Title: Answer #1: priavte tenancy

STATE OF MINNESOTA

COUNTY OF

DISTRICT COURT
 ______________ JUDICIAL DISTRICT
                     DIVISION:                       
CASE TYPE:

,
		Plaintiff,

v.

                                                                 ,
		Defendant.

NOTICE OF REQUEST
FOR JUDGE REVIEW

LASM Form No. JR-1 (August 2004)

Case No.

	TO:	                                       , the opposing party:
	PLEASE TAKE NOTICE that the undersigned requests a review of the recommended Order and Findings of the Housing Court Referee in this case by a District Court Judge at a time and place set aside for the hearing of such a review by the Court.
	1.	This request for review is made upon the following grounds:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         .
	2.	The specific provision(s) of the recommended findings or orders disputed is/are:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  .
	3.	A stay of execution of judgment:
		a.	G	is requested.  The undersigned proposes payment into court in lieu of bond in the amount of her monthly rent for                                of $_____, on or before 4:00 p.m. on ___________________________, and $_____ by the ___ day of each month while judge review is pending.
b.	G	is not requested.
	4.	Transcript of proceedings.
		a.	G	The undersigned requests a transcript of proceedings.
			i.	G	The estimated transcript fee must be paid in cash or certified funds to the court reporter in advance with any balance due paid to release of the transcript.
			ii.	G	The undersigned requests that the transcript fee by waived in forma pauperis.
		b.	G	The undersigned does not request a transcript of proceedings.
	5.	Hearing.  
		a.	G	The undersigned requests a hearing be scheduled before the reviewing judge.
		b.	G	The undersigned does not request a hearing.

____________________________________
Date

____________________________________

OPTIONAL VERIFICATION:

Subscribed and sworn to before me
on __________________________

      Notary Public

LASM No. JR-1 (August 2004)		Notice of Request for Judge Review