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Minnesota Divorce Real Estate Disclosure Form

For declaring the real estate that a spouse own in the State of Minnesota, the Minnesota Divorce Real Estate Disclosure Form has to be completed and submitted.

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Real Estate Attachment    Approved by Conference of Chief Judges:  Draft	 
 
General Rules Form 12  Page 1 of 1  Revised:  12/12/03
  Real Estate Attachment  
Fill out a separate Attachment for each parcel of real estate. 
 
1.  Real Estate belongs to (list all owners):              	
            	 
 
2.  Street Address of the real estate is:             
    
City:     	
State:    	Zip Code:   	 
The property is in        	
County. 
 
3.  Legal Description is: (Use the full legal description from the deed.  If the legal 
description is long, you may use an attachment.  Type or print neatly.) 
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
___________________________________________________   	
 
 
4.  Purchase date:___________(month, day, year) and purchase price:$               
. 
 
5.  Mortgages or loans:  (Write “NONE” if there is no mortgage) 
1	
st Mortgage: Amount currently owed:  $    	and name of lender:   	
                      	. 
     2	nd Mortgage: Amount currently owed: $     	and name of lender:   	
                      	. 
 
6.  Current Market Value of this property: $                      
. 
 
7.  This property is the homestead: 	
 Yes  	 No. 
 
Agreement of the Parties 
1.  All right, title, and interest of husband and wife in the real estate described above shall 
be awarded to:  	
 Husband 	 Wife. 
 
2.  Husband and Wife also agree that:  (Describe any liens in favor husband or wife, or 
other agreements about the use, sale of, or award of the property. Attach additional pages 
if needed. If there are no other agreements, write “None”.) 
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________ 
 
3.  The Mortgage(s) or Loan(s) described above shall be paid by 	
 Husband 	Wife 
starting on the following date:         	
(write “NONE” if there is no mortgage or loan).
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