CCT502 State ENG Rev 7/15www.mncourts.gov/formsPage 1 of 1State of Minnesota Conciliation Court County of: Select County Judicial District: Court File Number: Case Type: Conciliation Plaintiff (first, middle, last) Defendant (first, middle, last)vs.Demand for Limited Removal to District Court, Affidavit of Good Faith, and Notice of Hearing De Novo (New Hearing) Minn. R. Gen. Pract. 521(e) Pursuant to Rule 520, (Plaintiff/Defendant)filed a motion requesting the order for judgment be vacated and this motion was denied by the Court. Plaintiff Defendant wishes to appeal the denial of his/her motion in this matterand is removing the matter from the Conciliation Court to the District Court for a De Novo (new hearing) of this motion challenging denial of the removal. In accordance with the provisions of Minn. Stat. 491A and Conciliation Court Rule of General Practice 521(e), this removal is made in good faith and not for purpose of delay.I declare under penalty of perjury that everything that I have stated in this document is true and correct. Minn. Stat. 247 358.116. Dated: Signature County and State where signed Name: Address: City/State/Zip: Telephone: E-mail address:NOTICE OF HEARING You will please take notice that the hearing De Novo (new hearing) on the motion challenging denial of the removal will be held on at(date) (time) at .(address, city, state) American LegalNet, Inc. www.FormsWorkFlow.com