(Top 3 inches reserved for recording data) NOTICE OF PENDENCY OF PROCEEDING AND POWER OF ATTORNEY TO FORECLOSE MORTGAGE by Individual(s) Minn. Stat. 580.025, 580.032, 580.05 DATE: Minnesota Uniform Conveyancing Blanks Form 60.1.1 (2011) (month/day/year) The undersigned hereby employ(s), authorize(s), and empower(s) as the undersigned's attorney(s) to foreclose by advertisement the Mortgage described below ("Mortgage"), and to do all things necessary and incident thereto. YOU ARE NOTIFIED that a proceeding is about to be commenced to foreclose the Mortgage. INFORMATION REGARDING MORTGAGE TO BE FORECLOSED 1. Date of Mortgage: 2. Mortgagors: (month/day/year) (insert name of each Mortgagor named in the Mortgage) . 3. Mortgagees: (insert name of each Mortgagee named in the Mortgage) . 4. Recording Information: Recorded on of County, Minnesota. , Page (month/day/year) , as Document Number (or in Book ), in the Office of the County Recorder Registrar of Titles of (check the applicable boxes) Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Minnesota Uniform Conveyancing Blanks Form 60.1.1 5. Assignments of Mortgage, if any: Assigned to recorded on of Further assigned to recorded on of (insert name of Assignee) , Page (month/day/year) , as Document Number by written assignment (or in Book ), in the recording office stated in paragraph 4. (insert name of Assignee) , Page (month/day/year) , as Document Number ), in the recording office stated in paragraph 4. by written assignment (or in Book For additional assignments of Mortgage, provide the relevant information below. INFORMATION REGARDING MORTGAGED PREMISES 6. Tax parcel identification number of the mortgaged premises: 7. Legal description of the mortgaged premises: Check here if all or part of the described real property is Registered (Torrens) 8. The physical street address, city, and zip code of the mortgaged premises: . OTHER FORECLOSURE DATA 9. The person holding the Mortgage: (check one) is a transaction agent, as defined by Minn. Stat. 58.02, subd. 30. The name(s) of the transaction agent, residential mortgage servicer, and the lender or broker, as defined in Minn. Stat. 58.02, is/are . The transaction agent's mortgage identification number, if stated on the Mortgage, is . is not a transaction agent, as defined by Minn. Stat. 58.02, subd. 30. The name(s) of the residential mortgage servicer and the lender or broker, as defined in Minn. Stat. 58.02, is/are . American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Minnesota Uniform Conveyancing Blanks Form 60.1.1 10. If stated on the Mortgage, the name of the mortgage originator, as defined in Minn. Stat. 58.02, is . (signature) (signature) State of Minnesota, County of This instrument was acknowledged before me on , by . (month/day/year) (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