff's Attorney)DIV302
Jt Petition, Agreement, Jdgt Decree w-o children (Defendant's Attorney)DIV302
Petition for Dissolution-No ChildrenDIV402
Answer and Counter-Petition without ChildrenDIV502
Affidavit of Income and Expenses (Children) (Aff Only)FAM001
Page 22 of 78Family (MN)
Rev. 11/20/2014
Affidavit of Income and Expenses (Children)FAM002
Affidavit of Income and Expenses (No Children) (Aff Only)FAM003
Affidavit of Income and Expenses (No Children)FAM004
Amended Judgment and Decree (Petitioner)F-DK-006
Amended Judgment and Decree (Respondent)F-DK-006
Amended Judgment Supplemental PageF-DK-006X
Service of Process & Defaults
Form # Form Name and Description
Legal Schedule -- LS
Appl for an Order for Serv by Alt MeansDIV1302
Order for Service by Alternate MeansDIV1303
Affidavit of Service by Mail Pursuant to Court OrderDIV1304
Affidavit of Default When Served by Alternate Means (Without Children)DIV1305
SummonsDIV403
Admission of Service - Dissol without ChildrenDIV405
Affidavit of NonMilitary Status and Default (Without Children)DIV408
Affidavit of Service by MailDIV409
Affidavit of Default (Without Children)DIV410
Affidavit of Personal ServiceDIV503
Affidavit of Service-Mail - (without Children)DIV504
Combined SummonsDIV803
Admission of Service - Dissol with ChildrenDIV805
Affidavit of NonMilitary Status (With Children)DIV808
Affidavit of Service by MailDIV814
Affidavit of Default (With Children)DIV815
Affidavit of Service (Combined)DIV900
Affidavit of Service (Personal)DIV903
Aff of Serv by Mail (with Children)DIV904
Stepparent and Agency Adoption
Form # Form Name and Description
Legal Schedule -- LS
Notice of Hearing on Petition for Adoption (Child 3)F120
Notice of Hearing on Petition for Adoption (Child 2)F120
Notice of Hearing on Petition for Adoption (Child 1)F120
Addendum of Additional Parties (Child 1)F126A
Addendum of Additional Parties (Child 3)F126A
Addendum of Additional Parties (Child 2)F126A
Page 23 of 78Family (MN)
Rev. 11/20/2014
Summary Dissolution
Form # Form Name and Description
Legal Schedule -- LS
Instructions - Summary DissolutionDIV201
Joint Petition for Summary DissolutionDIV202
Petitioner's Non-Marital PropertyWorksheet A
Co-Petitioner's Non-Marital PropertyWorksheet B
Marital PropertyWorksheet C
Automobile DebtsWorksheet D
Division of DebtsWorksheet E
Necessary Monthly Expenses (Petitioner)Worksheet F
Necessary Monthly Expenses (Co-Petitioner)Worksheet F
Support & Maintenance
Form # Form Name and Description
Legal Schedule -- LS
Notice of Intent to Recover Attorney FeesCSD102
Request for Hearing on Reasonableness of Attorney FeesCSD103
Notice of Motion and Motion to Modify Child Support; Spousal MaintenanceCSD202
Affidavit in Support of Motion to ModifyCSD203
Response to Motion to Modify Child Support; Spousal MaintenanceCSD302
Affidavit in Support of Response to Motion to Modify Child Support; Spousal MaintenanceCSD303
Notice of Motion and Motion to Stop COLACSD402
Affidavit in Support of Motion to Stop COLACSD403
Notice to Obligor of Medical Support EnforcementCSD601
Notice of Order to a Payor of FundsCSD602
Notice of Intent to Enter and Docket Child Support JudgmentCSD702
Affidavit of Default of Child Support JudgmentCSD703
Response to Notice of Motion and Motion to Stop COLACSD802
Affidavit in Support of Response to Motion to Stop COLACSD803
Notice of Income Withholding for Spousal SupportDHS-5785-ENG
Notice to County Support and Collections and Affidavit of ServiceDIV813
Notice for Implementation of Cost of Living AdjF268
Financial Affidavit for Child SupportFAM102
Parenting and Financial Disclosure StatementFAM108
Appendix A Child Support OrdersFAM301
Notice of Intent to Enter and Docket Support JudgmentF-DK-001
Notice of Entry and Docketing of Maintenance JudgmentF-DK-002
Affidavit of Default of Maintenance Jdgt; Amount Due and IdentificationF-DK-003
Page 24 of 78Family (MN)
Rev. 11/20/2014
Affidavit of Service by MailF-DK-004
Notice of Intent to Enter and Docket Maintenance JudgmentSPS102
Affidavit of Default of Maintenance JudgmentSPS103
Supplemental Affidavit of Default of Maintenance JudgmentSPS104
Support & Maintenance (Expedited)
Form # Form Name and Description
Legal Schedule -- LS
Motion and Affidavit to Contest Support Judgment Levy (Exped)CSX1002
Affidavit of Service - FacsimileCSX101
Notice to Withdraw Complaint or MotionCSX103A
Notice to Withdraw Response Answer or Responsive MotionCSX103B
Notice of HearingCSX104
Request to Allow Service by PublicationCSX105
Motion to Stop COLA (Exped)CSX1102
Affidavit Supporting Motion to Stop COLA (Exped) (Petitioner)CSX1103
Affidavit Supporting Motion to Stop COLA (Exped) (Respondent)CSX1103
Motion to Reinstate Driver's License (Exped)CSX1202
Affidavit Supporting Motion to Reinstate Driver's LicenseCSX1203
Motion to Reinstate Interest (Exped)CSX1302
Affidavit Supporting Motion to Reinstate Interest (Exped)CSX1303
Request for ContinuanceCSX1402
Request for TranscriptCSX1502
Request for SubpoenaCSX1602
Ex Parte Request and Affidavit for County to Serve PapersCSX1702
Request to Remove (Magistrate) for CauseCSX1802
Response to Request to Remove for CauseCSX1902
Motion to Modify Support (Exped)CSX202
Affidavit in Support of Motion to Modify Child SupportCSX203
Response to Notice to Motion and Motion to Stop COLACSX2202
Affidavit in Support of Responsive Motion to Stop COLACSX2203
Response to Motion to Modify SupportCSX302
Affidavit Supporting Response to Motion to Modify SupportCSX303
Motion to Stop InterestCSX402
Affidavit Supporting Motion to Stop Interest (Exped)CSX403
Response to Motion to Stop InterestCSX502
Affidavit Supporting Response to Motion to Stop InterestCSX503
Motion to Correct Clerical Mistakes (Exped)CSX602
Response to Motion to Correct Clerical Mistakes (Exped)CSX702
Page 25 of 78Family (MN)
Rev. 11/20/2014
Motion for Review (Exped)CSX802
Response to Motion for Review or Counter Motion (Exped)CSX902
Support (Temporary)
Form # Form Name and Description
Legal Schedule -- LS
Notice of Motion and Motion for Temporary Relief with ChildrenDIV1002
Affidavit in Support of Motion for Temporary Relief with ChildrenDIV1003
Application for Temporary Relief with ChildrenDIV1004
Responsive Notice of Motion and Motion for Temporary Relief with ChildrenDIV1102
Affidavit in Support of Responsive Motion for Temporary Relief with ChildrenDIV1103
Notice of Motion and Motion for Temporary Relief without ChildrenDIV602
Affidavit in Support of Motion for Temporary Relief without ChildrenDIV603
Application for Temporary Relief Without ChildrenDIV604
Responsive Notice of Motion and Motion for Temporary Relief Without ChildrenDIV702
Affidavit in Support of Responsive Motion for Temporary Relief without ChildrenDIV703
Page 26 of 78Family (MN)
Rev. 11/20/2014
Guardianship & Conservatorship (MN)
Administration
Form # Form Name and Description
Verification of Funds on Dep by Fin Instit15-UVF
Verification of Stocks; Other Securities15-UVS
Informational Statement (Conservatorship)GAC109
Informational Statement (Guardianship)GAC109
Annual Notice of Right to Petition for Restoration of Capacity (Conservatorship Only)GAC10-C
Ex Parte Petition to Expend FundsGAC113
Personal Well-Being Report; Annual Notice of Right to PetitionGAC11-U
Notice of Intent to Dispose of Clothing, Vehicles EtcGAC12-U
InventoryGAC13
Petition to Sell Real PropertyGAC21-U
Affidavit in Support of Petition to Sell Real PropertyGAC21-UA
Oath and AppraisalGAC21-U-APP
Order Appointing AppraisersGAC21-UCT-APP
Physicians Letter Re Independent LivingGAC21-UL
County Assessors Market Evaluation (Homestead)GAC21-UV
County Assessors Market Evaluation (Other Property)GAC21-UV
Notice of Hearing on Petition to Sell Real PropertyGAC22-U
Order Directing Sale of Real PropertyGAC23-U
Report Regarding Sale of Real Property (Homestead)GAC23-UR
Report Regarding Sale of Real Property (Other Property)GAC23-UR
Order Confirming Sale of Real Property (Other Property)GAC24-U
Order Confirming Sale of Real Property (Homestead)GAC24-U
Petition for Disposition of Personal Property After ObjectionGC126
Order for Hearing - Sale of Personal Property After ObjectionGC127
Order Authorizing Disposition of Personal PropertyGC128
Order for Examination of Account(s) on PetitionGC132A
Order for Examination of Account(s) on Court's MotionGC132B
Order Directing Mortgage (Homestead)GC138
Order Directing Mortgage (Other Property)GC138
Order Directing Lease (Other Property)GC138A
Order Directing Lease (Homestead)GC138A
Report of Lease (Other Property)GC140A
Report of Lease (Homestead)GC140A
Order for ConveyanceGC143
Page 27 of 78Guardianship & Conservatorship (MN)
Rev. 11/20/2014
Adult: Appointment
Form # Form Name and Description
Not of Lis Pendens (General)40.6.1
Affidavit Regarding Background Study - ConservatorshipGAC102
Affidavit Regarding Background Study - GuardianshipGAC102
DHS Background Check Form and Information SheetGAC103
Notice to Proposed Guardians - Conservators Regarding Background Check RequirementsGAC104
Visitor's ReportGAC105
Pre-Appointment Informational Statement (Guardianship)GAC1A-U
Pre-Appointment Informational Statement (Conservatorship)GAC1A-U
Acceptance of Appointment By Corp (7th District)GAC1-U
Acceptance of Appointment By Corp (6th District)GAC1-U
Acceptance of Appointment By Corp (4th District)GAC1-U
Acceptance of Appointment By Corp (2nd District)GAC1-U
Acceptance of Appointment By Indv (Statewide)GAC1-U
Acceptance of Appointment By Indv (7th District)GAC1-U
Acceptance of Appointment By Corp (Statewide)GAC1-U
Acceptance of Appointment By Indiv (2nd District)GAC1-U
Acceptance of Appointment By Indiv (4th District)GAC1-U
Acceptance of Appointment By Indiv (6th District)GAC1-U
Letters of Guardianship and ConservatorshipGAC4-U
Pet for Appt of (Guardian) (Conservator)GAC5-U
Notice of Hearing and Notice of RightsGAC6-U
Physician's StatementGAC7-U
Order Appointing General Conservator - GuardianGAC8-U
Notice of Entry of Order and Right to AppealGAC9-U
Voluntary Petition for Unlimited ConservatorshipGC103
Voluntary Petition for Limited ConservatorshipGC103A
Petition for New Letters of (Guardianship) (Conservatorship)GC108
Order Issuring New Letters of (Guardianship) (Conservatorship)GC108A
Order Issuring New Letters of ConservatorshipGC108AC
Order Issuring New Letters of GuardianshipGC108AG
Request for Court-Appointed AttorneyGC109
Order Appointing AttorneyGC110
Waiver of Right to Representation by Attorney - ConservatorshipGC111C
Waiver of Right to Representation by Attorney - GuardianshipGC111G
Notice to Commissioner of Public WelfareGC116
Notice of (Establishment) (Modification) (Termination) of (Guardianship) (ConservatorshipGC116A
Page 28 of 78Guardianship & Conservatorship (MN)
Rev. 11/20/2014
Petition for Protective OrderGC120
Order for Hearing and Notice of Rights (Protective Order)GC121
Order Authorizing Protective ArrangementGC122
Adult: Special Forms (Emergency Guardianship)
Form # Form Name and Description
Petition for Emergency Appointment of (Guardian) (Conservator)GAC17-U
Order Appointing Emergency (Guardian) (Conservator)GAC18-U
Notice of Hearing and Notice of RightsGAC19-U
