IN THE JUSTICE OF THE PEACE COURT OF THE STATE OF DELAWARE, IN AND FOR COURT NO. COURT ADDRESS: CIVIL ACTION NO. COUNTY ANSWER TO PETITION FOR TITLE TO ABANDONED PROPERTY AND REQUEST FOR INFORMATION Petitioner/Property Holder Owner/Lienholder/Other interest holder Address (street, city, state, zip code) Address (street, city, state, zip code) Phone Number Phone Number CONCERNING: (Description of Property) AS TO THE ABOVE PROPERTY, I AM (Check one): OWNER LIENHOLDER (SPECIFY TYPE AND AMOUNT): OTHER HOLDER OF AN INTEREST (SPECIFY TYPE AND AMOUNT): RELEASE OF INTEREST OR DECLARATION OF INTENT TO CONTEST (CHECK ONE): RELEASE OF TITLE/LIEN/OTHER INTEREST: I HEREBY RELEASE ALL MY RIGHTS, TITLES, AND INTEREST IN THE PROPERTY DESCRIBED ABOVE. I UNDERSTAND THAT I HAVE A LEGAL RIGHT TO A HEARING AND BY CHECKING THIS RELEASE AND SIGNING BELOW, I GIVE UP ALL RIGHTS TO A HEARING AS WELL AS MY INTEREST IN THE PROPERTY DESCRIBED ABOVE. DECLARATION OF INTENT TO CONTEST: I INTEND TO EXERCISE MY RIGHT TO A HEARING AND CONTEST PETITIONER'S RIGHT TO OBTAIN TITLE TO THE PROPERTY. I FURTHER STATE THAT I HAVE A VALID DEFENSE TO THIS CLAIM. NAME AND ADDRESS OF OTHER PERSONS WHO I BELIEVE OWN OR HAVE ANOTHER LEGAL INTEREST IN THIS PROPERTY: Name/(Please print) Signature Address Date J.P. Civ. Form No. 53 (9/15/2011) American LegalNet, Inc. www.FormsWorkFlow.com