Fill and Sign the Minnesota Notice Lien Form

STATE OF MINNESOTA DISTRICT COURT COUNTY OF             JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No.             , Petitioner, NOTICE OF ATTORNEY’S LIEN AND       , Respondent, TO: Name_____ PLEASE TAKE NOTICE that the Attorney's Name , of (Law Firm) , who is an attorney-at- law fully authorized to practice in the State of Minnesota claims and intends to hold a lien upon the real and personal property of Name_____ of (Address) described as follows: (Description of Property) Said lien is claimed for certain services rendered by (Law Firm) , to Name_____ in representing him/her in the above-captioned dissolution of marriage proceeding from (Date) until (Date) , which services are of the agreed and reasonable value of $ . Said lien is also claimed for certain costs incurred by (Law Firm) , in behalf of representing Name_____ in the above- captioned litigation, which costs total the sum of $ . STATE OF MINNESOTA ) )ss COUNTY OF (County Name) ) Attorney's Name , of the (Law Firm) , being duly sworn, on oath says that he is the attorney- at-law above-named; that during all the time stated in the foregoing instrument he was, and still is, - 1 - an attorney-at-law authorized to practice in the State of Minnesota; that he knows the contents of the foregoing instrument and the same is true and correct to his own knowledge. Dated:       Attorney Subscribed and sworn to before me this       day of       , 20       . _______________________________ NOTARY PUBLIC - 2 -