Emergency Letters of Guardianship-ConservatorshipGAC20-U
Minors
Form # Form Name and Description
Acceptance of Appointment by Corporation (Guardianship)GAC1-UM
Acceptance of Appointment by Individual (Conservatorship)GAC1-UM
Acceptance of Appointment by Individual (Guardianship)GAC1-UM
Acceptance of Appointment by Corporation (Conservatorship)GAC1-UM
Affidavit of Mailing Notices and Petition (Minor)GAC3-UM
Letters of Guardianship and ConservatorshipGAC4-UM
Pet for Appt of (Conservator) (Guardian [Minor]GAC5-UM
Notice of Hearing and Notice of Rights (Minor)GAC6-UM
Order Appt'g General (Conservator) (Guardian) [Minor]GAC8-UM
Notice of Entry of Order and Right to Appeal (Minor)GAC9-UM
Objections to Appointment of Guardian(s) of Minor (Parental or Testamentary Guardian)GC164
Miscellaneous Forms
Form # Form Name and Description
Conservator's Deed10.6.1
Conservator's Deed to Joint Tenants10.6.2
Health Care Directive3571
Health Care Directive (Pregnancy)3571A
Petition for Access to Confidential or Sealed File and OrderCON101
Instructions for Confidential and Sealed Financial Source FormsCON110
Guardianship and Conservatorship ManualGAC101
Instructions for Conservator's Ex Parte Petition and Order to Expend FundsGAC112
Order Granting - Denying Petition to Expend FundsGAC114
Conservatorship Account Confidential Information FormGAC-15
Conservatorship Account Sealed Financial Source DocumentGAC-16
Affidavit of Personal ServiceGAC2-U
Affidavit of Service by MailGAC3-U
Petition for Order (Authorizing) (Directing) Disbursement of FundsGC180
Page 29 of 78Guardianship & Conservatorship (MN)
Rev. 11/20/2014
Order (Authorizing) (Directing) Disbursement of FundsGC181
Petition for Order (Authorizing) (Directing)GC182
Affidavit of Service (Respondent by Court Visitor)GC188
Petition and Affidavit for Proceeding In Forma PauperisIFP401
Order for Proceeding In Forma PauperisIFP402
Modification and Closing (Adult and Minor)
Form # Form Name and Description
Conservatorship Account - Confidential Information FormForm 11.1
Conservatorship Account - Sealed Financial Source DocumentsForm 11.2
(Annual) (Final) AccountGAC14
Notice of Hearing on (Annual) (Final) Account (and Discharge of Conservator)GAC15-U
Order Allowing (Annual Acct) (Final Acct) (Order Discharging Conservator)GAC16-U
Pet for Restoration to CapacityGAC25-U
Notice of Hearing on Pet for Restoration to CapacityGAC26-U
Order Restoring (Ward) (Protected Person) to CapacityGAC27-U
Petition for Termination of Guardianship; Discharge of GuardianGAC28-G
Order Confirming Term of Gship and Discharging GuardianGAC29-G
Order for Hearing on Petition for Termination of GuardianshipGC154
Petition for Modification of (Guardianship) (Conservatorship)GC156
Notice of Hearing on Petition for ModificationGC157
Order Modifying Powers & Duties of ConservatorGC158C
Order Modifying Powers & Duties of (Custondian) (Guardian)GC158CG
Order Modifying Powers & Duties of GuardianGC158G
Pet for Desig of Succ'r CustGC176
Order for Designation of Successor CustodianGC177
Petition for Designation of Successor Custodian (By Minor)GC178
Order for Designation of Successor Custodian (By Minor Over 14)GC179O
Petition for Designation of Successor Custodian (By Minor Over 14)GC179P
Page 30 of 78Guardianship & Conservatorship (MN)
Rev. 11/20/2014
Judgment Enforcement
Attorney Summary Execution (Chapter 551)
Form # Form Name and Description
Notice of Levy (MN Stat 551.05)3060
Instructions for Exemption Form (MN Stat. 551.05)3061
Notice of Levy on Garnishee3062
Notice of Levy on Earnings and Disclosure and Worksheet3085
Execution Exempt Notice; Notice of Intent to Levy Earnings3088
Notice of Levy on Earnings and Disclosure (Child Support)3089
Notice of Third Party Levy and Disclosure (Other Than Earnings)3108
Exemption Notice (Formerly 3099)JGM401
Creditor's Objection to Exemption Claim (Formerly 3096)JGM403
Conciliation Court
Form # Form Name and Description
Information About Conciliation CourtCCT101
Statement of Claim and SummonsCCT102
Conciliation Court Affidavit of ServiceCCT103
Statement of Counterclaim and SummonsCCT202
Instructions - Demand for RemovalCCT401
Demand for Removal AppealCCT402
Costs on Appeal Information SheetCCT403
Instructions - Limited RemovalCCT501
Demand for Limited RemovalCCT502
Affidavit of Service for Limited RemovalCCT503
Affidavit and Order Vacating Order for Judgment and Granting New TrialCCT504
Demand for DisclosureJGM306
Affidavit of Service by MailSOP104
Financial
Form # Form Name and Description
Conditional Sales Contract (JE)1034
Not & Dem for Pmt of Dish Check1131
Affidavit of Service by Mail of Demand for Pmt of Dis Check1131.5
Promissory Note1408
Installment Note1409
Promissory Note (Unsecured)1413
Conditional Sale AgreementCSA
Page 31 of 78Judgment Enforcement
Rev. 11/20/2014
Installment NoteUCC-1210
Garnishment (Chapter 571)
Form # Form Name and Description
Exemption Notice3050
Notice of Intent to Garnish - Default3051
Notice of Hearing After Order for Prejudgment Garnishment3052
Notice of Hearing Seeking Prejudgment Garnishment3053
Prejudgment Exemption Notice3054
Garnishment Summons and Notice to Judgment Debtor3069
Garnishment Earnings Disclosure3090
Garnishment Earnings Disclosure (Child Support)3091
Nonearnings Disclosure (MN Stat. 571.75)3095
Notice of Garnishment (MN Stat 571.912)3097
Instructions for Garnishment Append to 3097 (MN Stat. 571.912)3098
Garnishment Exemption Notice & Notice of Intent to Garnish Earnings3102
Exemption Notice (Formerly 3099)JGM401
Creditor's Objection to Exemption Claim (Formerly 3096)JGM403
General Executions (Chapter 550)
Form # Form Name and Description
Mediation Notice for Mortgaged Agricultural Property (Post-Jdgt)2059
Earnings Execution Disclosure Form & Worksheet (Child Support)3056
Mediation Notice for Mortgaged Agricultural Property (Pre-Jdgt)3059
Notice of Levy (MN Stat 550.143)3063
Instructions for Levy (MN Stat. 550.143)3064
Earnings Execution Disclosure Form & Worksheet (9-14)3081
Financial Institutions Execution Disclosure (MN Stat. 550.143, subd. 2) (9-15)3082
Execution Exempt Notice; Notice of Intent to Levy Earnings3088
Request for Order for DisclosureJGM302
Exemption Notice (Formerly 3099)JGM401
Creditor's Objection to Exemption Claim (Formerly 3096)JGM403
Miscellaneous
Form # Form Name and Description
Affidavit of Military Status1099
Promissory Note (Equal Payments, Acceleration)1590
Certificate on Jdgt Liens and Bkcy Dockets1745
Sheriff's Report of Sale in Foreclosure by Action2022
Execution for Delivery of Possession of Property3010
Writ of Attachment3030
Page 32 of 78Judgment Enforcement
Rev. 11/20/2014
Supplementary Proceedings, Resident Debtor, Affidavit & Order3078
Affidavit & Order in Supplementary Proceedings3078.5
Confession of Judgment; Without Action3116
Summons (General Civil)3273
Affidavit of Amount Due Default3282
Affid of No Answer, Ident, Non-Military Stat of Def, Amt Due, Costs and Disb3283
Application for Attorney FeesCIV106
Application for Costs and DisbursementsCIV116
Instruction Guide to Obtain an Order for DisclosureCIVOFD (Henn)
Affidavit of Identification of Judgment Creditor (foreign jdgt)JGM103
Affidavit of Identification of Judgment DebtorJGM104
Affidavit of Increased CostsJGM106
Financial DisclosureJGM301
Request for Order for DisclosureJGM302
Affidavit in Support of Order to Show CauseJGM303
Demand for DisclosureJGM306
Exemption Notice (Formerly 3099)JGM401
Summary of Exempt PropertyJGM402
Creditor's Objection to Exemption Claim (Formerly 3096)JGM403
Recovery of Personal Property (Chapter 565)
Form # Form Name and Description
Plaintiff-Claimant's Bond in Replevin3074
Satisfaction and Releases
Form # Form Name and Description
Rel of Land from Judg Lien40.3.3
Satisfaction of JudgmentJGM201
Motion and Affidavit Requesting Satisfaction of Judgment and ServiceJGM202
Exemption Notice (Formerly 3099)JGM401
Creditor's Objection to Exemption Claim (Formerly 3096)JGM403
Page 33 of 78Judgment Enforcement
Rev. 11/20/2014
Liens, Leases & Waivers (MN)
Agricultural Liens & Leases
Form # Form Name and Description
Legal Schedule -- LS
Release of Farm Lease1081
Farm Contract Upon Shares1516
Farm Lease, Cash Rent, Secured by Chattel Mtge1530
Farm Lease, Cash Rent, Chattel Mortgage Clause1646
Farm Contract Upon Shares - Cash For Hay and Pasture1708
Farm Contract Upon Shares - Hay and Pasture Secured by Chattel Mortgage1709
Farm Lease, Share or Cash Rent, Chattel Mortgage Clause1709.5
Farm Lease, Cash Rent, Chattel Mortgage Clause1740
Farm Lease, Shares and Cash Rent, Chattel Mortgage1766
Landlord Lien for Farmland1921
Mediation Notice for Mortgaged Agricultural Property (Post-Jdgt)2059
Mediation Notice for Mortgaged Agricultural Property (Pre-Jdgt)3059
Attorney's Liens
Form # Form Name and Description
Legal Schedule -- LS
Atty Lien Minn. Stat. 481.1340.1.3
Extension of Atty Lien40.1.4
Satis and Rel of Atty Lien40.3.4
Satisfaction of Attorneys Lien by Corp5125
Partial Release of Attorney Lien by Individual5126
Partial Release of Attorney's Lien (By Corporation)5127
Business Leases
Form # Form Name and Description
Legal Schedule -- LS
Consent to Sublease1517CICSL
Request for Proposal for Space1517CIRPS
Sublease Agreement (Commercial)1517CISA
Office Lease1517OL
Office Warehouse Lease1517OWL
Business Lease (Entities)1570
Business Lease (Individuals)1570
Lease for Store or Commercial Bldg (Individuals)1624
Page 34 of 78Liens, Leases & Waivers (MN)
Rev. 11/20/2014
Lease for Store or Commercial Bldg (Entities)1624
Lease Store or Commercial Building (short form) (Individuals)1641
Lease Store or Commercial Building (short form) (Entities)1641
Office Lease (Entities)1658
Office Lease (Individuals)1658
Mechanic’s Liens
Form # Form Name and Description
Legal Schedule -- LS
Receipt and Partial Waiver of Mechanic's Lien Rights1032
Subcontractor's Notice1796
Contractor's Notice of Mechanics Lien1797
Subcontractor's Waiver of Mechanic's Lien1798
Subcontractor's Receipt and Waiver of Mechanic's Lien Rights1799
Receipt and Partial Waiver of Mechanic's Lien Rights1800
Notice of Lis Pendens; Foreclosure of Mechanic's Lien1877
Mech Lien Stmt by Indiv(s)40.1.1
Mech Lien Stmt by Bus Entity40.1.2
Assgt of Mechs Lien by Indiv(s)40.2.1
Assgt of Mechs Lien by Bus Entity40.2.2
Satis of Mech Lien by Indiv(s)40.3.1
Satis of Mech Lien by Bus Entity40.3.2
Aff of Serv of Mech Lien Stmt by Pers Serv40.4.1
Aff of Serv of Mech Lien Stmt by Cert Mail40.4.2
Receipt and Waiver of Mechanic's Lien Rights40.5.1
Not of Lis Pendens Forecl of Mech Lien40.6.2
Disch of Not of Lis Pendens Partial or Complete40.6.3
Certificate of Sale Under Decree of Mech. Lien Foreclosure69-M
Miscellaneous Leases
Form # Form Name and Description
Legal Schedule -- LS
Lease - Short Term1564
Lease of Equipment; Other Personal Property1777
Miscellaneous Lien & Encumbrances
Form # Form Name and Description
Legal Schedule -- LS
Quit Claim Deed Reserv Lien in Marriage10.3.7
Not of Canc of Res Prop Pur Agt (with right to cure)110.1.1
Not of Declar Canc of Res Prop Pur Agt (without right to cure)110.1.2
Page 35 of 78Liens, Leases & Waivers (MN)
