Fill and Sign the Minnesota Amount Form

FORM NO. 73-M - Uniform Conveyancing Blanks AFFIDAVIT OF ADDITIONAL AMOUNT ON REDEMPTION State of Minnesota ) ) ss. County of _________________ ) ___________________________________________ being duly sworn, on oath states: That he is the ____________________ for _____________________________________________, who ___________________ the owner ____________ of that certain Sherif's Certifcate of Sale, dated the _________ day of ___________, 20 ______, and recorded in the ofce of the County Recorder of _____________________ County, Minnesota, in Book _________ of ___________ page _______, describing property in said County and State, as follows, to-wit: That during the time allowed for redemption of the land described in said certificate, said __________________ ___________________________________________________________ ha ____________ paid on account of said land the following sums, all of which, with interest from date hereof to date of redemption______ he_____ hereby claim_____ must be added to the sum necessary to redeem said land from said sale in said certificate described, to-wit: Dates of Payment To Whom Paid For What Paid Amounts tax year 20 $ tax year 20 Assessment Assessment Insurance Premium Insurance Premium Interest on Prior Mortgage Interest on Prior Mortgage Total amount so paid to date hereof Interest at ............... per cent from dates of payment to date hereof Total amount of payments and interest to date hereof $ $ - 1 - FORM NO. 73-M - Uniform Conveyancing Blanks $ Subscribed and sworn to before me this ______________ day of _______________, 20 _____ ____________________________________ Notary Public, __________________ County, Minn. My commission expires ________________________ - 2 -