P3-SB09/2018UNITED STATES BANKRUPTCY COURTDISTRICT OF MINNESOTAIn re:Case No.Debtor(s).PETITION FOR RELEASE OF FUNDS FROM COURT REGISTRY ACCOUNTIn support of this Petition, I, , declare under penalty of perjury thefollowing:1.On , the trustee in the above-referenced case deposited with the Clerkof Bankruptcy Court for the District of Minnesota the sum of $ , representingthe amount of an uncashed dividend check payable to and sent to the following address:Street Address: City, State, Zip Code: 2.I am the [insert title] of the successor business of the originalclaimant of the funds referred to in paragraph 1 and as proof thereof, have attached to thispetition:a.Proof of identity of the original claimant in the form of a photo copy of the originalclaimant222s driver222s license or other government-issued identification bearing theclaimant222s signature;b.A notarized Power of Attorney signed by me and authorizing me to sign and file thispetition on behalf of the successor business to the claimant; andc.Documentation establishing the chain of owner from the original claimant to thesuccessor business, in the form of . 3.The current address of the successor business is:Street Address: City, State, Zip Code: Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com P3-SB09/20184.I have served a copy of this petition and attachments on the U.S. Attorney for the Districtof Minnesota at 300 South 4th Street, Suite 600, Minneapolis, MN 55415.5.I request entry of an order authorizing the release to me of $ from thecourt222s registry fund account.Date: (Signature of successor claimant) (Printed name of successor claimant) (Telephone number of successor claimant)STATE OF MINNESOTACOUNTY OF This instrument was acknowledged before me on the day of ,20 by: . (Signature of notarial officer) (Title) My commission expires: dd/mm/yyyy Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com