Fillable Application for State Deed for Tax-Forfeited Land (Minnesota Department of Revenue)

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Application for State Deed for Tax-Forfeited Land (Minnesota Department of Revenue)

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The Application for State Deed for Tax-Forfeited Land (Minnesota Department of Revenue) form is 3 pages long and contains:

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  • 59 other fields

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State Deed Application Form
Application for State Deed for Tax-Forfeited Land
In County
Applicant (Grantee)
Name(s) of Applicant(s)
Address of Applicant
Phone Number or Email of Applicant
City State Zip Code
Ownership Please check the appropriate box below:
Single ownership Co-ownership: joint tenancy Co-ownership: tenancy in common Co-ownership: other
Return application and all required attachments to: Minnesota Department of Revenue • Property Tax Division • Mail Station 3340 • St. Paul, MN 55146-3340
Rev. (03/20) or email: deed.application@state.mn.us Print single-sided only.
Signature(s), date, and raised seal required for mailed applications.
Conditional Use Deed
(Minn. Stat. § 282.01, subd. 1a, par. (e))
- Conditional Use Deed Supplement required -
Failure to convey to city or association
(Minn. Stat. § 282.01, subd. 1a, par. (f) or (g))
Replacement for Lost/Destroyed Deed
(Minn. Stat. § 282.33)
Release (State Agencies only)
(Minn. Stat. § 282.01, subd. 1a, par. (c))
Complete this section only if “Replacement for Lost/Destroyed Deed” is selected above as the type of acquisition.
The applicant is (check the appropriate box): the grantee named in the original deed the grantee’s successor
If the applicant is the grantee’s successor, please state the name of the grantee in the original deed (otherwise leave blank):
Date that unrecorded state deed was issued State Deed Number (if known)
Attach a statement of reasons in support of allegations that said deed has been lost or destroyed before it was
recorded (please be specific).
Replacement
No (Skip this section)
Wells Please check the appropriate box below:
There are one or more wells on this property. There are no wells on this property. No change since last well certificate.
)
(If wells disclosure certificate has been electronically filed, please list WDC number:
Wetland Certification
The wetland certification form has been completed and attached to this application.
Property Information
Date of auditor’s certificate of forfeiture
Date tax-forfeited land was sold (required for purchase and repurchase)
Date purchase price was paid in full (if applicable) Purchase price (if applicable)
Legal description of property:
(Please email longer legal descriptions to deed.application@state.mn.us)
All or part of the described real property is Registered (Torrens)
Is this application intended to correct a previous deed?
Yes (Complete this section)
State deed number of original & date issued:
Information being corrected: Grantee’s name
Legal description Other:
Was this state deed recorded? Yes No
Recording Date:
Recording Number:
(If the state deed was not recorded, please return the original state deed with this application.)
School Forest Deed
(Minn. Stat. § 282.01, subd. 1a, par. (j))
- School Forest Deed Supplement required -
Land Exchange
(Minn. Stat. § 94.344)
Authorized by statute or special law
(include citation)
_____________________________
Correction
Type of Acquisition
Purchase Financed
(Minn. Stat § 282.0
1, subd. 1a,
(Minn. Stat. §
282.01, subd. 6)
par. (b) or subd. 3 or subd. 7a)
Remove Blight/Afford. Housing
(Minn. Stat. § 282.01, subd. 1a, par. (d))
Conservation-related usage
(Minn. Stat. § 282.01, subd. 1a, par. (h))
Repurchase
(Minn. Stat. § 282.012; Minn. Stat. § 282.241)
State Deed Application Form
Page 2
Signature of County Auditor
County
Date of Signature of County Auditor
Applicant Signature (Replacement Deed Only)
(seal is required if application
is mailed in)Date of Applicant
Signature (Replacement Deed Only)
I certify that the above information is true and correct, the county board has taken the official action required under Minnesota Statute
§ 270C.88, and that therefore conveyance by state deed of the real property described above should be executed by the Commissioner
of Revenue to the above named applicant(s) as required by Minnesota Statutes, Chapter 282.
Sign, Seal and Date Here
Auditor to complete this section only if “Replacement for Lost/Destroyed Deed” is selected above as the type of acquisition.
The property described herein was duly bid in for the state for taxes payable in the year , delinquent ; and
