P1-OC09/2018UNITED STATES BANKRUPTCY COURTDISTRICT OF MINNESOTAIn re:Case No.Debtor(s).PETITION FOR RELEASE OF FUNDS FROM COURT REGISTRY ACCOUNT In support of this Petition, I, , declare under penalty of perjurythe following: 1.On , the trustee in the above-referenced case deposited with the Clerk of Bankruptcy Court for the District of Minnesota the sum of $ , representing the amount of an uncashed dividend check payable to and sent to the following address: Street Address: City, State, Zip Code: 2.I am the claimant and owner of record of the funds referred to in paragraph 1 and asproof thereof, have attached to this petition my social security or tax identificationnumber and a photo copy of my driver222s license or other government-issuedidentification bearing my current address and my photograph.3.My current address is: Street Address: City, State, Zip Code: 4.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 $ fromthe court222s registry fund account. Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com P1-OC09/2018 Date: (Signature of claimant) (Printed name of claimant) (Telephone number of claimant)STATE OF MINNESOTA COUNTY 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