Form OTH301 "Power of Attorney in Fact" - Minnesota

What Is Form OTH301?

This is a legal form that was released by the Minnesota District Courts - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the Minnesota District Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form OTH301 by clicking the link below or browse more documents and templates provided by the Minnesota District Courts.

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Download Form OTH301 "Power of Attorney in Fact" - Minnesota

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STATE OF MINNESOTA
___________________ JUDICIAL DISTRICT
COUNTY OF ______________________
DISTRICT COURT
POWER OF ATTORNEY IN FACT
_______________________________________
Name of Entity
STATE OF MINNESOTA
)
) SS
COUNTY OF
)
I, __________________________________, _____________________________________, of
Name
Title of Authorized Position Held
____________________________________________________________________________________________,
Name of Entity
Corporation, Partnership, Sole Proprietorship, Association (circle one) duly authorized to do
business in the State of Minnesota hereby appoint and authorize:
______________________________________________________________________________
Name or Names of Employees
as attorney in fact for the business, to commence, prosecute, defend, satisfy or settle any claim or
cause of action brought by or against said business in the court of _____________________
County, State of Minnesota, and to execute on behalf of the business any and all documents and
pleadings necessary to accomplish said purpose.
I declare under penalty of perjury that everything I have stated in this document is true and
correct. Minn. Stat. § 358.116.
Date:
_______________
____________________________________
Signature
____________________________________
Title
OTH301
State
ENG
Rev 7/15
www.mncourts.gov/forms
Page 1 of 1
STATE OF MINNESOTA
___________________ JUDICIAL DISTRICT
COUNTY OF ______________________
DISTRICT COURT
POWER OF ATTORNEY IN FACT
_______________________________________
Name of Entity
STATE OF MINNESOTA
)
) SS
COUNTY OF
)
I, __________________________________, _____________________________________, of
Name
Title of Authorized Position Held
____________________________________________________________________________________________,
Name of Entity
Corporation, Partnership, Sole Proprietorship, Association (circle one) duly authorized to do
business in the State of Minnesota hereby appoint and authorize:
______________________________________________________________________________
Name or Names of Employees
as attorney in fact for the business, to commence, prosecute, defend, satisfy or settle any claim or
cause of action brought by or against said business in the court of _____________________
County, State of Minnesota, and to execute on behalf of the business any and all documents and
pleadings necessary to accomplish said purpose.
I declare under penalty of perjury that everything I have stated in this document is true and
correct. Minn. Stat. § 358.116.
Date:
_______________
____________________________________
Signature
____________________________________
Title
OTH301
State
ENG
Rev 7/15
www.mncourts.gov/forms
Page 1 of 1