Rev. 11/20/2014
Deed of Appurtenant Easement1528M
Hospital Lien Statement for Care of Injured Person1544
Motor Vehicle Lien by Service Mechanic1630
Certificate on Jdgt Liens and Bkcy Dockets1745
Subordination Agt by Indiv(s)20.8.1
Subordination Agt by Bus Entity20.8.2
Rel of Land from Judg Lien40.3.3
Not of Lis Pendens (General)40.6.1
Disch of Not of Lis Pendens Partial or Complete40.6.3
Partial Release of Property from Notice of Lis Pendens40.6.4
Claim of Unregistered Interest40.7.1
Disch of Claim of Unreg Int by Indiv40.7.2
Disch of Claim of Unreg Int by Bus Entity40.7.3
Demand for Disch of Claim of Unreg Interest40.7.4
Cert and Req for Not by Indiv(s)60.6.1
Cert and Req for Not by Bus Entity60.6.2
Rel of Land from Lien in Marriage Dissol Jdgt and Decree80.1.1
Summary Real Estate Disposition Jdgt80.1.2
Notice of Lis Pendens Foreclosure of Mechanics Lien86-M
Notification of Assignment, Release Or Grant Of Secured InterestPS2017
Residential Leases
Form # Form Name and Description
Legal Schedule -- LS
Notice to Tenant to Pay Rent or Move (Individual)1044
Notice to Tenant to Pay Rent or Move (Entity)1044
Notice to Quit1044.5
Application for Apartment Lease1140
Minnesota Standard Residential Lease1328 (MSBA 41)
Lead Paint - Lessees1517Z
House Lease1533
House Lease with Option to Purchase1534
Lease - General Form1535
Apartment Lease1559
Notice to Tenants (Landlord Information)1560
Assignment of Lease1656
Notice of Assessment of Association Lien1982
Notice of Foreclosure (Association)2025
Landlords -and- Tenants - Rights and ResponsibilitiesMN-AG-0001
Page 36 of 78Liens, Leases & Waivers (MN)
Rev. 11/20/2014
Uniform Commercial Code
Form # Form Name and Description
EFS - Continuation and Termination (Corporation)CNS-3
EFS - Continuation and Termination (Individuals)CNS-3
Financing StatementUCC-1
National Information RequestUCC-11
Request for Tax Lien Information or Copies (MN-Business Debtor)UCC-12
Request for Tax Lien Information or Copies (MN-Individual Debtor)UCC-12
Financing Statement AddendumUCC-1AD
Financing Statement (Additional Party) 8-11UCC-1AP
Financing Statement Amendment - Secured PartyUCC-3
Financing Statement Amendment - DebtorUCC-3
Financing Statement Amendment Addendum - Secured PartyUCC-3AD
Financing Statement Amendment Addendum - DebtorUCC-3AD
Financing Statement Amendment (Additional Party) (Secured Party)UCC-3AP
Financing Statement Amendment (Additional Party) (Debtor)UCC-3AP
Correction Statement - Secured PartyUCC-5
Correction Statement - DebtorUCC-5
Agricultural Production Input Lien Notification StatementUCC-MN-0001
Agricultural Production Input Lien Notification Amendment & TerminationUCC-MN-0002
Secured Party Search RequestUCC-MN-0003
Page 37 of 78Liens, Leases & Waivers (MN)
Rev. 11/20/2014
Probate (MN)
P000 - General Probate
Form # Form Name and Description
Accept of App as Pers Rep and Oath by IndivP-001
Accept of App as Pers Rep and Oath by IndivP-001+
Accept of App as Pers Rep and Oath by CorpP-002
Nom of Pers Rep and Renun of Priority for AppP-005
Nom of Pers Rep and Renun of Priority for AppP-005+
Renun of Priority for App and Right to Nom Pers RepP-006
Renun of Priority for App and Right to Nom Pers RepP-006+
Pet Obj to App of Pers RepP-007
Pet Obj to App of Pers RepP-007+
Letters (Test) (of Gen Admin)P-010
Successor Letters (Test) (of Gen Admin)P-011
(Application) (Pet) for Amended Letters (of Gen Admin) (Testamentary) to (Correct Date of
Death) (Add or Correct a Name)
P-012
Order for Amended LettersP-013
Aff of Mailing Order or Notice (For IPs)P-015
Aff of Mailing Order or NoticeP-015
Affidavit of MailingP-015A
Affidavit of Mailing (Multiple)P-015B
Notice to Spouse and Children Aff of MailingP-016
Proof of Pers Serv of Order or NoticeP-017
Affidavit of PublicationP-018
Confidential Inform Form (MGRP Form 11)P-020
Sealed Financial Source (MGRP Form 11.2)P-021
Petition for Removal of Demand for NoticeP-025
Order Removing Demand for NoticeP-026
Pet for Formal Proceedings toP-030
Pet for Formal Proceedings toP-030+
Notice and Order of Hearing on Pet for Formal Proceedings toP-031
Order forP-032
Verification Under OathP-034
Petition for Order App Guard Ad LitemP-040
Consent to Act as Guard Ad LitemP-041
Order Appointing Guard Ad LitemP-042
Pet to Stay, Dismiss, or Amend Formal Proceedings (Conflicting Claims of Domicle)P-050
Page 38 of 78Probate (MN)
Rev. 11/20/2014
Pet to Stay, Dismiss, or Amend Formal Proceedings _Conflicting Claims of Domicle_P-050+
Order Setting Hearing on Pet to Stay, Dimiss, or Amend Formal Proceedings Conflicting
Claims of Domicile)
P-051
Order for Continuation of HearingP-052
Aff in Support of Search of Decedent - Lessee Safe Deposit BoxP-060
Test of Witness to (Will) (Codicil)P-062
Test of Witness to (Will) (Codicil)P-062+
Demand for Bond by Int PersonP-070
Order Excusing or Req Bond After DemandP-071
Bond of Pers Rep - Corp SuretyP-072
Bond of Pers Rep - Pers SuretyP-073
Req for Waiver of BondP-074
Pet to (Excuse Bond) (Increase Bond) (Reduce Bond)P-075
Pet to (Excuse Bond) (Increase Bond) (Reduce Bond)P-075+
Order to (Excuse Bond) (Increase Bond) (Reduce Bond)P-076
Demand for Jury Trial in Formal ProceedingsP-080
Pet Req Jury TrialP-081
Pet Req Jury TrialP-081+
Petition for Order Appointing AppraisersP-082
Petition for Order Appointing AppraisersP-082+
Order Appointing AppraisersP-083
Disclaimer (Non-Probate)P-085
Affidavit of Domicile-Corporate PRP-086
Affidavit of Domicile-Indiv PRP-086
Affidavit of Domicile-Joint TenantP-086
Irrev (Stock) PowerP-087
Irrev (Bond) PowerP-087
Irrev (Stock) PowerP-087+
Irrev (Bond) PowerP-087+
Aff of Identity and Survivorship (Homestead)P-088A
Aff of Identity and Survivorship (Other Property)P-088A
Aff of Identity and Survivorship (TOD) (Other Real Estate)P-088B
Aff of Identity and Survivorship (TOD) (Homestead)P-088B
Testimony of HeirshipP-089
Application for Cert of Clear for Med Assist Claim (Non-PR)P-090
Application for Cert of Clear for Med Assist ClaimP-090
Certificate of Clear for Med Assist ClaimP-091
Cert of Consent to An Early Distrib of Assets Purs to Minn. StatP-092
Not to the Commr of Hum Servs Re Poss Claims Under Minn. StatP-093
Page 39 of 78Probate (MN)
Rev. 11/20/2014
Not to the Commr of Hum Servs Re Poss Claims Under Minn. Stat. (Non-PR)P-093
Aff of Serv of Not to the Commr of Hum Servs Re Poss Claims Minn. Stat. 246.53, 256B.15,
256D.16, or 261.04
P-094
Amend to Not to Commr Re Poss Claims Prior to Closing of Estate (Non-PR)P-095
Amend to Not to Commr Re Poss Claims Prior to Closing of EstateP-095
Aff of Serv of Amend to Not to Commr Re Poss Claims Prior to ClosingP-096
Amend to Not to Commr Re Poss Claims After Closing of EstateP-097
Aff of Serv of Amend to Not to the Commr of Hum Servs Re Poss Claims After ClosingP-098
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (2 lines)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P100 - Informal Probate
Form # Form Name and Description
App for Inf Probate of Will and For Informal App of Pers RepP-100
App for Inf Probate of Will and For Informal App of Pers RepP-100+
App for Inf Probate of WillP-101
App for Inf Probate of WillP-101+
Negative Allegation Statement SamplesP-101A
App for Inf App of Pers Rep (Testate - Split Proceeding)P-102
App for Inf App of Pers Rep (Testate - Split Proceeding)P-102+
App for Inf App of Pers Rep (Intestate)P-103
App for Inf App of Pers Rep (Intestate)P-103+
App for Inf App of Successor Pers RepP-105
App for Inf App of Successor Pers RepP-105+
Stm of Inf Probate of Will and Order of Informal App of Pers RepP-110
Stm of Inf Probate of WillP-111
Order of Inf App of Pers Rep (Testate - Split Proceeding)P-112
Order of Informal Appointment of Pers Rep (Intestate)P-113
Order of Inf App of Successor Pers RepP-115
Declination of Application for Inf App of Pers Rep and or Informal ProbateP-117
Notice of Inf Probate of Will and App of Pers Rep and Notice to CreditorsP-120
Notice of Inf Probate of WillP-121
Notice of Inf App of Pers Rep, Notice and Order of Hearing for Formal Probate of Will and
Notice to Creditors
P-122
Page 40 of 78Probate (MN)
Rev. 11/20/2014
Notice of Inf App of Pers Rep and Notice to Creditors (Intestate)P-123
Notice of Inf App of Pers Rep, Notice for Hearing for Formal Adjudication of Intestacy, Deter
of Heirship and Notice to Creditors
P-124
App to Registrar for DeterminationP-145
App to Registrar for DeterP-145+
Registrar's DeterminationP-146
Probate Addendum PagePAP
Exhibit A - Interested Persons (2 lines)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P200 - Formal Probate
Form # Form Name and Description
Pet for Formal Probate of Will and for Formal App of Pers RepP-200
Pet for Formal Probate of Will and for Formal App of Pers RepP-200+
Pet for Formal Probate of Will and Confirming App of Pers Rep (Split Proceeding)P-201
Pet for Formal Probate of Will and Confirming App of Pers Rep (Split Proceeding)P-201+
Pet for Formal Probate of Will Prev Probate Inf and for Formal App of Pers RepP-203
Pet for Formal Probate of Will Prev Probate Inf and for Formal App of Pers RepP-203+
Pet for Formal Probate of Will Prev Probated InfP-203A
Pet for Formal Probate of Will Prev Probated InfP-203A+
Pet for Formal Probate of Will Prev Probated InfP-204
Pet for Formal Probate of Will Prev Probated InfP-204+
Pet for Formal Probate of Will Prev Probated InfP-204A
Pet for Formal Probate of Will Prev Probated InfP-204A+
Pet for Formal Adj of Intestacy, Deter of Heirs and Appt of PRP-205
Pet for Formal Adj of Intestacy, Deter of Heirs and Appt of PRP-205+
Pet for Formal Adj of Intestacy, Deter of HeirsP-206
Pet for Formal Adj of Intestacy, Deter of HeirsP-206+
Pet for Formal App of Successor Pers RepP-208
Pet for Formal App of Successor Pers RepP-208+
Pet for Formal Probate of Will, Deter of Partial Testacy, Deter of Heirs and Formal App of Pers
Rep
P-209
Pet for Formal Probate of Will, Deter of Partial Testacy, Deter of Heirs and Formal App of Pers
Rep
P-209+
Page 41 of 78Probate (MN)
Rev. 11/20/2014
Pet for Formal Adj of Intestacy and Deter of Heirs and Confirmation of Prev Informally App
Pers Rep or App of Successor Pers Rep
P-217
Pet for Formal Adj of Intestacy and Deter of Heirs and Confirmation of Prev Informally App
Pers Rep or App of Successor Pers Rep
P-217+
Notice and Order of Hearing on Pet for Probate of Will and App of Pers Rep and Notice to
Creditors
P-220
Notice and Order of Hearing on Pet for Probate of Will and App of Pers Rep and Notice to
Creditors
P-220+
Notice and Order of Hearing on Pet for Probate of WillP-221
Notice and Order of Hearing on Pet for Probate of Will Prev Probated Inf and App of PRP-223
Notice and Order of Hearing on Pet for Probate of Will Prev Probated Inf and App of PRP-223+
Notice and Order of Hearing on Pet for Probate of Will Prev Probated Infp-224
Notice and Order of Hearing on Pet for Formal Adj of Intestacy, Deter App of Pers Rep and
Notice to Creditors
P-225
Notice and Order of Hearing on Pet for Formal Adj of Intestacy, Deter App of Pers Rep and
Notice to Creditors
P-225+
Notice and Order of Hearing on Pet for Formal Adj of Intestacy and Deter of HeirshipP-226
