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State of Minnesota District Court County Judicial District: Court File Number: Case Type: Civil In the Matter of the Application of: Application for Discharge of Judgment(s) (Minn. Stat. §548.181) Please notice, the undersigned, acting for the judgment debtor(s) applies for the discharge of the following judgment(s) entered in County: Case Number(s) Creditor(s) Date(s) of Docketing Amount(s) A certified copy of the judgment debtor’s bankruptcy discharge or a certificate by the Clerk of the United States Bankruptcy Court and an affidavit of service for each judgment creditor is attached. Minnesota Statutes require a filing fee of $5.00 for each judgment listed. Dated: Signed: Creditors Please Note: Pursuant to Minn. Stat. §548.181, the Court Administrator will discharge the judgment(s) listed within 20 days after service of the application unless an objection to discharge is served on the judgment debtors and filed with the Court Administrator. Creditors may object to discharge if 1) the debt represented by the judgment was not discharged by the bankruptcy discharge; or 2) the judgment was an enforceable lien on real property when the bankruptcy discharge was entered. BKY101 State ENG Rev 4/01 www.courts.state.mn.us/forms Page 1 of 1

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