Affidavit Of Compliance {MOV106}

State of Minnesota Hennepin County Judicial District: Court File Number: Case Type: Fourth District Court ____________________________________ Plaintiff Affidavit of Compliance vs. _______________________________ Defendant (VIN Number) ____________________________________ Defendant (seller of vehicle) Commissioner of Public Safety Defendant STATE OF MINNESOTA COUNTY OF ) ) SS ) I, __________________________________________________________________________, state: I am the Plaintiff in this action. By first class mail, I sent the Commissioner of Public Safety a Notice of Filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle on _______________________(date). At least twenty-three (23) days have passed since I mailed the notice. The 23rd day is _____________________. I have not received an objection to my motion from the Commissioner of Public Safety. By certified mail, "return receipt requested", I mailed to the last known registered owner ___________________________________________________________________(name) at ____________________________________________________________________(address), a Notice of Filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle on _______________________(date). According to the certified mail receipt, the notice was received on ____________________(date). By certified mail, "return receipt requested", I mailed to the seller (if different from the last known registered owner) __________________________________________________(name) at ____________________________________________________________________ (address) a Notice of Filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle on __________________________(date). According to the certified mail receipt, the notice was received on ___________________ (date). MOV106 4 District th ENG Rev 03/03 www.mncourts.gov/forms Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com According to the certified mail return receipt(s), at least twenty-three (23) days have passed since the last known registered owner and seller, if different, received the Notice of Filing a Notice of Motion, Motion and Affidavit for Directing Issuance of Title to a Motor Vehicle. The 23rd day is __________________ and I have not received an objection from either the last known registered owner(s) or seller, if different. Therefore, I request the judge sign the proposed Findings of Fact and Order as requested in my Motion. I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116. Dated: Signature Name: Address: City/State/Zip: Telephone: ( E-mail address: ) MOV106 4 District th ENG Rev 03/03 www.mncourts.gov/forms Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com