Notice and Order of Formal Adj of Intestacy Deter of Heirs Confirmation of Prev Informally
App PR or App of Sucessor PR
P-227
Notice and Order of Hearing on Pet for App of Successor Pers RepP-228
Notice and Order of Hearing on Pet for App of Successor Pers RepP-228+
Notice and Order of Hearing on Pet for Probate of Will, Deter of Partial Testacy, Deter of
Heirs, and App of Pers Rep and Notice to Creditors
p-229
Notice and Order of Hearing on Pet for Probate of Will, Deter of Partial Testacy, Deter of
Heirs, and App of Pers Rep and Notice to Creditors
P-229+
Order of Formal Probate of Will and Formal App of Pers RepP-230
Order of Formal Probate of WillP-231
Order of Formal Probate of Will Prev Probated Inf and Formal App of Pers RepP-233
Order of Formal Probate of Will Prev Probated InfP-234
Order of Formal Adj of Intestacy, Deter of Heirs, and App of Pers RepP-235
Order of Formal Adj of Intestacy and Deter of HeirsP-236
Order of Formal Adj of Intestacy and Deter of Heirs and Confirmation of Prev Informally App
Pers Rep or App of Successor Pers Rep
P-237
Order of Formal App of Successor Pers RepP-238
Order of Formal Probate of Will and Deter of Partial Testacy, Deter of Heirs and App of Pers
Rep
P-239
Stmt of Contents Lost, Destroyed, or Otherwise Unavailable WillP-270
Pet for Comm to take Deposition of Witness to WillP-271
Comm to take Deposition of Witness to WillP-272
Aff Identifying Signature of TestatorP-273
Pet to set Aside Inf Probate of Willp-280
Page 42 of 78Probate (MN)
Rev. 11/20/2014
Pet to set Aside Inf Probate of WillP-280+
Order Setting Aside Inf Probate of WillP-281
Objection to Formal Probate of Willp-282
Objection to Formal Probate of WillP-282+
Order Denying Probate of Willp-283
Pet for Modif of Prior OrderP-285
Pet for Modif of Prior OrderP-285+
Order Modif Prior OrderP-286
Pet for Vacation of Prior OrderP-287
Pet for Vacation of Prior OrderP-287+
Order Vacating Prior OrderP-288
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (2 lines)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P300 - Interim and Partial Distribution
Form # Form Name and Description
Petition for Interim OrderP-301
Petition for Interim OrderP-301+
Interim Order ForP-302
Petition for Protective Order for Investment of Minor's FundsP-305
Instructions - Procedure For Investment of Minor's FundsP-305I
Protective Order for Investment of Minor's FundsP-306
Acknowledgement of Notice and Consent (Minor's Funds)P-307
Petition for Interim Order for Part DistribP-321
Petition for Interim Order for Part DistribP-321+
Interim Order for Part DistribP-322
Pet for Interim Order Appvg Part Distrib Prev MadeP-331
Pet for Interim Order Appvg Part Distrib Prev MadeP-331+
Interim Order Appvg Part Distrib Prev MadeP-332
Petition for Order Approving Sale of Property to PR or Related PersonP-335
Consent to Sale of Decedent's PropertyP-335A
Notice - Order for Hearing on Petition Re Sale of Property to PR or Related PersonP-336
Probate Addendum PagePAP
Page 43 of 78Probate (MN)
Rev. 11/20/2014
Exhibit A - Interested Persons (2 lines)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P400 - Special Administration And Personal Representative
Form # Form Name and Description
Application for Inf Appt of Spec AdminP-400
Application for Inf Appt of Spec AdminP-400+
Order of Inf Appt of Spec AdminP-401
Pet for Formal Appt of Spec AdminP-405
Order of Formal Appt of Special AdminP-406
Letters of Spec AdminP-410
Accept of App as Special Admin and Oath by IndivP-412
Accept of Appt as Spec Admin by CorpP-414
Inventory in Spec Admin (Original) (Amended) (Supplemental)P-420
Final Account in Spec Admin (Original) (Amended) (Supplemental)P-425
Inventory, Final Account, Pet for Allow of Final Acct and Disch of Spec AdminP-427
Order Allowing Account and Discharging Spec AdminP-428
Demand by Pers Rep for Delivery of PropP-430
Notice of Intent to ResignP-440
Resignation of Personal RepP-441
Delivery to and Receipt by Successor Pers RepP-442
Delivery to and Receipt by Successor Pers RepP-442+
Delivery to and Receipt by Gen Pers RepP-443
Pet for Order Restraining Pers RepP-450
Order Temp Restraining Pers Rep and Not and Order for HearingP-451
Order Perm Restraining Pers RepP-452
Pet for Removal of Pers RepP-460
Order Removing Pers RepP-461
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (2 lines)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Page 44 of 78Probate (MN)
Rev. 11/20/2014
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P500 - Claims And Elections
Form # Form Name and Description
Transfer Motor Vehicle TitleMD1750
Supplementary Notice to Known and Identified CreditorsP-500
Demand for NoticeP-501
Demand for NoticeP-501+
Withdrawal of Demand for NoticeP-502
Withdrawal of Demand for NoticeP-502+
Notice of Intention to File Document after Demand for NoticeP-503
Waiver of NoticeP-504
Waiver of NoticeP-504+
Limited Waiver of NoticeP-505
Limited Waiver of NoticeP-505+
Petition for Removal of Demand for NoticeP-506
Order Removing Demand for NoticeP-507
Written Statement of ClaimP-508
Notice of Claim Made in Proceedings Against Decedent Before DeathP-509
Notice of Allowance of ClaimP-510
Notice of Allowance of Claim by Judg Entered in Another CourtP-511
Notice of Disallowance or Partial Allowance of ClaimP-512
Change of Decision Concerning ClaimP-514
Consent and Waiver of Defense of Statute of LimitationsP-515
Consent to Extension of Time to ClaimantP-517
Claimant's Petition for Order Extending TimeP-518
Order Extending Time to ClaimantP-519
Petition for Allowance of Claim Not Prev Disallowed - PRP-520
Petition for Allowance of Claim Not Prev Disallowed - ClaimantP-520
Claimant's Pet for Allowance of Claim Prev DisallowedP-524
Order for Allowance of Claim Prev DisallowedP-526
Pet to Present and Allow a Late ClaimP-530
Notice and Order for Hearing on ClaimP-531
Order Allowing Late ClaimP-532
Pers Rep Petition for Late Disallowance of ClaimP-534
Pers Rep Petition for Late Disallowance of ClaimP-534+
Order Authorizing Late Disallowance of ClaimP-536
Pet for Order Directing Pers Rep to Pay ClaimP-540
Page 45 of 78Probate (MN)
Rev. 11/20/2014
Order Directing Pers Rep to Pay ClaimP-542
Satisfaction of Claim and Withdrawal of Demand for NoticeP-545
Notice of Statutory SelectionP-550
Pet to Award Property with Sentimental ValueP-554
Order Awarding Property with Sentimental ValueP-555
Pet to Allow Selection of Pers PropertyP-556
Order Allowing Selection of Pers PropertyP-557
Pet for Family MaintenanceP-560
Order for Family MaintenanceP-562
Pet for Elective Share of Augmented EstateP-564
Notice and Order on Petition for Elective Share of Augmented EstateP-565
Order Granting Elective Share of Augmented EstateP-566
Pet for Election of Homestead RightsP-567
Notice and Order of Hearing on Pet for Election of Homestead RightsP-568
Order Granting Election of Homestead RightsP-569
Augmented Estate Computation Worksheet (Post 1-1-96)P-570
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (2 lines)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P600 - Inventory and Closing
Form # Form Name and Description
Trustee's Inventory (Original) (Amended) (Supplemental)MD1779
Trustee's Annual AccountingMD1780
Inventory (Original) (Amended) (Supplemental)P-600
Inventory (Original) (Amended) (Supplemental)P-600+
Supp Sched A - Real EstateP-600A
Supp Sched B - SecuritiesP-600B
Supp Sched C - Bank Accts, Cash EtcP-600C
Supp Sched D - Personal PropertyP-600D
Supp Sched E - Mortgages, LiensP-600E
AppraisalP-601
Final Account (Original) (Amended) (Supplemental)P-605
Final Account (Original) (Amended) (Supplemental)P-605+
Page 46 of 78Probate (MN)
Rev. 11/20/2014
Consent to Final Account Dist of Estate and Waiver of Notice of HearingP-606
Pet to Allow Final Account, Settle and Distribute EstateP-610
Pet to Allow Final Account, Settle and Distribute EstateP-610+
Notice and Order of Hearing for Formal Settlement of EstateP-611
Order Allowing Account (Final) (Supplemental) (Interim) (Amended)P-612
Order Allowing Final Account and Settling Estate and Decree of DistP-613
Order Allowing Final Account and Settling Estate and Order of DistP-614
Receipt for Assets by DistP-615
Pet to Formally Adj Intestacy, Determine Heirship, Confirm App and Acts of Pers Rep Prev
Appointed
P-616
Pet to Formally Adj Intestacy, Determine Heirship, Confirm App and Acts of Pers Rep Prev
Appointed
P-616+
Notice and Order of Hearing on Pet to Formally Adj Intestacy, Deter Heirship, Conf App and
Acts of Pers Rep Prev App Inf, Allow Final Account Settle and Dist
P-617
Order to Formally Adj Intestacy, Deter Heirship, Confirm App and Acts of Pers Rep, Allow
Final Account Settle and Dist Estate
P-618
Proposal for DistP-620
Proposal for DistP-620+
Waiver by Dist of Right to Object to Proposed DistP-621
Objection to Proposed DistP-622
Consent to SaleP-624
Objection to Final Account and Pet to Settle EstateP-625
Pet to Formally Probate Will Prev Probated Inf, Comfirm App and Acts of Pers Rep Prev App
Inf, Allow Final Account, Settle and Dist Estate
P-627
Pet to Formally Probate Will Prev Probated Inf, Comfirm App and Acts of Pers Rep Prev App
Inf, Allow Final Account, Settle and Dist Estate
P-627+
Notice; Order for Hearing on Pet to Form Prob Will Prev Prob Inf, Conf App and Acts of PR
Prev Apptd Inf, Allow Final Acct, Settle and Dist Est
P-628
Order Formally Probating Will Prev Probated Inf, Confirming App and Acts of Pers Rep,
Allowing Final Account, Settling and Dist Estate
P-629
Pet for Order App Estate TaxesP-630
Pet for Order App Estate TaxesP-630+
Order App Estate TaxesP-631
Demand for Qualification of TrusteeP-634
Demand for Qualification of TrusteeP-634+
Petition for Order Directing Deposit of Dist Share with County TreasurerP-636
Petition for Order Directing Deposit of Dist Share with County TreasurerP-636+
Order Directing Deposit of Dist Share with County TreasurerP-637
Pet for Order Directing County Treasurer to Pay Dist ShareP-638
Pet for Order Directing County Treasurer to Pay Dist ShareP-638+
Page 47 of 78Probate (MN)
Rev. 11/20/2014
Order Directing County Auditor to Authorize Dist of FundsP-639
Pet for Discharge of Pers RepP-640
Pet for Discharge of Pers RepP-640+
Order Discharging Pers RepP-642
Pet for Extension of Time for Settlement of EstateP-644
Pet for Extension of Time for Settlement of EstateP-644+
Order and Citation to Settle and Close EstateP-646
Order Extending Time for Settlement of EstateP-648
Pet for Deter of Descent for Omitted PropertyP-660
Pet for Deter of Descent for Omitted PropertyP-660+
Decree of Descent for Omitted PropertyP-661
Pet for Descent for Incorrectly Described PropertyP-665
Pet for Descent for Incorrectly Described PropertyP-665+
Decree of Descent for Incorrectly Described PropertyP-666
Pet for Determination of DescentP-670
Pet for Determination of DescentP-670+
Notice and Order for Hearing on Pet for Descent of PropertyP-671
Notice and Order for Hearing on Pet for Descent of Property (Multiple Decedents)P-672
Decree of DescentP-673
Affidavit for Collection of Personal PropertyP-680
Unsupervised Pers Rep Statement to Close EstateP-682
