COUNTY OF: _____________________ SC or R MINNESOTA TAX COURT - PROPERTY TAX PETITION TRANSFER FORM ADDRESS AND PHONE NUMBER PETITIONER NAME(S) (Pro Se or Attorney Name, Address, Phone & Registration No.) TA-00040-01 (11/2016) DISTRICT COURT FILE NUMBER (Small Claims or Reg Div) TAX PAYABLE YEAR DATE PETITION FILED (NOT DATE ENTERED IN MNCIS, PLEASE) Petitioner/Attorney Name: _____-CV-____- _______ Address: 20____ ___ / ___ / 20___ Email: Phone: Fax: Atty. Reg. No.: Petitioner/Attorney Name: _____-CV-____- _______ Address: 20____ ___ / ___ / 20___ Email: Phone: Fax: Atty. Reg. No.: Petitioner/Attorney Name: _____-CV-____- _______ Address: 20____ ___ / ___ / 20___ Email: Phone: Fax: Atty. Reg. No.: Petitioner/Attorney Name: _____-CV-____- _______ Address: 20____ ___ / ___ / 20___ Email: Phone: Fax: Atty. Reg. No.: Minnesota Tax Court, 245 Minnesota Judicial Center, 25 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 / (651) 539-3260 Fax to: info@taxcourt.state.mn.us American LegalNet, Inc. www.FormsWorkFlow.com