Fill and Sign the Certificate Title Form

IN RE: ______________ : ______ JUDICIAL DISTRICT COURT VIN ______________ : PARISH OF ______ : STATE OF LOUISIANA PETITION The petition of ______________ , a person of the full age of majority and a resident of ______ Parish, Louisiana. 1. On ______ ___ , 20 ___ petitioner, purchased a ______________ automobile, bearing VIN ______________ and License No. ______ , from ______________ in the amount of $ ______ . 2. Petitioner, ______________ , has not received a title to said vehicle due to the fact that ______________ is not longer a licensed dealership in the State of Louisiana. 3, Petitioner has sent a certified letter return receipt to ______________ requesting the title to the vehicle, same was returned to Petitioner marked A Moved, left no address. @ 4. It is necessary that petitioner be issued a Certificate of Title to the vehicle in order for him to legally convey and dispose of said vehicle and properly resolve this matter, but the Louisiana Department of Public Safety and Corrections will not do so in the absence of an order from this court. WHEREFORE, petitioner prays that this court enter an order directing the Louisiana Department of Public Safety and Corrections to issue a Certificate of Title to the said vehicle, to petitioner, ______________ . Respectfully Submitted, ___________________________ ______________ Attorney for Plaintiff ______________ ______ , LA ______ ( ___ ) ______ VERIFICATION BEFORE ME, the undersigned Notary Public, personally appeared ______________ who, after being duly sworn, that he is the petitioner in the above proceedings, and that he has read the above and foregoing petition and that all of the allegations of same are true and correct to the best of his knowledge and belief. _________________________ ______________ SWORN TO AND SUBSCRIBED before me, Notary, this _____ day of ____________ 20 ___ , in ______________ , Louisiana, ______ Parish, Louisiana. _________________________ NOTARY PUBLIC IN RE: ______________ : ______ JUDICIAL DISTRICT COURT VIN ______________ : PARISH OF ______ : STATE OF LOUISIANA ORDER Considering the petition of ______________ , herein, and the attachments thereto; IT IS ORDERED that the Louisiana Department of Public Safety and Corrections issue a Certificate of Title to the ______________ automobile, VIN ______________ and bearing license plate number ______ , to petitioner, ______________ , whose address is ______________ . SIGNED at ______________ , ______ Parish, Louisiana, on this ____ day of __________ 20 ___ . _______________________ DISTRICT JUDGE