Free State of Minnesota - Minnesota

State of Minnesota
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Conciliation Court
Judicial District: Court File Number: Case Type:

Plaintiff

vs.

Demand for Limited Removal to District Court, Affidavit of Good Faith, and Notice of Hearing De Novo (New Hearing) Minn. R. Gen. Pract. 521(e)
) ) ) filed a motion requesting the order for
(Plaintiff/Defendant)

Defendant

State of Minnesota County of Pursuant to Rule 520,

judgment be vacated and this motion was denied by the Court. Plaintiff Defendant wishes to appeal the denial of his/her motion in this matter and is removing the matter from the Conciliation Court to the District Court for a De Novo (new hearing) of this motion challenging denial of the removal. In accordance with the provisions of Minnesota Statute Section 491A and Conciliation Court Rule of General Practice 521(e), this removal is made in good faith and not for purpose of delay. Dated:
Signature (Sign only in front of notary public or court administrator.)

Name: Sworn/affirmed before me this day of , . Address: City/State/Zip: Telephone:
Notary Public \ Deputy Court Administrator

NOTICE OF HEARING
You will please take notice that the hearing De Novo (new hearing) on the motion challenging denial of the removal will be held on , at at
(date) (time) . (address, city, state)

CCT502

State

ENG

Rev 5/03

www.courts.state.mn.us/forms

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