Fill and Sign the Mn Affidavit Form 497312141

FORM No. 67.5-M - Uniform Conveyancing Blanks AFFIDAVIT AS TO FEDERAL TAX LIEN(S) (reserved for recording data) AFFIDAVIT AS TO FEDERAL TAX LIEN(S) STATE OF MINNESOTA ) ) ss. COUNTY OF _____________ ) _____________________________________________, being duly sworn on oath, says that: 1. I am an attorney foreclosing the mortgage described in the printed Notice of Mortgage Foreclosure Sale to which this Afdavit is attached, or which is described in paragraph 4. 2. Notice of the foreclosure sale was given to the Internal Revenue Service, Ofce of the District Director, United States Treasury Department, pursuant to §7425(c)(1) of the Internal Revenue Code of 1986, on _____________, 20________, by Certifed Mail, as evidenced by the attached copy of said notice. 3. This Afdavit is made for the purpose of showing compliance with Internal Revenue Code of 1986, §425(c)(1) and the discharge or divestment of the tax liens referred to in said Notice pursuant to Internal Revenue Code of 1986, §7425(b)(2)(C). ( NOTE: If this afdavit is not attached to and fled with the Sheriffs Certifcate of Sale complete paragraph 1. ) 4. The Sheriffs Certifcate of Sale to which this afdavit relates 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. _______________________________________ Signature __________________________________ Subscribed and sworn to before me this ________ day of __________, 20 _____. - 1 - FORM No. 67.5-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 -