Affidavit Of Service - Criminal Expungement
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Affidavit Of Service - Criminal Expungement Form. This is a Minnesota form and can be use in District Court Statewide.
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Tags: Affidavit Of Service - Criminal Expungement, EXP-104, Minnesota Statewide, District Court
State of Minnesota
District Court
County
Judicial District:
Court File Number:
Case Type:
Criminal
Affidavit of Service
STATE OF MINNESOTA
COUNTY OF
)
)
(County where Affidavit Signed)
I,
(Name of person who mailed the documents),
, I
being duly sworn upon oath, state that I am at least 18 years of age; that on
served the attached documents (Notice of Hearing and Petition for Expungement and Proposed Order) by
mailing a true and correct copy to the following parties at the following addresses by placing the documents
with sufficient postage:
in the U.S. mail in the city of
Minnesota Attorney General
Public Safety/Gambling Division
1800 NCL Tower, 445 Minnesota St
St Paul MN 55101-2134
Bureau of Criminal Apprehension
Attn: Records Department
1430 Maryland Ave E
St Paul, MN 55106
Dated:
Signature
Sworn/affirmed before me this (Date):
(Sign only in presence of notary or Court Deputy)
Print Name:
Address:
City/State/Zip:
Notary Public/Deputy Court Administrator
Telephone:
EXP104
www.courts.state.mn.us/forms
State
ENG
Rev 12/03
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