Fill and Sign the Minnesota Affidavit 497312140 Form

FORM No. 67.4-M - Uniform Conveyancing Blanks AFFIDAVIT OF COSTS AND DISBURSEMENTS (reserved for recording data) AFFIDAVIT OF COSTS AND DISUBURSEMENTS STATE OF MINNESOTA ) ) ss. COUNTY OF _____________ ) I, _____________________________________________, being duly sworn on oath, say that I am an attorney foreclosing the Mortgage described in the Notice of Mortgage Foreclosure Sale which is attached hereto OR which was fled for record ____________, 20 _____, as Document Number ______________ (or in Book ________ of __________ Page _____), in the Ofce of the (County Recorder)(Registrar of Titles) of _________________ County, Minnesota. That the following is a detailed bill of the costs and disbursements of the foreclosure that have been absolutely and unconditionally paid or incurred: (1) Statutory attorneys' fees for foreclosure $ (2) Title evidence $ (3) Fees for fling Notice of Pendency of Proceeding and Power of Attorney to Foreclose Mortgage, Sherif's Certifcate of Sale and other documents $ (4) Printer's fee for publishing Notice of Mortgage Foreclosure Sale $ (5) Fees for serving Notice of Mortgage Foreclosure Sale $ (6) Sherif's Fee for conducting foreclosure sale $ (7) Other: __________________________________________ $ TOTAL $ __________________________________ Signature __________________________________ Subscribed and sworn to before me this ________ day of __________, 20 _____. ______________________________________________ - 1 - FORM No. 67.4-M - Uniform Conveyancing Blanks SIGNATURE OF NOTARY PUBLIC OR OTHER OFFICIAL THIS INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS): NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK): - 2 -