became forfeited to the State of Minnesota on the day of , .
Replacement
Certification
All applications require the signature of the county auditor, date of the signature and raised county seal below. Applications for
Replacement Deeds will require the signature of the applicant.
Please provide the information below as it corresponds to the type of acquisition selected on the front of the form.
Blight/Affordable
Housing
Auditor to complete this section only if “Remove Blight/Afford. Housing” is selected above as the type of acquisition.
The County Board, or its delegate, of County, Minnesota, has reviewed the application of
dated , 20 , for the conveyance of certain tax-forfeited
land described therein. The county board has determined that: (1) a sale at a reduced price is in the public interest because a
reduced price is necessary to provide an incentive to correct the blighted conditions that make the lands undesirable in the
open market or the reduced price will lead to the development of affordable housing; and (2) the governmental subdivision or
state agency has documented its specific plans or correcting the blighted conditions or developing affordable housing and
the specific law or laws that empower it to acquire real property in furtherance of the plans.
Auditor to complete this section only if “Conditional Use Deed” is selected above as the type of acquisition.
The County Board, or its delegate, of County, Minnesota, has reviewed the application of
dated
, 20 , for the conveyance for an authorized
public use of certain tax-forfeited land described therein, and recommends that this application be granted.
Conditional
Use Deed
Conservation
Auditor to complete this section only if “Conservation-related usage” is selected above as the type of acquisition.
The County Board, or its delegate, of County, Minnesota, has reviewed the application of
dated , 20 , for the conveyance of certain tax-forfeited
land described therein. The county board has determined that a sale at a reduced price is in the public interest for (select one):
(1) creation or preservation of wetlands; or
(2) drainage or storage of storm water under a storm water management plan; or
(3) preservation, or restoration and preservation, of the land in its natural state.
Auditor to complete this section only if “Failure to convey to city or association” is selected above as the type of acquisition.
The County Board, or its delegate, of County, Minnesota, has reviewed the application of
, a (check one) governmental subdivision / common interest community,
dated , 20 , for the free conveyance, due to a prior failure to convey which was duly certified, of certain
tax-forfeited land described therein, and recommends that this application be granted.
Failure to
Convey
School Forest
Auditor to complete this section only if “School Forest Deed” is selected above as the type of acquisition.
The County Board, or its delegate, of ____________________ County, Minnesota, and the Commissioner of Natural Resources
has reviewed the application of ___________________________, dated ____________________, 20___ for the conveyance for
a school forest of certain tax-forfeited land described therein, and recommends that this application be granted.
Wetland Certification Form
The land is in a platted subdivision. (Auditor’s plats are not deemed platted
subdivisions for the purpose of this procedure.)
The conveyance is a transfer to correct errors in legal descriptions or grantees.
OR
Neither of the above statements apply to this parcel; therefore, the deed for this
parcel must include a restrictive covenant prohibiting enrollment of this parcel in a
state funded program providing compensation for conservation of marginal lands or
wetlands.
If you have any questions or comments concerning this determination please contact:
___________________________________, telephone number ________________________
SIGNED DATE
TITLE COUNTY
Rev. 03/20
TO: Commissioner of Revenue
Minnesota Department of Revenue
RE: Sale of Tax-forfeited Land Described As:
Insert legal description:
Pursuant to Minnesota Statutes, sections 103F.535, subdivision 1, and 282.018, subdivision 2,
a
s amended, and the procedures issued by the Department of Natural Resources and by the
Board of Water and Soil Resources, I have reviewed the available data concerning the lands
described above and have determined that the deed does not require a restrictive covenant
because:
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Application for State Deed for Tax-Forfeited Land (Minnesota Department of Revenue)

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Completed 20 November 2020

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