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State of Minnesota District Court: County Judicial District: Court File Number: Case Type

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aarrss08

This document is a notice and application for taxation of costs and disbursements filed by a plaintiff/petitioner in a court case. It lists various expenses incurred during the case, such as filing fees, service costs, deposition costs, and expert witness fees. The total costs claimed and the amounts allowed by the court are indicated. The document certifies the costs are accurately reported. It provides notice to adverse parties that costs will be taxed according to court rules and allows for objections to be filed.

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State of Minnesota District Court: County Judicial District: Court File Number: Case Type

Uploaded by

aarrss08
35 views3 pages
This document is a notice and application for taxation of costs and disbursements filed by a plaintiff/petitioner in a court case. It lists various expenses incurred during the case, such as filing fees, service costs, deposition costs, and expert witness fees. The total costs claimed and the amounts allowed by the court are indicated. The document certifies the costs are accurately reported. It provides notice to adverse parties that costs will be taxed according to court rules and allows for objections to be filed.

Original Description:

Notice and Application for Taxation of Costs

Original Title

CIV116

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This document is a notice and application for taxation of costs and disbursements filed by a plaintiff/petitioner in a court case. It lists various expenses incurred during the case, such as filing fees, service costs, deposition costs, and expert witness fees. The total costs claimed and the amounts allowed by the court are indicated. The document certifies the costs are accurately reported. It provides notice to adverse parties that costs will be taxed according to court rules and allows for objections to be filed.

Copyright:

© All Rights Reserved
Download as DOC, PDF, TXT or read online from Scribd
Download as doc, pdf, or txt
35 views3 pages

State of Minnesota District Court: County Judicial District: Court File Number: Case Type

Uploaded by

aarrss08
This document is a notice and application for taxation of costs and disbursements filed by a plaintiff/petitioner in a court case. It lists various expenses incurred during the case, such as filing fees, service costs, deposition costs, and expert witness fees. The total costs claimed and the amounts allowed by the court are indicated. The document certifies the costs are accurately reported. It provides notice to adverse parties that costs will be taxed according to court rules and allows for objections to be filed.

Copyright:

© All Rights Reserved
Download as DOC, PDF, TXT or read online from Scribd
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State of Minnesota District Court

County Judicial District:


Court File Number:
Case Type:

,
Plaintiff/Petitioner
Notice and Application for
And Taxation of Costs and Disbursements

.
Defendant/Respondent

To:
Name of other party
and
County Court Administration
(Name of County)

State of Minnesota )
) SS
County of )

I, submit this application for costs and disbursements:

Costs and Disbursements Amount Amount


Claimed Allowed
Statutory Costs (Minn. Stat. § 549.02, subd. 1) $ $
Court Filing Fee $ $
Motion Fees $ $
Jury Fee $ $
Medical Record Fees $ $
Cost of Service $ $
Subpoena Fees $ $
Experts (specify total amount sought and list in an
attachment the name, date of appearance at hearing/trial
and a breakdown of claimed expenses for each expert) $ $
Reproduction of Exhibits $ $
Depositions (specify total amount sought and list in
an attachment: the name of the deponent, date the
deposition was used at hearing/trial - either offered as
an exhibit or used to impeach a witness - and specify
expenses associated with both the video deposition and
the traditional deposition) $ $

CIV116 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 3


Other (specify or attach separate sheet in this form) $ $
TOTAL CLAIMED: $
I, (the attorney for a party in the above-entitled action) (a party in the above-entitled action) state
that the above is a true and correct statement of costs incurred and disbursements made and
which the above-named party is entitled to recover in this action.

I declare under penalty of perjury that everything I have stated in this document is true and
correct. Minn. Stat. § 358.116.

Signature

Attorney’s Name / Party’s name


(use party’s name if party not represented by counsel)

Address

City, State, Zip

E-mail address

TOTAL ALLOWED: $
This above bill of Costs and Disbursements taxed and allowed as indicated in the right-hand column,
above.

Date Court Administrator or District Court Judge

By
District Court Administrator Deputy Administrator

CIV116 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 3


Costs and disbursements will be taxed
NOTICE TO ATTORNEY FOR pursuant to Rule 54.04 (Rules of Civil
ADVERSE PARTY(S): Procedure). Objections may be filed
Pursuant to Rule 54.04(c).
ADVERSE PARTY(S) BEING TAXED:

Attorney or Adverse Party’s name if no attorney Attorney or Adverse Party’s name if no attorney

For For
(Name of Party) (Name of Party)

Attorney or Adverse Party’s name if no attorney Attorney or Adverse Party’s name if no attorney

For For
(Name of Party) (Name of Party)

Note: If adverse party is not represented by an attorney, cross out Attorney and print adverse party’s name (use
additional pages to identify additional parties)

State of Minnesota )
)
County of )

I, , of the City of ,
County of , State of Minnesota, that on the day of
, , served the Notice and Application for Taxation of Costs
and Disbursements incurred by prevailing party on the person(s) named below by mailing a copy
thereof, enclosed in an envelope, postage prepaid, and by depositing the same in the post office
at , directed to the attorney / party at the
following address(es):

Name Name

Address Address

City, State, Zip City, State, Zip


(If more than one party / attorney served, include information on a separate list and attach)

I declare under penalty of perjury that everything I have stated in this document is true and
correct. Minn. Stat. § 358.116.

Signature of Affiant

CIV116 State ENG Rev 7/15 www.mncourts.gov/forms Page 3 of 3

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