P2-CR9/2018UNITED 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 perjury thefollowing: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 andsent to the following address: Street Address: City, State, Zip Code: 2.I am a representative of the original claimant of the funds referred to in paragraph 1 andas proof thereof, have attached to this petition: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 authorizing me to file this petition on behalf of theoriginal claimant; andc.Proof of my identity in the form of a photo copy of my driver222s license or othergovernment-issued identification bearing my signature. d.Documentation establishing the claimant222s entitlement to the funds. 3.My current address is: Street Address: City, State, Zip Code: Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com P2-CR9/20184.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 representative of claimant) (Printed name of representative of claimant) (Telephone number of representative 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