________________________________ Case No, __________________________ Petitioner’s Name ________________________________ Address ________________________________ City, State, Zip The Commissioner of the Department of Public Safety C/o Attorney General’s Office, Public Safety Division 445 Minnesota Street, Suite 1800 St. Paul, MN 55101-2134 Notice to the Commissioner of Public Safety of Filing a Petition for Order Issuing Motor Vehicle Title Re: __________________________________________ Year, Make, Model of Vehicle __________________________________________ License Plate, VIN Number Dear Commissioner of Public Safety, On _________________ (date), I filed a Motion for an Order Issuing Motor Vehicle Title (copy enclosed) with Hennepin County District Court on the above referenced vehicle. If you object to my motion, you must file an objection with Hennepin County District Court within twenty (20) days of this letter and send me a copy of your objection at the above address. Failure to do so could result in the court granting my Motion and signing an Order Issuing a Motor Vehicle Title. Objections can be filed in person at the Civil Intake counter on the Public Service Level of the Hennepin County Government Center, 300 South Sixth Street, Minneapolis, MN. They can also be mailed to Hennepin County District Court, 300 South Sixth Street, C12, Minneapolis, MN 55487. If you have questions, please call the court at 612-348-3164. Sincerely, Date: _______________________ ____________________________________ Petitioner Encl. (Copy of Petition for Order Issuing Motor Vehicle Title) Last Revised 6/23/04 American LegalNet, Inc. www.USCourtForms.com