Free STATE OF MINNESOTA - Minnesota

State of Minnesota County Select County

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

Housing

Plaintiff (Tenant)

vs.
Defendant (Landlord)

Release Of Rent (Minn. Stat. § 504B.385, subd. 7)

By Plaintiff Before Hearing The undersigned plaintiff(s) declares to the Court that the violations cited by the inspecting authority and/or by the plaintiff in the Affidavit of Rent Escrow have been remedied and the corrections are satisfactory. It is further understood and agreed that the escrowed rent in the amount of $ on deposit with the Court, may be immediately released to the Defendant (landlord) and the scheduled hearing may be cancelled. (Only Plaintiff must sign below.)

,

By Stipulation Before Hearing Plaintiff and Defendant agree that the escrowed rent in the amount of $ with the Court, may be immediately released by the Court as follows: To Plaintiff $ To Defendant $ . The scheduled hearing may be cancelled. (Both parties must sign below.) Plaintiff (Tenant) Date: Date:

, on deposit

Defendant (Landlord/Agent/Attorney)

Signature Name: Street Address: City/State/Zip: Telephone: Sworn/affirmed before me this __________ day of ________________,______
Notary Public/Deputy Court Administrator

Signature (Required only if stipulation) Name: Street Address: City/State/Zip: Telephone: Sworn/affirmed before me this __________ day of ________________,______
Notary Public/Deputy Court Administrator

Any Signature Must Be Before A Notary Public Or Deputy Court Administrator

HOU303

State

ENG

Rev 9/01

www.courts.state.mn.us/forms

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