Unsupervised Pers Rep Statement to Close EstateP-682+
Application for Cert from RegistrarP-684
Application for Cert from RegistrarP-684+
Certificate of RegistrarP-686
Small Estate Closing by Sworn Statement of Pers RepP-688
Small Estate Closing by Sworn Statement of Pers RepP-688+
Probate Addendum PagePAP
Exhibit A - Interested Persons (2 lines)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P700 - Personal Representative Deeds (Real Estate Conveyancing)
Form # Form Name and Description
Trustee's Deed by Individual Trustee10.4.1
Page 48 of 78Probate (MN)
Rev. 11/20/2014
Trustee's Deed by Indiv Trustee to Joint Tenants10.4.2
Trustee's Deed by Bus Entity Trustee10.4.3
Trustee's Deed by Bus Entity Trustee to Joint Tenants10.4.4
Certificate of Trust by Individual90.1.1
Certificate of Trust by Business Entity Trustee90.1.2
Affidavit of Trustee Re Cert of Trust or Trust Instrument90.1.3
Affidavit of Trustee Re Cert of Trust or Trust Instrument BE Trustee (Seller)90.1.4
Affidavit of Trustee Re Cert of Trust or Trust Instrument BE Trustee (Buyer)90.1.4
Affidavit of Trustee Re Testamentary Trust90.1.5
Deed of Distrib by Indiv Pers RepP-701
Deed of Distrib by Bus Entity Pers RepP-702
Deed of Sale by Indiv Pers Rep to IndivP-703
Deed of Sale Indiv Pers Rep to Joint TenantsP-704
Deed of Sale by Indiv Pers Rep to Bus EntityP-705
Deed of Sale by Bus Entity Pers Rep to IndivP-706
Deed of Sale by Bus Entity Pers Rep to Joint TenantsP-707
Deed of Sale by Bus Entity Pers Rep to Bus EntityP-708
Consent of Spouse to Deed of Sale by Pers RepP-709
Probate Addendum PagePAP
Exhibit A - Interested Persons (2 lines)PEA
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P800 - Summary Procedure
Form # Form Name and Description
Pet for Form Summ Asgt or Dist (and Form Prob of Will) (Non-Ex Estate)P-800
Pet for Form Summ Asgt or Dist (and Form Prob of Will) (Non-Ex Estate)P-800+
Not & Order of Hear on Pet for Summ Asgt or Dist (and Form Prob of Will) (Not to Cred)
(Non-Ex Estate) (Ex Estate)
P-802
Request for Waiver of Bond for Summ Asgt or DistribP-805
Bond in Summary Proceedings - Corporate SuretyP-807
Decree of Summ Asgt or Dist (Form Prob of Will) (Ex Estate) (Non-Ex Estate)P-810
Receipt for Assets Under Summary Assignment or DistributionP-812
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Page 49 of 78Probate (MN)
Rev. 11/20/2014
Exhibit A - Interested Persons (2 lines)PEA
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
P900 - Ancillary Proceedings
Form # Form Name and Description
For Pers Rep Notice of Intention to Exer All Powers of a Local Pers Rep as to Assets in MNP-900
Notice to Creditors - Foreign Pers Rep Acting in MNP-902
Appl for Inf Probate of Will and Appt of Pers RepP-910
Appl for Inf Probate of Will and Appt of Pers RepP-910+
Stmt of Inf Probate of Will and Order of Inf Appt of Pers RepP-912
Notice of Inf Prob of Will and Appt of Pers Rep and Notice to CreditorsP-914
Appl for Inf Appt of Pers Rep (Intestate)P-920
Appl for Inf Appt of Pers Rep (Intestate)P-920+
Order of Inf Appt of Pers Rep (Intestate)P-922
Notice of Inf Appt of Pers Rep and Notice to CreditorsP-924
Pet for Formal Prob of Will and for Formal Appt of Pers RepP-930
Pet for Formal Prob of Will and for Formal Appt of Pers RepP-930+
Not and Order of Hearing on Pet for Prob of Will and Appt of Pers Rep and Not to CreditorsP-932
Order for Form Prob of Will and Form Appt of Pers RepP-934
Pet for Form Adjud of Intest, Deter of Heirs and Appt of Pers RepP-940
Pet for Form Adjud of Intest, Deter of Heirs and Appt of Pers RepP-940+
Not and Ord of Hear on Pet for Form Adj of Intest, Determ of Heirs, Appt of PR & Not to CredP-942
Order for Form Adjud of Intes, Deter of Heirs, Appt of Pers RepP-944
Ancillary Letters (Testamentary) (of General Administration)P-950
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (2 lines)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
Transfer On Death Deeds
Form # Form Name and Description
Transf on Death Deed by Unmarried Grantor Owner10.8.1
Page 50 of 78Probate (MN)
Rev. 11/20/2014
Revoc of Transf on Death Deed10.8.10
Transf on Death Deed by Married Separate Owner10.8.2
Transfer on Death Deed by Married Grantor Owners (Joint Tenants)10.8.3
Transf on Death Deed Stat Form10.8.4
Clearance Certificate for Public - Medical Assistance Claim10.8.9
Aff of Identity and Survshp for Transf on Death Deed50.2.3
Application for Certificate of Clearance for Medical Assistance Claims - Transfer on Death
Deed
DHS-5893-ENG
Probate Addendum PagePAP
Exhibit A - Interested Persons (3 lines - 2 pages)PEA
Exhibit A - Interested Persons (3 lines - 1 page)PEA
Exhibit A - Interested Persons (2 lines)PEA
Exhibit B - Decedent's Assets and IndebtednessPEB
Probate Legal Schedule - HomesteadPLS-H
Probate Legal Schedule - PropertyPLS-P
Real Property AddendumProp-A
Wills
Form # Form Name and Description
Last Will and Testament3612
Page 51 of 78Probate (MN)
Rev. 11/20/2014
Probate (WI)
Ancillary Administration
Form # Form Name and Description
Affidavit of Service (Probate)PR-1817
Petition for Extension of Time (PR)PR-1833
Petition for Extension of Time (Draft By)PR-1833
Order for Extension of TimePR-1834
Waiver and Consent (Formal Administration)PR-1846
Certification of Summary Confirmation of Interest in Property (867.046(1m)PR-1929
Application for Ancillary AdministrationPR-1960
Order for Ancillary AdministrationPR-1961
Ancillary LettersPR-1962
Petition for Transfer of Residue (Ancillary Administration)PR-1963
Order for Transfer of Residue (Ancillary Administration)PR-1964
Order Discharging Ancillary RepresentativePR-1965
Court Orders & Addenda
Form # Form Name and Description
Order Discontinuing Administration-Court GeneratedPR-1916
Order to Show Cause-Court GeneratedPR-1917
Schedule PageSchedule Page
Determination of Descent
Form # Form Name and Description
Affidavit of Service (Probate)PR-1817
Petition for Extension of Time (Draft By)PR-1833
Petition for Extension of Time (PR)PR-1833
Order for Extension of TimePR-1834
Waiver and Consent (Formal Administration)PR-1846
Certification of Summary Confirmation of Interest in Property (867.046(1m)PR-1929
Petition for Certificate of Descent-Judgment Determining Descent (Other Property)PR-1945
Petition for Certificate of Descent-Judgment Determining Descent (Homestead)PR-1945
Order and Notice for Hearing on Petition for Judgment Determining DescentPR-1946
Certificate of DescentPR-1947
Judgment Determining DescentPR-1948
Formal Administration
Form # Form Name and Description
Order Appointing Guardian Ad Litem or AttorneyGF-131
Page 52 of 78Probate (WI)
Rev. 11/20/2014
Declination to Serve or Resignation (Informal and Formal Administration)PR-1802
Proof of Heirship (Informal and Formal Administration)PR-1806
Consent to Serve (Informal, Formal, and Special Administration)PR-1807
Signature Bond in Estate or Trust ProceedingsPR-1809
Domiciliary Letters (Informal and Formal Administration) (PR 1)PR-1810
Domiciliary Letters (Informal and Formal Administration) (Combined PRs)PR-1810
Inventory (Informal and Formal Administration)PR-1811
Estate Account (Informal and Formal Administration)PR-1814
Estate Receipt (Informal and Formal Administration)PR-1815
Claim Against Estate (Informal and Formal Administration)PR-1819
Petition to Dispense with Guardian ad Litem (Informal and Formal Administration)PR-1820
Order Dispensing with Guardian ad Litem (Informal and Formal Administration)PR-1821
Notice of Distribution to Ward (Informal and Formal Administration)PR-1822
Petition for Extension of Time (PR)PR-1833
Petition for Extension of Time (Draft By)PR-1833
Order for Extension of TimePR-1834
Proof of Will (Formal Administration)PR-1845
Waiver and Consent (Formal Administration)PR-1846
Petition for Formal AdministrationPR-1901
Waiver, Consent and Approval (Formal Administration)PR-1902
Order Setting Time to Hear Petition for Administration and Deadline for Filing Claims (Formal
Administration)
PR-1903
Order Setting Deadline for Filing a Claim (Formal Administration)PR-1904
Order for Formal AdministrationPR-1905
Order Appointing Appraiser(s)PR-1907
Notice of Inventory on File (Formal Administration)PR-1908
Judgment on Claims (Formal Administration)PR-1909
Petition for Final Judgment (Formal Administration)PR-1910
Order and Notice for Hearing on Petition for Final Judgment (Formal Administration)PR-1911
Final Judgment (Formal Administration) (Other Property)PR-1912
Final Judgment (Formal Administration) (Homestead)PR-1912
Abridgment of Final Judgment (Formal Administration) (Homestead)PR-1913
Abridgment of Final Judgment (Formal Administration) (Other Property)PR-1913
Proof of Recording (Formal Administration)PR-1914
Order Discharging Personal Representative (Formal Administration)PR-1915
Petition for Termination of Joint Tenancy or Life Estate (867.04)PR-1926
Certificate of Termination of Joint Tenancy or Life Estate (867.04)PR-1927
Petition for Summary Confirmation of Interest in Property (846.046(1m)PR-1928
Certification of Summary Confirmation of Interest in Property (867.046(1m)PR-1929
Page 53 of 78Probate (WI)
Rev. 11/20/2014
Consent to Serve as Trustee (1st Trust)PR-1930
Consent to Serve as Trustee (2nd Trust)PR-1930
Letters of Trust (Informal and Formal Administration) (1st Trust)PR-1931
Letters of Trust (Informal and Formal Administration) (2nd Trust)PR-1931
Trust Inventory (2nd Trust)PR-1932
Trust Inventory (1st Trust)PR-1932
Order Discharging Trustee (Informal and Formal Administration) (1st Trust)PR-1933
Order Discharging Trustee (Informal and Formal Administration) (2nd Trust)PR-1933
Corporate Trustee-Notice to Make Annual FilingPR-1934
Corporate Trustee's Account (Informal and Formal Administration) (1st Trust)PR-1935
Corporate Trustee's Account (Informal and Formal Administration) (2nd Trust)PR-1935
Notice to Make Annual Filing-TrustPR-1936
Trustee's Account (Informal and Formal Administration) (2nd Trust)PR-1937
Trustee's Account (Informal and Formal Administration) (1st Trust)PR-1937
Trust Receipt (Informal and Formal Administration) (2nd Trust)PR-1938
Trust Receipt (Informal and Formal Administration) (1st Trust)PR-1938
Petition for Termination of Trust (Informal and Formal Administration) (1st Trust)PR-1940
Petition for Termination of Trust (Informal and Formal Administration) (2nd Trust)PR-1940
Order on Petition for Termination of Trust (Informal and Formal Administration) (2nd Trust)PR-1941
Order on Petition for Termination of Trust (Informal and Formal Administration) (1st Trust)PR-1941
Informal Administration
Form # Form Name and Description
Application for Informal Administration (Testate)PR-1801
Application for Informal Administration (Intestate)PR-1801
Declination to Serve or Resignation (Informal and Formal Administration)PR-1802
Waiver and Consent (Informal Administration)PR-1803
Notice to Creditors (Informal Administration)PR-1804
Notice Setting Time to Hear Application and Deadline for Filing Claims (Informal
Administration)
PR-1805
Proof of Heirship (Informal and Formal Administration)PR-1806
Consent to Serve (Informal, Formal, and Special Administration)PR-1807
