Affidavit Of Rent Escrow Under Minnesota Statute - Minnesota Judicial Branch printable pdf download

Affidavit Of Rent Escrow Under Minnesota Statute - Minnesota Judicial Branch

STATE OF MINNESOTA

FOURTH JUDICIAL DISTRICT

COUNTY OF HENNEPIN

DISTRICT COURT

AFFIDAVIT OF RENT ESCROW

___________________________________

UNDER MINNESOTA STATUTE

504B.385

Plaintiff(s)-Tenant(s)

Court Case No.: 27-CV-HC-_______

___________________________________

Defendant(s)/Building Owners(s)

My name is ________________________________________, I understand that I am

under oath/affirmation and that in answering the following questions I must tell the truth:

I am the tenant with the right to live at the property located at the following address:

Address: ____________________________________________________________

City/State/Zip: _______________________________________________________

County: ____________________________

Telephone: (

)____________________

The name, address, and phone number for the owner(s) of the property are:

Name: _____________________________________________________________

Address: ____________________________________________________________

City/State/Zip: _______________________________________________________

Telephone: (

)____________________

The name, address, and phone number for the manager(s) of the property (if different

from the owner) are:

Name: _____________________________________________________________

Address: ____________________________________________________________

City/State/Zip: _______________________________________________________

Telephone: (

)____________________

The following is a list of all current problem(s) or violation(s) regarding my apartment or

rental housing:

________________________________________________________________________

HOU302

District4

ENG

Rev 9/07

Page 1 of 3

Affidavit Of Rent Escrow Under Minnesota Statute - Minnesota Judicial Branch