Wilson STATE OF INDIANA SS: COUNTY OF BOONE IN THE BOONE CIRCUIT COURT CAUSE NO 06C01-1908-MI-1238 IN THE MATTER OF AN APPLICATION FOR AN ORDER TO BMV TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE Daniel Wilson, Petitioner PETITION TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE 1. The above-named Petitioner, Daniel Wilson, 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 statements 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: 2007 ROKW 230 VIN: 4X4CPRY147D270744 4. The Petitioner acquired legal title to the automobile on or about 8-10-19. 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: 8-21-2019 /s/ Daniel Wilson 820 Jean Ct Lebanon, IN 46052 DOB 2/20/19xx Telephone # 765-891-1606 Driver's License #: xxxx-xx-6731 This Petition is assigned for hearing on October 25, 2019 at 8:15 a.m. TLR-475 8/31 9/7 9/14 hspaxlp
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