Statement of Informal AdministrationPR-1808
Signature Bond in Estate or Trust ProceedingsPR-1809
Domiciliary Letters (Informal and Formal Administration) (Combined PRs)PR-1810
Domiciliary Letters (Informal and Formal Administration) (PR 1)PR-1810
Inventory (Informal and Formal Administration)PR-1811
Denial of Application for Informal AdministrationPR-1812
Demand for Formal Proceedings (Informal Administration)PR-1813
Page 54 of 78Probate (WI)
Rev. 11/20/2014
Estate Account (Informal and Formal Administration)PR-1814
Estate Receipt (Informal and Formal Administration)PR-1815
Personal Representative's Statement to Close Estate (Informal Administration)PR-1816
Affidavit of Service (Probate)PR-1817
Claim Against Estate (Informal and Formal Administration)PR-1819
Petition to Dispense with Guardian ad Litem (Informal and Formal Administration)PR-1820
Order Dispensing with Guardian ad Litem (Informal and Formal Administration)PR-1821
Notice of Distribution to Ward (Informal and Formal Administration)PR-1822
Statement of Termination or Confirmation of Interest(s) in Property (Informal Administration)
(Homestead)
PR-1827
Statement of Termination or Confirmation of Interest(s) in Property (Informal Administration)
(Other Property)
PR-1827
Statement of Transfer of Interest in Property (Informal Administration) (Homestead)PR-1828
Statement of Transfer of Interest in Property (Informal Administration) (Other Property)PR-1828
Letters of Trust Issued under Informal AdministrationPR-1829
Petition for Extension of Time (Draft By)PR-1833
Petition for Extension of Time (PR)PR-1833
Order for Extension of TimePR-1834
Consent to Serve as Trustee (2nd Trust)PR-1930
Consent to Serve as Trustee (1st Trust)PR-1930
Letters of Trust (Informal and Formal Administration) (2nd Trust)PR-1931
Letters of Trust (Informal and Formal Administration) (1st Trust)PR-1931
Trust Inventory (2nd Trust)PR-1932
Trust Inventory (1st Trust)PR-1932
Order Discharging Trustee (Informal and Formal Administration) (2nd Trust)PR-1933
Order Discharging Trustee (Informal and Formal Administration) (1st Trust)PR-1933
Corporate Trustee-Notice to Make Annual FilingPR-1934
Corporate Trustee's Account (Informal and Formal Administration) (2nd Trust)PR-1935
Corporate Trustee's Account (Informal and Formal Administration) (1st Trust)PR-1935
Notice to Make Annual Filing-TrustPR-1936
Trustee's Account (Informal and Formal Administration) (1st Trust)PR-1937
Trustee's Account (Informal and Formal Administration) (2nd Trust)PR-1937
Trust Receipt (Informal and Formal Administration) (2nd Trust)PR-1938
Trust Receipt (Informal and Formal Administration) (1st Trust)PR-1938
Petition for Termination of Trust (Informal and Formal Administration) (2nd Trust)PR-1940
Petition for Termination of Trust (Informal and Formal Administration) (1st Trust)PR-1940
Order on Petition for Termination of Trust (Informal and Formal Administration) (2nd Trust)PR-1941
Order on Petition for Termination of Trust (Informal and Formal Administration) (1st Trust)PR-1941
Page 55 of 78Probate (WI)
Rev. 11/20/2014
Special Administration
Form # Form Name and Description
Estate Receipt (Informal and Formal Administration)PR-1815
Affidavit of Service (Probate)PR-1817
Petition for Extension of Time (Draft By)PR-1833
Petition for Extension of Time (PR)PR-1833
Order for Extension of TimePR-1834
Waiver and Consent (Formal Administration)PR-1846
Petition for Special Administration (Formal Administration)PR-1850
Order Setting Time to Hear Petition for Special Administration (Formal Administration)PR-1851
Order for Special Administration (Formal Administration)PR-1852
Letters of Special Administration (Formal Administration)PR-1853
Petition for Discharge of Special Administrator (Formal Administration)PR-1854
Order Discharging Special Administrator (Formal Administration)PR-1855
Certification of Summary Confirmation of Interest in Property (867.046(1m)PR-1929
State & Federal Forms
Form # Form Name and Description
DHS Probate Claims Notice13033
IRS Notice Concerning Fiduciary RelationshipForm-56
IRS Application for Tax ID NumberForm-SS4
IRS Request for Taxpayer ID No and CertifForm-W-9
Termination of Decedent Property InterestHT-110
Transfer of MV to Spouse or HeirMV-1
Report of Escheated EstateST-81
Transfer on Death to Beneficiary (Other Property)TOD-110
Transfer on Death to Beneficiary (Homestead)TOD-110
Summary Settlement and Assignment
Form # Form Name and Description
Affidavit of Service (Probate)PR-1817
Notice of Summary Proceeding Deadline (Formal Administration)PR-1826
Order for Extension of TimePR-1834
Summary Settlement-PetitionPR-1835
Order and Notice for Hearing on Petition for Summary SettlementPR-1836
Order on Petition for Summary SettlementPR-1837
Petition for Summary Assignment (Formal Administration)PR-1840
Affidavit of Additional Property and-or Creditor for Summary Assignment (Formal
Administration)
PR-1841
Notice to Creditors for Summary Assignment (Formal Administration)PR-1842
Page 56 of 78Probate (WI)
Rev. 11/20/2014
Order and Notice of Hearing Petition of Summary Assignment (Formal Administration)PR-1843
Order on Petition for Summary Assignment (Formal Administration)PR-1844
Transfer by Affidavit
Form # Form Name and Description
Transfer by AffidavitPR-1831
Trusts
Form # Form Name and Description
Signature Bond in Estate or Trust ProceedingsPR-1809
Affidavit of Service (Probate)PR-1817
Consent to Serve as Trustee (2nd Trust)PR-1930
Consent to Serve as Trustee (1st Trust)PR-1930
Letters of Trust (Informal and Formal Administration) (2nd Trust)PR-1931
Letters of Trust (Informal and Formal Administration) (1st Trust)PR-1931
Trust Inventory (1st Trust)PR-1932
Trust Inventory (2nd Trust)PR-1932
Order Discharging Trustee (Informal and Formal Administration) (2nd Trust)PR-1933
Order Discharging Trustee (Informal and Formal Administration) (1st Trust)PR-1933
Corporate Trustee-Notice to Make Annual FilingPR-1934
Corporate Trustee's Account (Informal and Formal Administration) (2nd Trust)PR-1935
Corporate Trustee's Account (Informal and Formal Administration) (1st Trust)PR-1935
Notice to Make Annual Filing-TrustPR-1936
Trustee's Account (Informal and Formal Administration) (1st Trust)PR-1937
Trustee's Account (Informal and Formal Administration) (2nd Trust)PR-1937
Trust Receipt (Informal and Formal Administration) (2nd Trust)PR-1938
Trust Receipt (Informal and Formal Administration) (1st Trust)PR-1938
Petition for Termination of Trust (Informal and Formal Administration) (1st Trust)PR-1940
Petition for Termination of Trust (Informal and Formal Administration) (2nd Trust)PR-1940
Order on Petition for Termination of Trust (Informal and Formal Administration) (2nd Trust)PR-1941
Order on Petition for Termination of Trust (Informal and Formal Administration) (1st Trust)PR-1941
Schedule A - Assets and Income ReceivedPRSCHEDA
Schedule B - Disbursements Distributions and LossesPRSCHEDB
Schedule C - Assets on HandPRSCHEDC
Page 57 of 78Probate (WI)
Rev. 11/20/2014
Purchase Agreements (MN)
Agency Disclosure (MD)
Form # Form Name and Description
Agency Disclosure (Buyer)1517AA
Agency Disclosure (Seller)1517AA
Dual Agency Disclosure1517DA
Agency Disclosure (MSBA)
Form # Form Name and Description
Dual Agency Discl Add to Pur Agt1318 (MSBA 52)
Agency Relationships in Real Est Trans1319 (MSBA 50)
Bills of Sale & Promissory Notes (MD)
Form # Form Name and Description
Legal Schedule -- LS
Promissory Note - Short Form1411
Promissory Note1412
Bill of Sale (By Individual)1520
Bill of Sale (Warranty Title)1520.5
Bill of Sale (By Corporation or Partnership)1520.75
Bill of Sale (By Individual to Joint Tenant)1778
Closing (MD)
Form # Form Name and Description
Buyer's Closing Statement (2011)1517BCS
Buyer Move-In Agreement (PA Amendment)1517MI
Seller Rent-Back Agreement (PA Amendment)1517R
Seller's Closing Statement (2011)1517SCS
Good Faith Estimate of Borrower's Settlement CostsGFE
Commercial Sales & Business Leasing (MD)
Form # Form Name and Description
Confidentiality Agreement1517CA
Consent to Sublease1517CICSL
Commercial Examp Clauses1517CIEX
Letter of Intent1517CILI
Option Agreement1517CIOA
Commercial Purchase Agreement1517CIPA
Request for Proposal for Space1517CIRPS
Sublease Agreement (Commercial)1517CISA
Page 58 of 78Purchase Agreements (MN)
Rev. 11/20/2014
Office Lease1517OL
Office Warehouse Lease1517OWL
Contingency (MD)
Form # Form Name and Description
For Your Protection1517C1
Inspection Contingency Addendum1517INSP
Contingency Addendum1517N
Request to Remove Contingency1517P
Short Sale Contingency Addendum1517SSC
Short Sale Notice Seller1517SSNS
Contingency for Lead Paint Inspection1517YC
Contingency (MSBA)
Form # Form Name and Description
Addendum to Pur Agt - Contingencies for Sale Pur of Other Home1322 (MSBA 9)
Add to Pur Agt-Contingencies for Survey, App, Devel Eval & Arch-History1333 (MSBA 17)
Addendum to Pur Agt Home Insp Contingency1334 (MSBA 18)
Disclosure (MD)
Form # Form Name and Description
Legal Schedule -- LS
Compensation Disclosure Tenant Buyer1517CDTB
Affidavit Regarding Hazardous Waste Disposal Facility1517HWD
Buyer Purchase As Is1517L
Sellers Property Disclosure Statement1517M
Disclosure Map1517MAP
Mortgage Asst Relief - Offer Disclosure1517MARDOL
Mortgage Asst Relief Consumer Specific Discl1517MARSD
Methamphetamine Disclosure1517METH
Subsurface Sewer and Well Contingency Addn1517PSWC
Receipt for CIC Documents1517RD
CIC Resale Disclosure Certificate1517RDC
Radon Disclosure Statement1517RDS
Sellers Disclosure Alternatives1517SDA
Subsurface Sewage System Disclosure1517SS
Short Sale Notice Seller1517SSNS
Subsurface Sewage System Waiver1517SSW
Vacant Land Disclosure1517VLDS
Well Disclosure1517WD
Well Disclosure Addendum1517WDA
Page 59 of 78Purchase Agreements (MN)
Rev. 11/20/2014
Well Discl Cert and Inst1517WDC
Well Discl Cert Cont Pg1517WDC-1
Well Disclosure FAQs1517WDC-FAQ
Wetlands, Shoreland and Flood Plain Disclosure Addendum1517WFS
Water Intrusion & Mold Growth Disclosure1517WIMG
Addendum to Pur Agt (Lead)1517Y
Lead Paint - Lessees1517Z
Affidavit Re Underground or Above Ground Storage Tank50.3.3
Disclosure (MSBA)
Form # Form Name and Description
Lead Paint Addendum for Housing Pre-19781317 (MSBA 11)
Discl of Sewage Trtmt Sys1327 (MSBA 14)
MN CIC Resale Discl Cert1330 (MSBA 16)
Condition of the Property1332 (MSBA 15)
Addendum to Pur Agt-Title Issues1335 (MSBA 19)
Addendum to Pur Agt -Tenants and Parties in Poss1336 (MSBA 20)
Methamphetamine Discl Stmt1337 (MSBA 22)
Well Discl Stmt1338 (MSBA 21)
Addendum-Airport Zoning Regs1339 (MSBA 15 Add)
Radon Disclosure1343 (MSBA 24)
Disclosure Regarding C for D Financing (Supplement)1344 (MSBA 6)
Financing (MD)
Form # Form Name and Description
FinAddnConvMort1517B
FinAddnFHAMort1517C
FinAddnDVAMort1517D
FinAddnAssump1517E
FinAddnCntDeed1517F
Certification; Gift of Money1517G
Certification of Source of Funds1517G2
Seller Contributions - Purchase Agreement Addendum1517MDP
Truth in Lending Disclosure1517TIL
Financing (MSBA)
Form # Form Name and Description
Financing Add for Conv or Priv Ins Mtge1310 (MSBA 2)
Financing Add for FHA ins Mtge1311 (MSBA 3)
