(Top 3 inches reserved for recording data) SUMMARY REAL ESTATE DISPOSITION JUDGMENT Minn. Stat. 518.191 Minnesota Uniform Conveyancing Blanks Form 80.1.2 (2008) State of Minnesota County of DISTRICT COURT Judicial District Court File Number In Re the Marriage of: , Petitioner and SUMMARY REAL ESTATE DISPOSITION JUDGMENT , Respondent/Co-Petitioner , and the Judgment and 1. Petitioner and Respondent (collectively the “Parties”) were married on (month/day/year) Decree of Dissolution terminating that marriage (the “Judgment”) was entered on . (month/day/year) 2. The Parties are represented by: Petitioner (check applicable box and complete the blank if applicable) appeared pro se was represented by the following attorney: Name of Petitioner’s Attorney: Respondent (check applicable box and complete the blank if applicable) appeared pro se was represented by the following attorney: Name of Respondent’s Attorney: Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 Minnesota Uniform Conveyancing Blanks Form 80.1.2 3. The Summons and Petition were served on Respondent: (check the applicable box) joint petition for dissolution, no summons required under Minn. Stat. 518.09 personally, pursuant to Minn. R. Civ. P. 4.03(a) or Minn. Stat. 543.19 by publication, as follows: (complete) Legal newspaper(s) County(ies) Dates of publication In addition to publication, Petitioner has complied with any further requirements ordered by the court pursuant to Minn. Stat. 518.11(c). 4. The Judge (and referee, if any) who signed the Order for Judgment was . 5. The Judgment resulted from a: (check the applicable box and complete the applicable blanks) Stipulation or Joint Petition for Dissolution Was the real property described by a legal description? Yes No Default Did the Petition contain a legal description of the property? Yes No Was the disposition made in accordance with the request for relief? Yes No Appearances made on behalf of Petitioner: on behalf of Respondent: Trial Appearances made on behalf of Petitioner: on behalf of Respondent: 6. The Judgment changed the name of: (check applicable boxes and complete the applicable blanks) Petitioner To: (insert Petitioner’s new name) Respondent To: (insert Respondent’s new name) Neither party American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 Minnesota Uniform Conveyancing Blanks Form 80.1.2 7. Each parcel of real estate affected by the Judgment is as follows: (if additional parcels, see Exhibit A attached) Parcel 1: 1) Address: 2) Legal description: (insert full legal description) 3) If the parcel is Torrens, what is the Certificate Number? 4) The following persons were awarded an interest in the above-described real estate: (complete) Property interest awarded Person(s) awarded an interest 5) The following liens, mortgages, encumbrances, or other interests in the above-described real estate were described in the Judgment: (complete) Nature of described interest Person(s) with described interest 6) The following are the triggering or contingent events set forth in the Judgment affecting the disposition of the above-described real estate: (if none, so state) This Summary Real Estate Disposition Judgment, or a certified copy hereof, may be recorded in place of the original Judgment in the office of any county recorder or registrar of titles in which any parcel of real estate described herein is located, with the same effect as the recording of the full Judgment would have had. Approval of Summary Real Estate Disposition Judgment: By the Court: Dated: (month/day/year) Judge Court Administrator By: Dated: (month/day/year) Deputy American LegalNet, Inc. www.FormsWorkFlow.com Minnesota Uniform Conveyancing Blanks Form 80.1.2 EXHIBIT A Parcel 2: 1) Address: 2) Legal description: (insert full legal description) 3) If the parcel is Torrens, what is the Certificate Number? 4) The following persons were awarded an interest in the above-described real estate: Person(s) awarded an interest (complete) Property interest awarded 5) The following liens, mortgages, encumbrances, or other interests in the above-described real estate were described in the Judgment: (complete) Person(s) with described interest Nature of described interest 6) The following are the triggering or contingent events set forth in the Judgment affecting the disposition of the above-described real estate: (if none, so state) American LegalNet, Inc. www.FormsWorkFlow.com Minnesota Uniform Conveyancing Blanks Form 80.1.2 EXHIBIT A — page 2 Parcel 3: 1) Address: 2) Legal description: (insert full legal description) 3) If the parcel is Torrens, what is the Certificate Number? 4) The following persons were awarded an interest in the above-described real estate: Person(s) awarded an interest (complete) Property interest awarded 5) The following liens, mortgages, encumbrances, or other interests in the above-described real estate were described in the Judgment: (complete) Person(s) with described interest Nature of described interest 6) The following are the triggering or contingent events set forth in the Judgment affecting the disposition of the above-described real estate: (if none, so state) American LegalNet, Inc. www.FormsWorkFlow.com