Affidavit Of Rent Escrow Under Minnesota Statute - Minnesota Judicial Branch (Page 2 of 3) in pdf

Affidavit Of Rent Escrow Under Minnesota Statute - Minnesota Judicial Branch Page 2

I estimate the cost of the repair problems to be $__________________ (if you have no

idea of the estimated cost, you should contact someone to give you a professional

estimate).

The owner(s) or manager(s) received the following written notice about the problems or

violations with my apartment or rental housing

(check all that apply)

a. On the following date, _______________, the City Inspector issued an order, a

copy of which is attached, ordering the owner(s) or manager(s) to fix the problems or

violations by __________________________ AND

1. The owner(s) and manager(s) did not complete the repairs on time.

2. The City Inspector gave the owner(s) or manager(s) too much time to

complete repairs, because: ____________________________________________

__________________________________________________________________

b. On the following date, _______________, I mailed or hand delivered to the

owner(s) or manager(s) a written list of repairs needed or other problems with my

apartment or rental housing. It has been at least 14 days since I provided the

landlord(s) and/or manager(s) with the written notice and the landlord(s) and/or

manager(s) have not completed the repairs or fixed the problems. I have attached a

copy of the list of repairs.

My rent is $_____________ per month and due on the ______________ of each month.

As of this date (check one):

a. My rent is paid in full and no rent is due until: ___________________. If this

case is not resolved by that date, then on or before that date I will deposit with the court

the amount of rent due.

b. Rent in the amount of $___________ is now due and I have attached to this

affidavit cash or a cashier’s check for the amount of rent due.

I ask the court to order one or more of the following:

a. Directing the owner(s) or manager(s) to complete the repairs and/or fix the problems

with my housing.

b. Allowing me to complete the repairs and/or fix the problems with my housing and

deduct the costs from my rent.

c. Directing that an administrator take over operation of the property to complete the

repairs and/or fix the problems with my housing.

HOU302

District4

ENG

Rev 9/07

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Affidavit Of Rent Escrow Under Minnesota Statute - Minnesota Judicial Branch Page 2