STATE OF INDIANA SS: COUNTY OF BOONE IN THE BOONE CIRCUIT COURT CAUSE NO. 06C01-1608-MI-0502 IN THE MATTER OF AN APPLICATION FOR AN ORDER TO BMV TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE Michael Phillips, Petitioner PETITION TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE 1.The above-named Petitioner Michael Phillips, 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 face set forth in the petition are tru and accurate. 3.The Petitioner is the legal owner of an automobile described and identified as follows: Year: 2003 Make: Jeep Model: Grand Cherokee VIN: 1J4GW48S736542395 4.The Petitioner acquired legal title to the automobile on or about _______________ 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: 8/18/16 /s/ Michael Phillips Address: 6173 Andrews Way This Petition is assigned for hearing on OCTOBER 19, 2016 AT 8:00 AM TLR-451 8/26 9/2 9/9 hspaxlp
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