Financing Add for DVA Guar Mtg1312 (MSBA 4)
Page 60 of 78Purchase Agreements (MN)
Rev. 11/20/2014
Financing Add for Seller Mtge1313 (MSBA 5)
Financing Add for CD1314 (MSBA 6)
Financing Add for Assumpt1315 (MSBA 7)
Lease Forms (MD)
Form # Form Name and Description
Addendum to Residential Lease Agreement1517ARLA
Addendum to Residential Lease Agreement1517ARLA+
Residential Lease Agreement1517RLA
Lease Forms (MSBA)
Form # Form Name and Description
Minnesota Standard Residential Lease1328 (MSBA 41)
Listing, Representation, Showing (MD)
Form # Form Name and Description
BuyerFacilitator1517BFSA
ExclRtLeaseListCntrct1517CERLL
CntrExclRtRepTenant1517CERRT
Com Cntr Excl Rt Rep Tenant1517CERT
Com Cntr Excl Rt Rep Buyer1517CICEB
Com Cntr Nonexcl Rt Rep Buyer1517CICNRB
Com Excl Representation1517CIER
Com Excl List Agr Lease1517CILL
Com Excl List Agr Sale1517CILS
Com Nonexcl List Agr Sale1517CINE
Com Nonexcl List Agr Lease1517CINL
Com One Time Showing1517CIOTS
Contract for Nonexcl Right Rep Buyer1517CNRB
InternetDisplayOptions1517IDO
OwnerLeaseFacil1517OLFSA
CntrExclRtRepBuyer1517S
ShowingCntrct1517SC
SellerFacilitator1517SFSA
TenantFacilServAgr1517TFSA
ExclRtSellListCntrct1517X
Listing, Representation, Showing (MSBA)
Form # Form Name and Description
Listing Contract1316 (MSBA 51)
Page 61 of 78Purchase Agreements (MN)
Rev. 11/20/2014
Purchase Agreements (MD)
Form # Form Name and Description
Legal Schedule -- LS
Not of Canc of Res Prop Pur Agt (with right to cure)110.1.1
Not of Declar Canc of Res Prop Pur Agt (without right to cure)110.1.2
Standard Purchase Agreement1517A
Addendum to Residential Lease Agreement1517ARLA
Addendum to Residential Lease Agreement1517ARLA+
Commercial Counter Offer1517CCO
Counter Offer1517CO
Counter Offer1517CO+
Commercial Purchase Agreement Addendum1517CPAA
Commercial Purchase Agreement Addendum1517CPAA+
Commercial Purchase Agreement Amendment1517CPAX
Commercial Purchase Agreement Amendment1517CPAX+
Condominium Townhouse Purchase Agreement1517CT
Earnest Money Receipt1517EMR
Condo Coop Addendum - Pre 2010 Communities1517H
Condo Coop Addendum - Post 2010 Communities1517H1
Mutual Cancellation of Pur Agt1517I
Purchase Agreement Addendum1517J
Purchase Agreement Addendum1517J+
Purchase Agreement Amendment1517K
Purchase Agreement Amendment1517K+
NewConstrPurchAgr1517NC
Personal Property Agreement1517PPA
Subsurface Sewer and Well Contingency Addn1517PSWC
Residential Lease Agreement1517RLA
Sworn Construction Statement1517SCT
Short Sale Contingency Addendum1517SSC
Notice of Termination of Contract (for Deed)1517T
VacantLandPurcAgr1517VLPA
CIC Mod Waiver1517W
Purchase Agreements (MSBA)
Form # Form Name and Description
Minnesota Standard Resid Pur Agreement1300 (MSBA 1)
General Contract for New Construction1309 (MSBA 92)
Lead Paint Addendum for Housing Pre-19781317 (MSBA 11)
Page 62 of 78Purchase Agreements (MN)
Rev. 11/20/2014
Contract for Repair Replace Restor or Remodel1320 (MSBA 91)
Addendum to Pur Agt - Wetlands, Shoreland Flood Plain Disc1321 (MSBA 8)
MN Vacant Lot Pur Agt-Single Dwelling1323 (MSBA 30)
MN Vacant Land Pur Agt-Multiple Dwelling1324 (MSBA 31)
MN Vacant Land Pur Agt-Res Dev Tract1325 (MSBA 32)
Warranty Bill of Sale1326 (MSBA 90)
Minn Stand Res Pur Agt-New Const1329 (MSBA 13)
Addemdum to Pur Agt - CIC Property1331 (MSBA 12)
Addendum to Pur Agt-Title Issues1335 (MSBA 19)
Addendum to Pur Agt -Tenants and Parties in Poss1336 (MSBA 20)
Addendum-Airport Zoning Regs1339 (MSBA 15 Add)
Standard Purch Agt Fiduciary Seller1340 (MSBA 23)
Page 63 of 78Purchase Agreements (MN)
Rev. 11/20/2014
Real Estate Package (MN)
Agency Disclosure (MD)
Form # Form Name and Description
Agency Disclosure (Seller)1517AA
Agency Disclosure (Buyer)1517AA
Dual Agency Disclosure1517DA
Bills of Sale & Promissory Notes (MD)
Form # Form Name and Description
Legal Schedule -- LS
Promissory Note - Short Form1411
Promissory Note1412
Bill of Sale (By Individual)1520
Bill of Sale (Warranty Title)1520.5
Bill of Sale (By Corporation or Partnership)1520.75
Bill of Sale (By Individual to Joint Tenant)1778
Cancellations of Purchase Agreement (MD)
Form # Form Name and Description
Legal Schedule -- LS
Not of Canc of Res Prop Pur Agt (with right to cure)110.1.1
Not of Declar Canc of Res Prop Pur Agt (without right to cure)110.1.2
Closing (MD)
Form # Form Name and Description
Buyer's Closing Statement (2011)1517BCS
Buyer Move-In Agreement (PA Amendment)1517MI
Seller Rent-Back Agreement (PA Amendment)1517R
Seller's Closing Statement (2011)1517SCS
Good Faith Estimate of Borrower's Settlement CostsGFE
Commercial Sales & Business Leasing (MD)
Form # Form Name and Description
Confidentiality Agreement1517CA
Consent to Sublease1517CICSL
Commercial Examp Clauses1517CIEX
Letter of Intent1517CILI
Option Agreement1517CIOA
Commercial Purchase Agreement1517CIPA
Request for Proposal for Space1517CIRPS
Page 64 of 78Real Estate Package (MN)
Rev. 11/20/2014
Sublease Agreement (Commercial)1517CISA
Office Lease1517OL
Office Warehouse Lease1517OWL
Contingency (MD)
Form # Form Name and Description
For Your Protection1517C1
Inspection Contingency Addendum1517INSP
Contingency Addendum1517N
Request to Remove Contingency1517P
Short Sale Contingency Addendum1517SSC
Short Sale Notice Seller1517SSNS
Contingency for Lead Paint Inspection1517YC
Contracts for Deed
Form # Form Name and Description
Legal Schedule -- LS
Well Discl of Grantee in Deed Purs to Contract for Deed10.7.1
Contract for Deed by Indiv(s)30.1.1-MD
Contract for Deed by Bus Entity30.1.2
Contract for Deed Addendum30.2.1
Not of Canc of Contract for Deed30.4.1
Disclosure (MD)
Form # Form Name and Description
Legal Schedule -- LS
Compensation Disclosure Tenant Buyer1517CDTB
Foreclosure Advice Notice1517HFH
Affidavit Regarding Hazardous Waste Disposal Facility1517HWD
Buyer Purchase As Is1517L
Sellers Property Disclosure Statement1517M
Disclosure Map1517MAP
Mortgage Asst Relief - Offer Disclosure1517MARDOL
Mortgage Asst Relief Consumer Specific Discl1517MARSD
Methamphetamine Disclosure1517METH
Receipt for CIC Documents1517RD
CIC Resale Disclosure Certificate1517RDC
Radon Disclosure Statement1517RDS
Sellers Disclosure Alternatives1517SDA
Subsurface Sewage System Disclosure1517SS
Short Sale Notice Seller1517SSNS
Page 65 of 78Real Estate Package (MN)
Rev. 11/20/2014
Subsurface Sewage System Waiver1517SSW
Vacant Land Disclosure1517VLDS
Well Disclosure1517WD
Well Disclosure Addendum1517WDA
Well Discl Cert and Inst1517WDC
Well Discl Cert Cont Pg1517WDC-1
Well Disclosure FAQs1517WDC-FAQ
Wetlands, Shoreland and Flood Plain Disclosure Addendum1517WFS
Water Intrusion & Mold Growth Disclosure1517WIMG
Addendum to Pur Agt (Lead)1517Y
Lead Paint - Lessees1517Z
Affidavit Re Underground or Above Ground Storage Tank50.3.3
Financing (MD)
Form # Form Name and Description
FinAddnConvMort1517B
FinAddnFHAMort1517C
FinAddnDVAMort1517D
FinAddnAssump1517E
FinAddnCntDeed1517F
Certification; Gift of Money1517G
Certification of Source of Funds1517G2
Seller Contributions - Purchase Agreement Addendum1517MDP
Truth in Lending Disclosure1517TIL
HUD
Form # Form Name and Description
Settlement Statement (2010)HUD-1
Settlement Statement (Non-RESPA)HUD-1 (Non-RESPA)
Certification for FHAHUD-1 CERT-A
Certification of AccuracyHUD-1 CERT-B
Settlement Statement (Refinancing)HUD-1A
Settlement Statement SupplementHUD-1AS
SupplementHUD-1S
Title I Refinancing ReportHUD-27029
Lease Forms (MD)
Form # Form Name and Description
Legal Schedule -- LS
Notice to Tenant to Pay Rent or Move (Entity)1044
Page 66 of 78Real Estate Package (MN)
Rev. 11/20/2014
Notice to Tenant to Pay Rent or Move (Individual)1044
Notice to Quit1044.5
Application for Apartment Lease1140
Addendum to Residential Lease Agreement1517ARLA
Addendum to Residential Lease Agreement1517ARLA+
Residential Lease Agreement1517RLA
House Lease1533
House Lease with Option to Purchase1534
Lease - General Form1535
Apartment Lease1559
Notice to Tenants (Landlord Information)1560
Lease - Short Term1564
Business Lease (Entities)1570
Business Lease (Individuals)1570
Lease for Store or Commercial Bldg (Individuals)1624
Lease for Store or Commercial Bldg (Entities)1624
Lease Store or Commercial Building (short form) (Individuals)1641
Lease Store or Commercial Building (short form) (Entities)1641
Office Lease (Entities)1658
Listing, Representation, Showing (MD)
Form # Form Name and Description
BuyerFacilitator1517BFSA
ExclRtLeaseListCntrct1517CERLL
CntrExclRtRepTenant1517CERRT
Com Cntr Excl Rt Rep Tenant1517CERT
Com Cntr Excl Rt Rep Buyer1517CICEB
Com Cntr Nonexcl Rt Rep Buyer1517CICNRB
Com Excl Representation1517CIER
Com Excl List Agr Lease1517CILL
Com Excl List Agr Sale1517CILS
Com Nonexcl List Agr Sale1517CINE
Com Nonexcl List Agr Lease1517CINL
Com One Time Showing1517CIOTS
Contract for Nonexcl Right Rep Buyer1517CNRB
InternetDisplayOptions1517IDO
OwnerLeaseFacil1517OLFSA
CntrExclRtRepBuyer1517S
ShowingCntrct1517SC
Page 67 of 78Real Estate Package (MN)
Rev. 11/20/2014
SellerFacilitator1517SFSA
TenantFacilServAgr1517TFSA
ExclRtSellListCntrct1517X
Mortgages (MD)
Form # Form Name and Description
Mtge by Indivs20.1.1
Mtge by Bus Entity20.1.2
Mortgage Addendum20.2.1
Purchase Agreements (MD)
Form # Form Name and Description
Standard Purchase Agreement1517A
Addendum to Residential Lease Agreement1517ARLA
Addendum to Residential Lease Agreement1517ARLA+
Commercial Counter Offer1517CCO
Counter Offer1517CO
Counter Offer1517CO+
Commercial Purchase Agreement Addendum1517CPAA
Commercial Purchase Agreement Addendum1517CPAA+
Commercial Purchase Agreement Amendment1517CPAX
Commercial Purchase Agreement Amendment1517CPAX+
Condominium Townhouse Purchase Agreement1517CT
Earnest Money Receipt1517EMR
Condo Coop Addendum - Pre 2010 Communities1517H
Condo Coop Addendum - Post 2010 Communities1517H1
Mutual Cancellation of Pur Agt1517I
Purchase Agreement Addendum1517J
Purchase Agreement Addendum1517J+
Purchase Agreement Amendment1517K
Purchase Agreement Amendment1517K+
NewConstrPurchAgr1517NC
Personal Property Agreement1517PPA
Subsurface Sewer and Well Contingency Addn1517PSWC
Residential Lease Agreement1517RLA
Sworn Construction Statement1517SCT
Short Sale Contingency Addendum1517SSC
Notice of Termination of Contract (for Deed)1517T
VacantLandPurcAgr1517VLPA
CIC Mod Waiver1517W
Page 68 of 78Real Estate Package (MN)
Rev. 11/20/2014
Quit Claim Deeds
Form # Form Name and Description
Legal Schedule -- LS
Quit Claim Deed Indiv(s) to Indiv(s)10.3.1
Quit Claim Deed Indiv(s) to Indiv(s) (Multi)10.3.1+
Quit Claim Deed Indiv(s) to Bus Entity10.3.2
Quit Claim Deed Bus Entity to Indiv(s)10.3.4
Quit Claim Deed Bus Entity to Bus Entity10.3.5
Quit Claim Deed Bus Entity to Joint Tenants10.3.6
Quit Claim Deed Reserv Lien in Marriage10.3.7
Severance of Joint Tenancy10.3.8
Warranty Deeds
Form # Form Name and Description
Legal Schedule -- LS
Warr Deed Indiv(s) to Indiv(s)10.1.1
Warr Deed Indiv(s) to Indiv(s) (Multi)10.1.1+
Warr Deed Exc Assessments Bus Entity to Bus Entity10.1.10
Warr Deed Bus Entity to Joint Tenants10.1.11
Warr Deed Exc Assessments Bus Entity to Joint Tenants10.1.12
