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APPELLATE PROCEDURE

Forms provided here are for reference purposes. To download forms to fill out please visit the Minnesota Courts website.

FORM 139 - TAXATION OF COSTS AND DISBURSEMENTS

STATE OF MINNESOTA□ Supreme Court
□ Court of Appeals
Case TitleAppellate 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.$_ 300.00Printing Appellant's brief and Appendix.$_
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 CourtsAssistant 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,
__
DatedAttorney's Name
__
SignatureAddress
_
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.
__
ATTORNEYATTORNEY
For_For_
(Name of Party)(Name of Party)
__
ATTORNEYATTORNEY
For_For_
(Name of Party)(Name of Party)

(Added effective January 1, 1999.)