(Top 3 inches reserved for recording data) CERTIFICATE AND REQUEST FOR NOTICE by Individual(s) Minnesota Uniform Conveyancing Blanks Form 60.6.1 (2011) 1. The name and mailing address of the person holding a lien or having a redeemable interest in real property requesting notice is: ("Requesting Party"). 2. The redeemable interest or lien of the Requesting Party was created by the following instrument: dated recorded on Page (insert name of document/instrument) (month/day/year) Document Number (or in Book of (month/day/year) and , ), in the Office of the County Recorder Registrar of Titles of (check the applicable boxes) County, Minnesota. County, 3. The Requesting Party has a redeemable interest in or lien upon real property in Minnesota, described as follows: Check here if all or part of the described real property is Registered (Torrens) 4. The Requesting Party requests notice of any mortgage foreclosure by advertisement as provided in Minn. Stat. 580.032, subd. 1. 5. The Requesting Party requests notice of any post-foreclosure sale reduction of the mortgagor's redemption period for any superior lien as provided in Minn. Stat. 582.032, subd. 3. Note: Remainder of page left blank, signature page follows. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 60.6.1 (signature) (signature) The foregoing was acknowledged before me this day of , 20 , by . (Stamp) (signature of notarial officer) Title (and Rank): My commission expires: (month/day/year) THIS INSTRUMENT WAS DRAFTED BY: (insert name and address) American LegalNet, Inc. www.FormsWorkFlow.com