X hits on this document

7 views

0 shares

0 downloads

0 comments

2 / 4

Name and Address of seller

for $ Make License Plate No. Vehicle Body Type

on

Date

Model Vehicle Identification No.

New

Used

.

Year

Odometer

This is the true cumulative mileage. It is unknown whether this is the true cumulative mileage.

To the best of buyer(s) knowledge this vehicle

has sustained damage in excess of 70% actual cash value has not sustained damage in excess of 70% actual cash value.

3.

I am the sole owner of this vehicle. The following individual(s) is/are co-owner(s) of the vehicle: Provide first, middle, last name; address; and date of birth of each co-owner:

  • 4.

    I paid in full the above amount and there is:

    • no other secured interest in the vehicle. or

    • the secured party

Release.

has issued a Notice of

In order of priority, list Name, Address and Dates of security agreements of any secured parties:

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

5. I have been unable to obtain a certificate of title from the former owner for the following reason(s):

  • I have been unable to locate the former owner to obtain the Certificate of Title for the vehicle.

  • Other (specify)

6.

The reason given by the Department of Public Safety for not issuing a title is:

the Department has reasonable grounds to believe that I am not the owner of the vehicle;

MOV102

State

ENG

Rev 5/04

www.courts.state.mn.us/forms

Page 2 of 4

Document info
Document views7
Page views7
Page last viewedFri Oct 28 16:14:52 UTC 2016
Pages4
Paragraphs143
Words927

Comments