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The Affidavit of Repossession Minnesota form is a crucial document for those involved in the repossession of a vehicle. This form serves multiple purposes, primarily acting as both an affidavit and a title application. It requires detailed information about the vehicle, including its identification number, make, model, and the name and address of the registered owner. The secured party, who is typically the lender or financing entity, must declare under oath that they lawfully terminated the owner's interest in the vehicle according to the security agreement. Additionally, the form includes sections for odometer and damage disclosures, ensuring transparency regarding the vehicle's condition and mileage. Fees associated with titling the vehicle, including title and filing fees, must also be addressed. The form must be submitted to the Minnesota Department of Public Safety, along with any applicable fees, to complete the repossession process and obtain a new title in the repossessing party's name. Understanding the nuances of this form is essential for both secured parties and vehicle owners navigating the complexities of repossession in Minnesota.

Form Example

MINNESOTA DEPARTMENT OF PUBLIC SAFETY

 

Print Form

DRIVER AND VEHICLE SERVICES

 

445 Minnesota Street, Suite 187

Saint Paul, MN 55101-5187FOR OFFICE USE ONLY Phone: (651) 297-2126 TTY: (651) 282-6555

Web: dvs.dps.mn.gov

AFFIDAVIT OF REPOSSESSION / TITLE APPLICATION

Please read the instructions on the reverse side before completing this form.

 

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR CENTRAL OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLATE NUMBER

YEAR

 

 

MAKE

TYPE

MODEL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF REGISTERED OWNER(S)

 

 

 

 

 

 

 

 

TITLE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

CITY

 

 

STATE

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I, the undersigned, on oath duly sworn, depose and say that,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF SECURED PARTY

 

DATE OF REPOSSESSION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

CITY

COUNTY CODE

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

AUTO INSURANCE COMPANY

POLICY NUMBER

 

 

 

 

EXP. DATE

 

 

 

 

 

 

 

 

 

Is the owner of the vehicle described above. The interest of the owner was lawfully terminated and disposition made pursuant to the terms of the security agreement. This application for a Certificate of Title is based on the repossession of this motor vehicle.

I further state that in consideration of the issuance of the certificate of title applied for, we hereby agree to indemnify the registrar of motor vehicles, and all persons acting for him from any and all liability which may be incurred by the issuance of such certificate and agree, at our own expense, to defend any suit which may be brought against the registrar or any person acting for him as a result of Issuing such certificate. I hereby certify I have taken all possible steps to secure the title to the above described vehicle.

ODOMETER DISCLOSURE STATEMENT

I (we) state that the odometer now reads

(no tenths) Miles

And to the best of my knowledge that it reflects the actual mileage of the vehicle described herein unless one of the following statements is checked.

I hereby certify to the best of my knowledge the odometer reading reflects the amount of mileage in excess of its mechanical limits.

I hereby certify that the odometer reading is not the actual mileage.

WARNING: Odometer discrepancy if box (1) or (2) is checked.

DAMAGE DISCLOSURE STATEMENT

To the best of my knowledge this vehicle:

Has Has Not (select one)

sustained damage in excess of 80% actual cash value

I declare this tax

TITLE FEE

exemption code:

 

 

 

If needed, ID

 

number:

 

 

 

 

PSV FEE

FILING FEE

TOTAL TAX DUE

 

X

 

 

 

 

 

 

 

 

 

 

Signature of Secured Party

 

 

 

 

 

 

 

 

 

 

SUBSCRIBED AND SWORN BEFORE ME THIS

 

DAY OF

 

, 20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MY COMMISSION EXPIRES

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTARY PUBLIC SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTARY STAMP

PS2024-14 Rev. 05/18

 

 

 

-OVER-

Affidavit of Repossession/Title Application

INSTRUCTIONS

Repossession/Title Application

1.When the repossessing party chooses to title the vehicle in their name, this form also serves as their application for title.

If the repossessing party has the Minnesota title in their possession, they do not need to apply for a title in their name. If the repossessing party is a private individual, please include their driver’s license number and date of birth.

2.The following fees are due when the repossessing party titles the vehicle in their name: Title, Public Safety Vehicle (PSV), and Filing. If a private party is repossessing this vehicle, MN sales tax is due if the private party was not the previous owner. To determine the amount due, visit dvs.dps.mn.gov and select Fees from the top menu or call (651) 297-2126.

3.A secured party that has the certificate of title but elects not to title the vehicle in their name must complete and submit a dealer purchase receipt (PS2009).

4.All forms and fees may be submitted to your local deputy registrar office or by mail to:

MINNESOTA DEPARTMENT OF PUBLIC SAFETY DRIVER AND VEHICLE SERVICES

445 MINNESOTA STREET, SUITE 187

ST. PAUL, MINNESOTA 55101-5187

For a list of office locations, visit dvs.dps.mn.gov or call (651) 297-2005.

PS2024-14 Rev. 05/18

➤ Affidavit Of Repossession Minnesota File

Form Specifications

Fact Name Details
Governing Law The Affidavit of Repossession in Minnesota is governed by Minnesota Statutes Chapter 168A.
Purpose This form is used to apply for a certificate of title after a vehicle has been repossessed.
Odometer Disclosure The form requires an odometer disclosure statement to ensure accurate mileage reporting.
Damage Disclosure Applicants must indicate if the vehicle has sustained damage exceeding 80% of its actual cash value.
Fees Fees for title application include Title, Public Safety Vehicle (PSV), and Filing fees.
Submission Locations Forms can be submitted to local deputy registrar offices or mailed to the Minnesota Department of Public Safety.
Indemnification Clause The applicant agrees to indemnify the registrar from any liability related to the title issuance.
Notary Requirement The form must be signed in the presence of a notary public to be valid.
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