Starwalt Title Replacement STATE OF INDIANA SS: COUNTY OF BOONE IN THE BOONE CIRCUIT COURT CAUSE NO. 06C01-1605-MI-0285 IN THE MATTER OF AN APPLICATION FOR AN ORDER TO BMV TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE Donald Starwalt, Petitioner PETITION TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE 1. The above-named Petitioner, Donald Starwalt, has filed a verified petition for an order to the Indiana Bureau of Motor Vehicles to issue a Replacement Certificate of Title. 2. The allegations and statement of fact set forth in the petition are true and accurate. 3. The Petitioner is the legal owner of an automobile described and identified as follows: Year: 1995 Make: Suzuki Model: carry VIN: DD51T413400 4. The Petitioner acquired legal title to the automobile on or about 4-12-2016. 5. The original Certificate of Title issued to the Petitioner has been destroyed and no duplicate Certificate of Title exists. 6. I know of no reason why a Replacement Certificate of Title should not be issued to me as the owner of said vehicle. I AFFIRM THE FOREGOING UNDER PENALTIES OF PERJURY. Date: 05-12-16 Donald Starwalt Address: 633 Lakeview Drive Zionsville, IN 46077 This Petition is assigned for hearing on July 13, 2016 @ 8:15 A.M. Z-123 6/08, 15 & 22 hspaxlp
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