HOU502 State ENG Rev 2/19www.mncourts.gov/formsPage 1 of 2State of Minnesota District Court County of: Select County Judicial District: Court File Number: Case Type: Eviction (UD) Plaintiff (Landlord)vs. Defendant (Tenant) Notice of Motion and Motion for Expungement of Eviction Record (Minn. Stat. 247484.014)TO: NOTICEI will ask the court for an Order at a hearing scheduled as follows: Date: Time: Name of Courthouse: Judicial Officer (if known): Street Address: City: MOTIONI am asking the court for an Order as follows: 1.For an expungement of my eviction record.2.For these additional requests: None , or 3.For any other relief the court feels is fair and equitable. American LegalNet, Inc. www.FormsWorkFlow.com HOU502 State ENG Rev 2/19www.mncourts.gov/formsPage 2 of 2Notice to Other Party After you receive these papers, if you want to respond to anything raised by the other party in their motion and affidavit, your written response (usually called Responsive Motion & Affidavit) must be served on the other party: 267 at least five (5) days before the hearing if personally served; or 267 at least eight (8) days before the hearing if served by mail. Your responsive motion and affidavit must be filed with the District Court Administrator at least five (5) days before the hearing. *** If you do not serve and file a written response, the court might not look at papers you bring to the hearing and might not allow you to make a verbal response at the hearing.*** Verification and Acknowledgments: a.I have read this document. To the best of my knowledge, information and belief theinformation contained in this document is well grounded in fact and is warranted byexisting law.b.I have not been determined by any court in Minnesota or in any other State to be afrivolous litigant or subject to an Order precluding me from serving and filing thisdocument.c.I am not serving or filing this document for any improper purpose, such as to harass theother party or to cause delay or needless increase in the cost of litigation or to commit afraud on the court.d.I understand that if I am not telling the truth or if I am misleading the court or if I amserving or filing this document for any improper purpose, the court can order me to paymoney to the other party, including the reasonable expenses incurred by the other partybecause of the serving or filing of this document such as court costs, and reasonableattorney fees. Dated: Signature Name: Address: City/State/Zip: Telephone: E-mail address: County and State where signed American LegalNet, Inc. www.FormsWorkFlow.com