Free State of Minnesota - Minnesota

State of Minnesota
County
Select County

Conciliation Court
Judicial District: Court File Number: Case Type:

Plaintiff (s)

vs.

Affidavit and Order Vacating Order For Judgment and Granting New Trial Minn. R. Gen Pract. 520 (a)

Defendant(s)

State of Minnesota County of

) ) )

being duly sworn on oath, says that he/she is the plaintiff/defendant in the above entitled action, that the case was called on for hearing and that he/she did not appear for the following reasons:

That plaintiff/defendant believes this is a just cause or defense and plaintiff/defendant requests the court to vacate the conciliation order and judgment entered on and to grant a new trial pursuant to Conciliation Court Rule 520 (a).

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

CCT504

State

ENG

Rev 2/03-D

www.courts.state.mn.us/forms

Page 1 of 2

State of Minnesota
County

Conciliation Court
Judicial District: Court File Number: Case Type:

Select County

Plaintiff,

vs.

ORDER

Defendant.

Based upon the foregoing affidavit, and upon payment of the sum of $____________as absolute conditional costs

IT IS HEREBY ORDERED that said judgment be vacated and a new trial granted and that all parties be notified. This order becomes effective upon the payment of costs as ordered herein. If said fees are not paid by _______________(date), the original judgment stands as entered. BY THE COURT: Dated: ___________________________ Judge

Notice of Trial Certificate of Mailing

Costs having been paid as provided in the order dated rescheduled for trial on
(date) (address of courthouse, city, state and zip code) (time)

this matter is , at at the .

A copy of the Affidavit and Order Vacating Judgment and Granting New Trial and this Notice of Trial was mailed to
(name and address of party)

and
(name and address of party)

the parties on this date. Court Administrator's Office Dated: _______________________
CCT504 State ENG Rev 2/03-D

By: ______________________ Deputy
www.courts.state.mn.us/forms Page 2 of 2