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

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    aarrss08
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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.

    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
    Flag for inappropriate content
    Download as doc, pdf, or txt
    16 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
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 3

    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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