HOU106 State ENG Rev 8/18www.mncourts.gov/formsPage 1 of 1State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Housing Plaintiff (first, middle, last) vs. Defendant (first, middle, last)Affidavit of Personal or Substitute Service I, state that I am at least 18 years of age (Name of person who hand-delivered documents) having been born on and that onI served the attachedSummons and Complaint in an Eviction Action upon the named defendant(s) ( Name of defendant(s)) at: (street address, city, state, zip code).by personally handing a true and correct copy of the document to: the defendant(s) named above OR (Name of person you handed the papers to, if someone other than defendant), a person of suitable age and discretion residing with the defendant(s). 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: American LegalNet, Inc. www.FormsWorkFlow.com