Sample Forms - Minnesota Office of the State Auditor

State: _____ Zip: _____ Date of Birth: _____ Drivers License #: _____ Proof of Ownership: _____ Declaration of Ownership/Receipt of Property Released Under penalty of perjury, I declare that I am the lawful owner of the above-described property, and I have received possession of the above-described property from the property and evidence room ... ................
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