CCT701 State ENG Rev 2/17www.mncourts.gov/formsPage 1 of 1State of Minnesota Conciliation Court County of: Select County Judicial District: Court File Number: Case Type: ConciliationPower of Attorney for Conciliation Court Case Minn. Stat. 247 491.02, Subd. 4(a) According to Minn. Stat. 247 491A.02, Subd. 4(a), a corporation, partnership, limited liability company, sole proprietorship, or association may be represented in conciliation court by an officer, manager, or partner (or an agent in the case of a condominium, cooperative, or townhouse association), or may appoint an employee or commercial property manager to appear on its behalf or settle a claim in conciliation court. My name is My title is I am with(name of business entity), which is a (check one): corporation partnership sole proprietorship association I authorize(name of employee or commercial property manager) to appear on the entity222s behalf (including the ability to start and to settle a claim) in conciliation court in Minnesota. Dated: Signature Name: Title: Address: City/State/Zip: Telephone: E-mail: American LegalNet, Inc. www.FormsWorkFlow.com