STATE OF MINNESOTA

COUNTY OF __________________	DISTRICT COURT
 ______________ JUDICIAL DISTRICT
CASE TYPE: ________________                                            

_____________________________________

		Plaintiff,

v.

_____________________________________

		Defendant.

AFFIDAVIT OF SERVICE 
UNDER MINN. R. CIV. P. 5

Pov. Law Form No. Aff-1 (March 2018)

Case No. ________________                                            	

STATE OF MINNESOTA	)
				)ss.
COUNTY OF                        	)
	I,                                                   , depose and state as follows:
	1.	On ________________________________________, I served a copy of the attached documents: ___________________________________________________________ on _____________________________________________, the opposing party or agent/attorney for the opposing party in this action, in the City of ____________________________________, County of __________________________________, in the State of Minnesota, by (select one): 
	1.	G	e-serving a true and correct copy to  ________________________, the e-filing service contact for ________________,  at the email address _____________________.
	2.	G	mailing a true and correct copy by United State Mail, postage prepaid addressed to __________________________________________________________________.
	3.	G	transmitting a true and correct copy by facsimile (fax) machine to _____________ at the fax number _______________________________.
	4.	G	delivering a true and correct copy by to __________________________ at the address: ________________________________________________________________.
	5.	G	if no address is known, leaving a true and correct copy with the District Court Administrator.
	6.	Under Minn. Stat. § 358.116, I declare under penalty of perjury that everything I have stated in this document is true and correct.
____________________________________
Date	____________________________________
Signed	
County and State Where Document Is Signed

_____________________________________
County

_____________________________________
State	____________________________________
Name
____________________________________
Address

____________________________________
Phone