Certificate Of Consent To An Early Distribution Of Assets {70.3.7}

(Top 3 inches reserved for recording data) CERTIFICATE OF CONSENT TO AN EARLY DISTRIBUTION OF ASSETS PURSUANT TO MINN. STAT. 524.3-801(d)(6) 1. The undersigned is the Director Director's Duly Authorized Designee of Minnesota Uniform Conveyancing Blanks Form 70.3.7 (2006) (check one) (the Local Agency) . 2. , the Personal Representative of the Estate of , deceased, Court File Number , now pending in District court, Probate Division, Judicial District has asked the Local Agency to consent to a distribution of property subject to administration by the estate during the 70 day period after service of a Notice of the Commissioner of Human Services pursuant to Minn. Stat. 524.3-801(d)(1). 3. The Local Agency: (check and complete one of the following paragraphs) Consents to the distribution of any or all of the property subject to administration by the estate during the 70 day period following service of the Notice; Consents only to the distribution of the specific property subject to administration by the estate during the 70 day period following service of the Notice: (List each item of personal property and legally describe the real property.) Check here if all or part of the described real property is Registered (Torrens) Note: This instrument is recordable without an acknowledgment pursuant to Minn. Stat. 524.3-801(d)(6) Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com Page 2 of 2 Minnesota Uniform Conveyancing Blanks Form 70.3.7 (check one of the following paragraphs) 4. This Consent is subject to the following terms and conditions: This consent is unconditional; This consent is subject to the following terms and conditions: 5. This Consent is effective: (list all) (check one of the following paragraphs) As of the date of this consent is dated: As of: (specify the date or circumstances upon which this Consent becomes effective) DATE: (month/day/year) (name of Local Agency) By: (Director/Director's Designee) THIS INSTRUMENT WAS DRAFTED BY: (insert name and address) American LegalNet, Inc. www.FormsWorkflow.com