File No. STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division County Before The Clerk IN THE MATTER OF: Name Of Petitioner REPORT OF SALE OF VERSUS Name Of Respondent(s) MOTOR VEHICLE G.S. 44A-4(b)(1) I, the petitioner, swear under penalty of perjury that the following information is true and accurate: 1. Copies of the petition and order authorizing the sale of the vehicle described below were sent by first class mail to the owner and lienholders listed below at the addresses shown. Make/Year Of Vehicle Mileage Of Vehicle At Time Of Sale Vehicle ID No. Name And Address Of Lienholder 1 Name And Address Of Registered Owner Name And Address Of Person With Whom Dealt, If Not Owner Name And Address Of Lienholder 2 2. I held a public private sale pursuant to G.S. 44A-4(c). 3. Pursuant to the sale, on the date listed below I mailed a notice of sale to the persons listed below. A copy of the notice of sale is attached. Date Notice Mailed NOTE: For public sale, notice must be mailed at least 20 days before sale, and for private sale, notice must be mailed at least 30 days before sale. Name And Address Of Registered Owner Name And Address Of Person With Whom I Dealt, If Not Owner Name And Address Of Secured Parties 4. (For public sales only) I posted a copy of the notice of sale at the courthouse door in the county named above at least twenty (20) days before the sale. a. Because the market value of the vehicle as determined by the schedule of values adopted by the Commissioner of Motor Vehicles was less than $3,500, I did not publish the notice of the sale in the newspaper. b. Because the value of the vehicle as determined by the schedule of values adopted by the Commissioner of Motor Vehicles was $3,500 or more, I published the notice of sale in a newspaper of general circulation in the same county once a week for two consecutive weeks with the last date of publication being not less than five days before the date of the sale. A copy of the published notice is attached. NOTE TO PETITIONER: Complete one form per vehicle. AOC-SP-907M, Rev. 5/98 1998 Administrative Office of the Courts (Over) >>>> 2 5. The name and address of the purchaser at the sale and the purchase amount are set out below. Name And Address Of Purchaser Amount Of Purchase Price $ 6. I have disposed of the proceeds of the sale as follows: Name(s) Of Lienholder(s) To Whom Surplus Paid Amount Retained For Cost Of Proceeding $ Amount Retained For Lien $ Amount Surplus Delivered To Other $ Lienholder(s) Amount Surplus Delivered To State Treasurers Office $ TOTAL COLLECTED: $ (same amount as purchase price) Date SWORN AND SUBSCRIBED TO BEFORE ME Date Signature Of Petitioner Signature Deputy CSC Assistant CSC Clerk Of Superior Court Notary Date Commission Expires SEAL AOC-SP-907M, Side Two, Rev. 5/98 1998 Administrative Office of the Courts