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(Cross out all paragraphs and words not applicable)

STATE OF MINNESOTA DISTRICT COURT

COUNTY OF RAMSEY SECOND JUDICIAL DISTRICT

In the Matter of the Application of FILE NO. ______

APPLICATION

as Joint Tenants,

Register Title to Certain Land.

TO THE JUDGES OF THE ABOVE NAMED COURT:

We (I) hereby make application to have the title to the land hereinafter described registered and do solemnly swear that we (I) know the contents to this application, and the statements therein are true of our (my) knowledge save as to such as are therein stated on information and belief, and that as to those we (I) believe them to be true.

A.   Full name of applicant(s) ______

______

Address: ______

County of ______State of ______

B. Applicant(s) married to ______

County of ______State of ______

Address: ______

The applicant(s) are/are not 18 years of age or older.

The applicant(s) are under no incapacity and neither one has been divorced during the ownership of this land, except that said ______was divorced in the year ______by the Court of Court File No. , from spouse whose name is now ______.

If incapacitated, the nature of the incapacity is .

ATTORNEY FOR APPLICANT:

ADDRESS:

PHONE NUMBER:

ATTORNEY REGISTRATION NO.:

C. Description of the land, situated in Ramsey County, Minnesota, is as follows:

D. Estate or interest claimed therein by the applicant(s) is in fee simple and is subject to homestead.

E. The land is ______occupied by:

NAME P.O. ADDRESS CLAIM

F. Liens or interests in the land, recorded or unrecorded which the applicant(s) recognize(s) as encumbering the land:

Name of Interested Party Nature and Recording Data

Amount (if recorded)

G. Liens or interests, recorded or unrecorded, for which the applicant(s) seek(s) a determination terminating or modifying the interest:

Name of Interested Party

Nature and Amount

Recording Data (if recorded)

Reason for the Requested Relief

H. Other defects in the applicants' title and a reason for curing the defect:

I. Applicant(s) has/have made a due and diligent search for the address of any person herein stated as unknown.

J. Applicant(s) do(es) desire to fix and establish the boundary line(s) of the land. The names and post office addresses of all the owners of adjoining lands in any manner affected by an establishment of boundary lines are:

Name Address

Wherefore the applicant(s) pray(s) the court to find that the applicant(s) has/have a title in the land proper for registration, to make and file a decree confirming the same, and to order the Registrar of Titles to register the same, and to grant such other and further relief as shall be according to equity.

______

______

Applicant(s)

STATE OF MINNESOTA

ss.

COUNTY OF RAMSEY

Subscribed and sworn to before me this day of , .

______

Notary Public

My Commission Expires:

(Optional assent of mortgagee, occupant or other parties in interest)

STATE OF MINNESOTA

ss.

COUNTY OF RAMSEY

We (I) hereby assent to the registration of the above described land as prayed for by the applicant.

______

______

The foregoing assent was acknowledged before me this ______day of ______, , ______, by

______acting on behalf

of ______as ______.

______

My Commission Expires: Notary Public

APPROVED AS TO FORM

WAYNE D. ANDERSON, EXAMINER OF TITLES

By ______

Deputy Examiner

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Applind. (revised 1/2000)