STATE OF MINNESOTA DISTRICT COURT COUNTY OF HENNEPIN FOURTH JUDICIAL DISTRICT AFFIDAVIT OF COMPLIANCE _______________________________ Plaintiff Vs. Court File No.: __________________ _______________________________ Defendant ____________________________________________________, being duly sworn, says: I am the Plaintiff in this action. By first class mail, I sent the Commissioner of Public Safety a notice of filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle on _______________________(date). At least twenty-three (23) days have passed since I mailed the notice. The 23rd day is ____________. I have not received an objection to my motion from the Commissioner of Public Safety. By certified mail, “return receipt requested”, I mailed to the last known registered owner ___________________(name) at __________________________________________(address) notice of filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle on __________(date). According to the certified mail receipt, the notice was received on ____________(date). By certified mail, “return receipt requested”, I mailed to the seller (if different from the last known registered owner) ______________________________________________(name) at __________________________________________________________________________ (address) notice of filing a Notice of Motion, Motion and Affidavit for Order Directing Issuance of Title to a Motor Vehicle on ___________(date). According to the certified mail receipt, the seller received my notice on ___________ (date). According to the certified mail return receipt(s), at least twenty-three (23) days have passed since the last known registered owner and seller, if different, received notice of filing my motion. The 23rd day is __________________ and I have not received an objection from either the last known registered owner(s) or seller if different. Therefore, I request the judge sign the proposed Findings of Fact and Order as requested in my motion. Date______________ __________________________________ Signature of Plaintiff Subscribed and sworn to before me this ______ day of _____________, 20___. _______________________________ Clerk/Notary Public MOV106 District4 ENG Rev 03/03 www.courts.state.mn.us/forms Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com