INSTRUCTIONS FOR COMPLETING THE AFFIDAVIT OF IDENTIFICATION OF JUDGMENT CREDITOR WHEN FILING A FOREIGN JUDGMENT (MSA 548.28 sub 1) The judgment creditor, or the creditor's agent or attorney must complete this form. 1. 2. 3. Enter the full title of the case. Enter the case number. Enter the judgment creditor's complete name, occupation, place of residence and post office address. Note: If creditor lives in an incorporated place of more than 5,000, the street and number of both residence and business must be given. 4. The judgment creditor, creditor's agent or attorney must list their name, address, telephone number and attorney ID number if appropriate. Sign the form before a Notary Public or before a Hennepin County District Court Clerk in the Civil Division. If you are a creditor's attorney, you must e-file the documents to the Hennepin County District Court through the E-File and Serve System. 5. 6. 7. Pro Se individual, mail the Affidavit of Identification of Judgment Creditor along with other foreign judgment filing documents and fee to: Hennepin County District Court C3 Judgment Department 300 South Sixth Street Hennepin County Government Center Minneapolis, MN 55487 OR File the Affidavit of Identification of Judgment Creditor along with other foreign judgment filing documents and fee at the Judgment Counter on the 3rd Floor of the Government Center. Affidavit of ID District4 ENG Rev 2/15 www.mncourts.gov/district/4 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF MINNESOTA COUNTY OF HENNEPIN FOURTH JUDICIAL DISTRICT DISTRICT COURT AFFIDAVIT OF IDENTIFICATION OF JUDGMENT CREDITOR (MSA 548.28 sub 1) Plaintiff(s) ____________________________________ ____________________________________ Vs Case No. __________________ Defendant(s) ____________________________________ ____________________________________ _________________________________________, being duly sworn, deposes and says; that to the best of his/her knowledge, information, and belief, the full name(s) of the Judgment Creditor(s) in the above-entitled action is as follows: and that the business and occupation of said judgment creditor(s) is as follows: that the present residence is: (number, street, city, state, zip) The above statement of claim is true and correct to the best of my knowledge. Name Signature Address Telephone City/State/Zip Attorney ID Number Note: If creditor is in an incorporated place of more than 5,000, the street and number of both residence and business must be given. Sworn and subscribed to before me this _______ day of ________________, 20___. ____________________________________ Notary/Court Clerk Affidavit of ID District4 ENG Rev 2/15 www.mncourts.gov/district/4 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com