Warr Deed Exc Assessments Indiv(s) to Indiv(s)10.1.2
Warr Deed Indiv(s) to Bus Entity10.1.3
Warr Deed Exc Assessments Indiv(s) to Bus Entity10.1.4
Warr Deed Indiv(s) to Joint Tenants10.1.5
Warr Deed Exc Assessments Indiv(s) to Joint Tenants10.1.6
Warr Deed Bus Entity to Indiv(s)10.1.7
Warr Deed Exc Assessments Bus Entity to Indiv(s)10.1.8
Warr Deed Bus Entity to Bus Entity10.1.9
Page 69 of 78Real Estate Package (MN)
Rev. 11/20/2014
Real Property Sales (MN)
Agency Disclosure (MD)
Form # Form Name and Description
Agency Disclosure (Buyer)1517AA
Agency Disclosure (Seller)1517AA
Dual Agency Disclosure1517DA
Closing (MD)
Form # Form Name and Description
Buyer's Closing Statement (2011)1517BCS
Buyer Move-In Agreement (PA Amendment)1517MI
Seller Rent-Back Agreement (PA Amendment)1517R
Seller's Closing Statement (2011)1517SCS
Commercial & Business Leases (MD)
Form # Form Name and Description
Confidentiality Agreement1517CA
Consent to Sublease1517CICSL
Commercial Examp Clauses1517CIEX
Letter of Intent1517CILI
Option Agreement1517CIOA
Commercial Purchase Agreement1517CIPA
Request for Proposal for Space1517CIRPS
Sublease Agreement (Commercial)1517CISA
Office Lease1517OL
Office Warehouse Lease1517OWL
Contingency (MD)
Form # Form Name and Description
For Your Protection1517C1
Inspection Contingency Addendum1517INSP
Contingency Addendum1517N
Request to Remove Contingency1517P
Short Sale Contingency Addendum1517SSC
Short Sale Notice Seller1517SSNS
Contingency for Lead Paint Inspection1517YC
Disclosure (MD)
Form # Form Name and Description
Legal Schedule -- LS
Page 70 of 78Real Property Sales (MN)
Rev. 11/20/2014
Compensation Disclosure Tenant Buyer1517CDTB
Affidavit Regarding Hazardous Waste Disposal Facility1517HWD
Buyer Purchase As Is1517L
Sellers Property Disclosure Statement1517M
Disclosure Map1517MAP
Mortgage Asst Relief - Offer Disclosure1517MARDOL
Mortgage Asst Relief Consumer Specific Discl1517MARSD
Methamphetamine Disclosure1517METH
Receipt for CIC Documents1517RD
CIC Resale Disclosure Certificate1517RDC
Radon Disclosure Statement1517RDS
Sellers Disclosure Alternatives1517SDA
Subsurface Sewage System Disclosure1517SS
Short Sale Notice Seller1517SSNS
Subsurface Sewage System Waiver1517SSW
Vacant Land Disclosure1517VLDS
Well Disclosure1517WD
Well Disclosure Addendum1517WDA
Well Discl Cert and Inst1517WDC
Well Discl Cert Cont Pg1517WDC-1
Well Disclosure FAQs1517WDC-FAQ
Wetlands, Shoreland and Flood Plain Disclosure Addendum1517WFS
Water Intrusion & Mold Growth Disclosure1517WIMG
Addendum to Pur Agt (Lead)1517Y
Lead Paint - Lessees1517Z
Affidavit Re Underground or Above Ground Storage Tank50.3.3
Financing (MD)
Form # Form Name and Description
FinAddnConvMort1517B
FinAddnFHAMort1517C
FinAddnDVAMort1517D
FinAddnAssump1517E
FinAddnCntDeed1517F
Certification; Gift of Money1517G
Certification of Source of Funds1517G2
Seller Contributions - Purchase Agreement Addendum1517MDP
Truth in Lending Disclosure1517TIL
Page 71 of 78Real Property Sales (MN)
Rev. 11/20/2014
Lease Forms (MD)
Form # Form Name and Description
Addendum to Residential Lease Agreement1517ARLA
Addendum to Residential Lease Agreement1517ARLA+
Residential Lease Agreement1517RLA
Listing, Representation, Showing (Commercial & Residential) (MD)
Form # Form Name and Description
BuyerFacilitator1517BFSA
ExclRtLeaseListCntrct1517CERLL
CntrExclRtRepTenant1517CERRT
Com Cntr Excl Rt Rep Tenant1517CERT
Com Cntr Excl Rt Rep Buyer1517CICEB
Com Cntr Nonexcl Rt Rep Buyer1517CICNRB
Com Excl Representation1517CIER
Com Excl List Agr Lease1517CILL
Com Excl List Agr Sale1517CILS
Com Nonexcl List Agr Sale1517CINE
Com Nonexcl List Agr Lease1517CINL
Com One Time Showing1517CIOTS
Contract for Nonexcl Right Rep Buyer1517CNRB
InternetDisplayOptions1517IDO
OwnerLeaseFacil1517OLFSA
CntrExclRtRepBuyer1517S
ShowingCntrct1517SC
SellerFacilitator1517SFSA
TenantFacilServAgr1517TFSA
ExclRtSellListCntrct1517X
Purchase Agreements (MD)
Form # Form Name and Description
Legal Schedule -- LS
Not of Canc of Res Prop Pur Agt (with right to cure)110.1.1
Not of Declar Canc of Res Prop Pur Agt (without right to cure)110.1.2
Standard Purchase Agreement1517A
Addendum to Residential Lease Agreement1517ARLA
Addendum to Residential Lease Agreement1517ARLA+
Commercial Counter Offer1517CCO
Counter Offer1517CO
Counter Offer1517CO+
Page 72 of 78Real Property Sales (MN)
Rev. 11/20/2014
Commercial Purchase Agreement Addendum1517CPAA
Commercial Purchase Agreement Addendum1517CPAA+
Commercial Purchase Agreement Amendment1517CPAX
Commercial Purchase Agreement Amendment1517CPAX+
Condominium Townhouse Purchase Agreement1517CT
Earnest Money Receipt1517EMR
Condo Coop Addendum - Pre 2010 Communities1517H
Condo Coop Addendum - Post 2010 Communities1517H1
Mutual Cancellation of Pur Agt1517I
Purchase Agreement Addendum1517J
Purchase Agreement Addendum1517J+
Purchase Agreement Amendment1517K
Purchase Agreement Amendment1517K+
NewConstrPurchAgr1517NC
Personal Property Agreement1517PPA
Subsurface Sewer and Well Contingency Addn1517PSWC
Residential Lease Agreement1517RLA
Sworn Construction Statement1517SCT
Short Sale Contingency Addendum1517SSC
Notice of Termination of Contract (for Deed)1517T
VacantLandPurcAgr1517VLPA
CIC Mod Waiver1517W
Page 73 of 78Real Property Sales (MN)
Rev. 11/20/2014
Uniform Commercial Code
Contracts & Security Agreements
Form # Form Name and Description
Conditional Sales Contract (UCC)1034
Security Agreement - Farm Products and Farm Equipment (Bus Enty to Bus Enty)UCC-1201
Security Agreement - Farm Products and Farm Equipment (Ind to Bus Enty)UCC-1201
Security Agreement - Farm Products and Farm Equipment (Ind to Ind)UCC-1201
Security Agreement - Farm Products and Farm Equipment (Bus Enty to Ind)UCC-1201
Security Agreement—Motor Vehicles, Cons Goods, Bus or Farm Equip, and Farm ProdsUCC-1202
Security Agreement - Retail Installment ContractUCC-1204
Security Agreement - Equipment and Consumer GoodsUCC-1205
Supplement to Security AgreementUCC-1209
Installment NoteUCC-1210
Notice to Other Secured PartyUCC-1216
Minnesota
Form # Form Name and Description
EFS - Continuation and Termination (Corporation)CNS-3
EFS - Continuation and Termination (Individuals)CNS-3
Request for Tax Lien Information or Copies (MN-Individual Debtor)UCC-12
Request for Tax Lien Information or Copies (MN-Business Debtor)UCC-12
Agricultural Production Input Lien Notification StatementUCC-MN-0001
Agricultural Production Input Lien Notification Amendment & TerminationUCC-MN-0002
Secured Party Search RequestUCC-MN-0003
National
Form # Form Name and Description
Financing StatementUCC-1
National Information RequestUCC-11
Notice of Repossession and Sale (Motor Vehicle)UCC-1213
Notice of Disposition of Collateral (Private Disposition)UCC-1214
Notice of Disposition of Collateral (Public Disposition)UCC-1214
Notice to Surrender Possession (From Individual)UCC-1215
Notice to Surrender Possession (From Corporate)UCC-1215
Financing Statement AddendumUCC-1AD
Financing Statement (Additional Party) 8-11UCC-1AP
Financing Statement Amendment - DebtorUCC-3
Financing Statement Amendment - Secured PartyUCC-3
Page 74 of 78Uniform Commercial Code
Rev. 11/20/2014
Financing Statement Amendment Addendum - DebtorUCC-3AD
Financing Statement Amendment Addendum - Secured PartyUCC-3AD
Financing Statement Amendment (Additional Party) (Debtor)UCC-3AP
Financing Statement Amendment (Additional Party) (Secured Party)UCC-3AP
Correction Statement - Secured PartyUCC-5
Correction Statement - DebtorUCC-5
Page 75 of 78Uniform Commercial Code
Rev. 11/20/2014
Workers' Compensation (MN)
Claims and Reports
Form # Form Name and Description
Annual Claim for Reimbursement of Supplementary BenefitsAC03
Addendum to Annual Claim for Reimbursement of Supplementary BenefitsAC03 Supp
Annual Claim for Reimbursement From the Second Injury FundAR04
Affidavit of Significant Financial HardshipAS01
Notice of Discontinuance of Workers' Compensation Benefits Upon Death of EmployeeBD02
Objection to Penalty Assessment - EmployerCE0003
Objection to Penalty Assessment - InsurerCE0003
Objection to Penalty Assessment - AttorneyCE0003
Objection to Penalty Assessment - OtherCE0003
Claim Petition for Dependency Benefits or Payment to EstateCP03
Notice of Discontinuance of Workers' Compensation Dependency BenefitsDB02
Disability Status ReportDS01
Employee’s Claim PetitionEC04
Employee's Objection to DiscontinuanceED02
Retraining PlanEP04
Employee's Request for Administrative ConferenceEQ05
First Report of InjuryFR01
Health Care Provider ReportHC01
Interim Status ReportIS03
Rehabilitation Rights and Responsibilities of Injured WorkerIW05
On the Job Training PlanJA04
Medical RequestMQ03
Medical ResponseMR03
Notice of Appearance of Attorney for EmployeeNA03
Notice of Benefit PaymentNB01
Notice of Benefit ReinstatementNC01
Notice of Intention to Discontinue Worker's Compensation BenefitsND01
Notice of Insurer’s Primary Liability DeterminationNL01
R-8 Notice of Rehabilitation Plan; ClosureNR01
Permanent Total Disability AgreementPA04
Excess Fee ExhibitPF04
Plan Progress ReportPR01
Petition for Taxation of Actual and Necessary DisbursementsPT03
Request for ExtensionQE03
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Rehabilitation Consultation ReportRC01
R-2 Rehabilitation PlanRE01
Request for Formal HearingRF03
R-3 Rehabilitation Plan AmendmentRP01
Rehabilitation RequestRQ03
Rehabilitation ResponseRR03
Notice of Intention to Claim Reimbursement From the Second Injury FundRS05
Employee and Insurer's Response to Attorney FeesRT01
Report of Work AbilityRW01
Statement of Attorney's FeesSA04
Miscellaneous
Form # Form Name and Description
Election to Exclude Relatives of Managers of a Limited Liability CompanyBMR01
Election to Exclude Relatives of Executive Officers of a Closely Held CorporationBMR02
Certificate of Compliance Minnesota Workers' Compenastion LawMN LIC 04
Optional Forms
Form # Form Name and Description
Small Claims Court Statement of Claim3203
Employee's Request to Reopen Benefits3219
Petition for Disputed or Excess Attorney Fees and or NonReimbursed Disbursements3284.75
Benefit AddendumBA01
Request for Certification of DisputeCA0022
Functional Capacity EvaluationFCE
Authorization for file review or release of copies of workers' comp claim fileFE0005
Intervention Service AffidavitISA
Intervention StipulationLE0002
Intervention MotionMO0001
Intervention Cover LetterMO0001A
Notice of File ClosingNF01
Notice of Penalty PaymentNO0015
Notice of Appeal to Workers' Compensation Court of Appeals (Employee)NO0016
Notice of Appeal to Workers' Compensation Court of Appeals (Employer)NO0016
Occupational On-Site AnalysisOOA
Rehabilitation
Form # Form Name and Description
Application for Approval and Registration -- Rehabilitation Consultant InternR-20
Registration or Renewal as a Registered Rehabilitation VendorR-22
Applic for Reg-Renewal of Reg as Registered Rehab VendorR-24
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Application for Renewal of Qualified Rehabilitation Consultant-Intern RegistrationR-25
2324
Page 78 of 78Workers' Compensation (MN)
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