Notice Of Motion - Motion And Affidavit For Order Directing Issuance Of Title {MOV102}

State of Minnesota Hennepin County Judicial District: Court File Number: Case Type: Fourth District Court ____________________________________ Plaintiff vs. _______________________________ Defendant (VIN Number) ____________________________________ Defendant (seller of vehicle) Commissioner of Public Safety Defendant Notice of Motion, Motion, and Affidavit for Order Directing Issuance of Title to a Motor Vehicle (Minn. Stat. §§ 168A.04, 168A.08 168A.25) NOTICE OF MOTION AND MOTION To: The Above-named Defendant: and The Commissioner of the Department of Public Safety C/O MN Attorney General's Office, Public Safety Division 445 Minnesota St, Suite 1800 St. Paul, MN 55101-2134 Comes now the Plaintiff requesting an order of this Court directing the Department of Public Safety, Division of Motor Vehicle Registration to issue a title and registration for the below mentioned vehicle, License Plate No. _______________________________________________, Vehicle Identification Number _____________________________________________________ to ____________________________________________________________________________ (name you want on the title, full address) _______________________________________________________________________________. AFFIDAVIT State of Minnesota County of ) ) SS ) I ___________________________________________________________________, state: (first, middle, last) MOV102 4 District th ENG Rev 09/15 www.mncourts.gov/forms Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com 1. I am the Plaintiff in this action. My date of birth is: _________________________________. 2. I purchased the vehicle described below from ______________________________________ Name, Address, City, State and Zip Code of seller ___________________________________________________________________________ for $____________________________ on _______________________________________. Date Make _________________________ Model ___________________Year _______________ License Plate No. ____________ Vehicle Identification No. __________________________ Vehicle Body Type _______________ New Used 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 ______________________________________ has issued a Notice of Release. In order of priority, list Name, Address and Dates of security agreements of any secured parties: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ MOV102 4 District th ENG Rev 09/15 www.mncourts.gov/forms Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com 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; the Department has reasonable grounds to believe that the application contains a false or fraudulent statement; I have failed to furnish required information or documents or any additional information the Department reasonably requires; I have not paid at least one month's registration tax or registered the vehicle under MS.168.187. 7. I was told that I could obtain a title for the vehicle only if I posted a bond in the amount of $______________. I have posted the bond. I have not posted the bond. or I was told by the Department on ____________________ (date) that I do not qualify for the bond. 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: ) MOV102 4 District th ENG Rev 09/15 www.mncourts.gov/forms Page 3 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Proof of Mailing STATE OF MINNESOTA ) ) SS COUNTY OF ) I, _______________________________, state that on __________________, I served the Notice (Full Name) (Date) of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle and Notice of Filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title on ________________________________________________________________________ (Defendant's name) by placing a true and correct copy thereof in an envelope addressed to him/her at their last known address at: _____________________________________________________________________ (street address, city, state, zip code) and depositing the same, with postage prepaid, in the United States Mail at __________________ __________________________, Minnesota. (city) 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: ) MOV102 4 District th ENG Rev 09/15 www.mncourts.gov/forms Page 4 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Proof of Mailing STATE OF MINNESOTA ) ) SS COUNTY OF ) I, ____________________________________, state that on __________________, I served the (Full Name) (Date) Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle and Notice of Filing a Notice of Motion, Motion