STATE OF MINNESOTA | □ Supreme Court |
□ Court of Appeals |
Case Title | Appellate Court | |
Case Number: | NOTICE, STATEMENT AND CLAIM OF | |
COSTS AND DISBURSEMENTS INCURRED | ||
BY PREVAILING PARTY |
Prevailing Party: | |||
_ | |||
□ Appellant | □ Respondent | □ Relator |
COSTS AND DISBURSEMENTS | |||
Statutory Costs. | $_ 300.00 | Printing Appellant's brief and Appendix. | $_ |
Clerk of The Appellate Courts Filing Fee. | $_ | Postage. | $_ |
Transcript of case used for appeal to Appellate Courts only. | $_ | Premium on appeal bond. | $_ |
Printing of Respondent's brief... | $_ | Other. | $_ |
The above bill of Costs and Disbursements taxed and allowed_ | |||
Dated | |||
_ | By _ | ||
Clerk of the Appellate Courts | Assistant Clerk | ||
STATE OF MINNESOTA | |||
County of _ |
Being duly sworn, I the attorney for the prevailing party in the above-entitled action, state that the above is a true and correct statement of costs incurred and disbursements made by the prevailing party in that action.
NOTARY STAMP, SIGNATURE AND DATE: | Respectfully, |
_ | _ |
Dated | Attorney's Name |
_ | _ |
Signature | Address |
_ | |
Signature | |
_ | |
NOTICE TO ATTORNEY FOR ADVERSE PARTY(S): | Costs and disbursements will be taxed pursuant to Rule 139.03 (Rules of Civil |
ADVERSE PARTY(S) BEING TAXED: | Appellate Procedure), objections thereto may be filed pursuant to Rule 139.04. |
_ | _ |
ATTORNEY | ATTORNEY |
For_ | For_ |
(Name of Party) | (Name of Party) |
_ | _ |
ATTORNEY | ATTORNEY |
For_ | For_ |
(Name of Party) | (Name of Party) |
(Added effective January 1, 1999.)