Free STATE OF MINNESOTA - Minnesota

State of Minnesota County Select County

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

Housing

Plaintiff

vs.
Defendant

Power Of Authority In Eviction Action

1. Plaintiff is (check one):

an individual or individuals a sole proprietorship owned by
Name

.

a partnership, corporation, or association 2. The undersigned is the proper person to execute this document as the landlord, or as a partner or officer of the landlord. 3. That
Name

is hereby appointed the representative to file

and appear on behalf of Plaintiff with full authority and power to perform all acts necessary that the grantor could do if personally in attendance on the housing court matter.

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

HOU103

State

ENG

Rev 9/01

www.courts.state.mn.us/forms

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