Fill and Sign the State of Minnesota District Court County of Carver Form

- 1 - 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, T O : N am e_ ____ P L EA SE T A KE N OTIC E t h at t h e A tto rn ey 's N am e, o f ( L aw F ir m ), w ho i s a n a tto rn ey -a t- la w f u lly a u th o riz ed t o p ra c tic e i n t h e S ta te o f M in neso ta c la im s a n d i n te n ds t o h old a l ie n u pon t h e re al a n d p ers o nal p ro perty o f N am e_ ____ o f ( A ddress) d esc rib ed a s f o llo w s: (D esc rip tio n o f P ro perty )S aid l ie n i s c la im ed f o r c erta in s e rv ic es r e n dere d b y ( L aw F ir m ), t o N am e_ ____ i n re p re se n tin g h im /h er i n t h e a b ove-c ap tio ned d is so lu tio n o f m arria g e p ro ceed in g f ro m ( D ate ) u ntil ( D ate ), w hic h s e rv ic es a re o f t h e a g re ed a n d r e aso nab le v alu e o f $ . S aid l ie n i s a ls o c la im ed fo r c erta in c o sts i n cu rre d b y ( L aw F ir m ), i n b eh alf o f r e p re se n tin g N am e_ ____ i n t h e a b ove- ca p tio ned l itig atio n, w hic h c o sts t o ta l t h e s u m o f $ . S T A TE O F M IN NESO TA ) )s s C O UNTY O F ( C ounty N am e) ) A tto rn ey 's N am e, o f t h e (L aw F ir m ), b ein g d uly s w orn , o n o ath s a y s t h at h e i s t h e a tto rn ey - - 2 - at- la w a b ove-n am ed ; t h at d u rin g a ll t h e t im e s ta te d i n t h e f o re g oin g i n str u m en t h e w as, a n d s till i s , an a tto rn ey -a t- la w a u th oriz ed t o p ra ctic e i n t h e S ta te o f M in neso ta ; t h at h e k now s t h e c o nte n ts o f t h e fo re g oin g i n str u m en t a n d t h e s a m e i s t r u e a n d c o rre ct t o h is o w n k now le d ge.D ate d : A tto rn eyS ub sc rib ed a n d s w orn t o b efo re m e t h is day o f , 2 0 .___ ___ _________________________N OTA RY P U BLIC