Fill and Sign the Affidavit in Support of Request Form

HOU105 State ENG Rev 7/15 www. mncourts. gov/forms Page 1 of 2 State of Minnesota District Court County Judicial District: Court File Number: Case Type: Housing Plaintiff/Property owner or person entitled to possession Affidavit in Support of Request vs. for Expedited Hearing (Minn. Stat. § 504B. 321, subd. 2) Defendant(s)/Tenant(s) (Full names(s) and dates(s) of birth, if known) STATE OF MINNESOTA ) ) SS COUNTY OF ) , states that she/he: 1. Is the Plaintiff, or an authorized agent of the Plaintiff, in this Eviction action; 2. Submits this Affidavit to request an expedited Eviction hearing; 3. Has read and understands the attached INFORMATION SHEET, specifically that the Court WILL impose a penalty of up to $500 if the Court grants this request and later finds that this Affidavit was filed in bad faith or was an abuse of the expedited hearing process or that the person signing this Affidavit had no basis to believe that the facts claimed here are true; 4. STATES that the following SPECIFIC FACTS show that the Defendant(s) are causing a nuisance or acting illegally AND that the Defendant(s)’s actions are seriously endangering other tenants, their property, or the landlord’s property (State here the facts, dates, and exactly what happened; you may attach documents): HOU105 State ENG Rev 7/15 www. mncourts. gov/forms Page 2 of 2 5. Plaintiff, or Plaintiff’s agent, acknowledges that the Court may also award costs, disbursements, and reasonable attorney and witness fees to Defendant, if Plaintiff acts in bad faith, asserts a claim that is frivolous and costly to Defendant(s), asserts an unfounded position solely to expedite the ordinary course of these proceedings or to harass Defendant(s), or commits a fraud upon the Court. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated : Signature Name: Address: City/State/Zip: Telephone: ( ) E-mail address: