HOU102 State ENG Rev 5/19www.mncourts.gov/formsPage 1 of 3State of MinnesotaDistrict Court County of: Select County Court File Number: Judicial District:Case Type:HousingEVICTION ACTION COMPLAINT (Minn. Stat. 247504B.321)Plaintiff #1 (Landlord) Name: Address: City/State/Zip Defendant #1 (Tenant) Name: Address: City/State/Zip: VS.Plaintiff #2 (Landlord) Name: Address: City/State/Zip: Defendant #2 (Tenant) Name: Address: City/State/Zip Check box if there are more than two plaintiffs or more than two defendants. List the information for the other parties on the Additional Litigants Form (HOU125).1. Rental Agreement Landlord leased or rented property located at: Apartment # in the city of, the state of Minnesota, Zip Code , in the county ofand does does notinclude a garage.The agreement for the property, beginning from and ending is an ORAL or WRITTENagreement and is for:(Check all that apply) Payment of Rent. The current rent due and payable under this agreement each month is$ due on the day of each month. Exchange of Services. The agreement for exchange of services was: (explain in detail) 2. Notice of Right of Possession by Landlord for Residential LeasesLandlord having present right of possession of the residential property, has followed Minn. Stat. 247504B.181 by: (You must check either A and B, or C) a. informing the Tenant, either in the rental agreement or otherwise in writing, before American LegalNet, Inc. www.FormsWorkFlow.com HOU102 State ENG Rev 5/19www.mncourts.gov/formsPage 2 of 3the beginning of the tenancy the name and address of: i. the person authorized to manage the property AND ii. a landlord or agent authorized by the landlord to accept service of process and receive and give receipt for notices and demands AND b. Posting in an obvious place on the property a printed or typewritten notice thatincludes the information above. Explain where the notice is posted: OR c. The Tenant knew of the name and address of the person authorized to manage theproperty and accept and give receipt for notices and demands, at least 30 days before the filing of this action because: 3. Grounds for EvictionLandlord seeks to have the Tenant evicted for the following reasons: (Check all that apply) a. The Tenant is still in possession of the premises and has failed to pay the rent for the month(s) ofin the amount of $ per month payable on the day of each month for a total due of$ . b. The Tenant failed to vacate the property after written notice was given: (Check allthat apply) Landlord gave written notice to tenant on to vacate the property by. Tenant has failed to vacate the property. Tenant gave written notice to Landlord on that they would vacate the property by. Tenant has failed to vacate the property. c. The Tenant has broken the terms of the rental agreement with property landlord by:(be specific) d. The Tenant has breached the covenants at stated in Minn. Stat. 247504B.171 by:(be specific) e. The Tenant defaulted on the mortgage and the property has been sold at a Sheriff's sale. The Redemption period has expired and Plaintiff is entitled to possession. American LegalNet, Inc. www.FormsWorkFlow.com HOU102 State ENG Rev 5/19www.mncourts.gov/formsPage 3 of 3 f.The Tenant defaulted on a Contract for Deed and is holding over after propercancellation of the contract.4.The Landlord seeks judgment against the above Tenants for restitution of said premises pluscosts and disbursements.5.Tenant #1 date of birth / Unknown; Tenant #2 date of birth / Unknown; If a tenant is a business, leave this section blank for that tenant.6.Military status for Tenant:Tenant # 1 is in the military service is not in the military service UnknownTenant # 2 is in the military service is not in the military service Unknown If a tenant is a business, leave this section blank for that tenant.I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116.****Notice: A licensed attorney must sign the Complaint and appear in court on behalf of a corporation or LLC. **** Dated: Signature County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address: American LegalNet, Inc. www.FormsWorkFlow.com