Form PS2025-B1 "Affidavit to Correct the Ownership Record of a Motor Vehicle" - Minnesota

What Is Form PS2025-B1?

This is a legal form that was released by the Minnesota Department of Public Safety - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Minnesota Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PS2025-B1 by clicking the link below or browse more documents and templates provided by the Minnesota Department of Public Safety.

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Download Form PS2025-B1 "Affidavit to Correct the Ownership Record of a Motor Vehicle" - Minnesota

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MINNESOTA DEPARTMENT OF PUBLIC SAFETY
Print Form
DRIVER AND VEHICLE SERVICES DIVISION
445 MINNESOTA ST. SUITE 165 ST. PAUL, MN 55101-5165
Phone: (651) 297-2126 TTY: (651) 282-6555 Website: dvs.dps.mn.gov
AFFIDAVIT TO CORRECT THE OWNERSHIP RECORD OF A MOTOR VEHICLE
PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING THIS FORM:
The appropriate parties must complete all sections of this form and the following:
• Titled vehicle – The seller(s) and correct buyer(s) must also complete the transfer and application on a motor vehicle application (PS2000).
• Non-titled vehicle – A motor vehicle application (PS2000) must be completed and signed by the correct buyer.
Note: To qualify for a refund, cancellation of a vehicle sale must be submitted within 90 days of the initial sale date.
VEHICLE DESCRIPTION MUST BE COMPLETED IN ALL CASES
A
Year
Make
Model
VEHICLE IDENTIFICATION NUMBER
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Title Number
Plate Number
INCORRECT BUYER(S) MUST COMPLETE THIS SECTION
B
Incorrect Buyer's Name/Names (last, first, and middle)
Date(s) of Birth
Signature(s) [INCORRECT BUYER(S) MUST SIGN]
On (provide date)
X
X
LIEN RELEASE FOR INCORRECT BUYER(S) - Must be Notarized
Secured Party's Name
Subscribed and sworn to before me
The secured Party named no
longer claims a security
this ______ day of _______________ 20 _____
interest in the vehicle above.
City
State
Zip Code
Notary Public
County
Signature and Title of Authorized Agent
Date of Release
X
My Commission Expires
Note: If a lien is noted on the certificate of title, a lien release is required for the incorrect buyer (The correct buyer must complete the lien information in
Section C below).
CORRECT BUYER(S) MUST COMPLETE THIS SECTION
C
Buyer's Name/Names (last, first, and middle)
Date(s) of Birth
Street Address
City
State
Zip Code
YES
NO
IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)?
IF YES, COMPLETE SECTION BELOW:
First Secured Party (Print Name)
Date of Loan
FOR ADDITIONAL SECURED PARTIES, ATTACH
COMPLETED FORM #PS2017
City
State
Zip Code
Street Address
ODOMETER DISCLOSURE STATEMENT. I/WE CERTIFY THAT THE ODOMETER
DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF
MY KNOWLEDGE THIS VEHICLE
(NO TENTHS) MILES
NOW READS
AND TO THE BEST OF MY KNOWLEDGE THE ODOMETER MILEAGE IS
HAS
HAS NOT (CHECK ONE)
:
ACTUAL MILEAGE
NOT ACTUAL MILEAGE -
SUSTAINED DAMAGE IN EXCESS OF 80 PERCENT ACTUAL
IN EXCESS OF ODOMETER'S
CASH VALUE.
WARNING ODOMETER DISCREPNCY
MECHANICAL LIMITS
ASSIGNMENT: I/WE CERTIFY THAT THIS VEHICLE IS FREE FROM ALL SECURITY INTERESTS. I/WE WARRANT TITLE AND ASSIGN THE REGISTRATION TAX AND VEHICLE TO
THE PERSON(S) NAMED ABOVE.
I/WE DID PURCHASE THE ABOVE DESCRIBED VEHICLE SUBJECT TO LIENS SHOW, AND NO OTHERS:
Date of Purchase
Signature(s) [CORRECT BUYER(S) MUST SIGN]
X
X
SELLER(S) MUST COMPLETE THIS SECTION
D
I/WE CERTIFY THAT ALL INFORMATION ABOVE IS CORRECT:
Seller's Full Name
Listed Dealer's Full Name
Seller's Signature
Listed Dealer's Signature
X
X
PS2025-B1 (05/18)
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
Print Form
DRIVER AND VEHICLE SERVICES DIVISION
445 MINNESOTA ST. SUITE 165 ST. PAUL, MN 55101-5165
Phone: (651) 297-2126 TTY: (651) 282-6555 Website: dvs.dps.mn.gov
AFFIDAVIT TO CORRECT THE OWNERSHIP RECORD OF A MOTOR VEHICLE
PLEASE READ THE FOLLOWING INSTRUCTIONS BEFORE COMPLETING THIS FORM:
The appropriate parties must complete all sections of this form and the following:
• Titled vehicle – The seller(s) and correct buyer(s) must also complete the transfer and application on a motor vehicle application (PS2000).
• Non-titled vehicle – A motor vehicle application (PS2000) must be completed and signed by the correct buyer.
Note: To qualify for a refund, cancellation of a vehicle sale must be submitted within 90 days of the initial sale date.
VEHICLE DESCRIPTION MUST BE COMPLETED IN ALL CASES
A
Year
Make
Model
VEHICLE IDENTIFICATION NUMBER
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Title Number
Plate Number
INCORRECT BUYER(S) MUST COMPLETE THIS SECTION
B
Incorrect Buyer's Name/Names (last, first, and middle)
Date(s) of Birth
Signature(s) [INCORRECT BUYER(S) MUST SIGN]
On (provide date)
X
X
LIEN RELEASE FOR INCORRECT BUYER(S) - Must be Notarized
Secured Party's Name
Subscribed and sworn to before me
The secured Party named no
longer claims a security
this ______ day of _______________ 20 _____
interest in the vehicle above.
City
State
Zip Code
Notary Public
County
Signature and Title of Authorized Agent
Date of Release
X
My Commission Expires
Note: If a lien is noted on the certificate of title, a lien release is required for the incorrect buyer (The correct buyer must complete the lien information in
Section C below).
CORRECT BUYER(S) MUST COMPLETE THIS SECTION
C
Buyer's Name/Names (last, first, and middle)
Date(s) of Birth
Street Address
City
State
Zip Code
YES
NO
IS THIS VEHICLE SUBJECT TO SECURITY AGREEMENT(S)?
IF YES, COMPLETE SECTION BELOW:
First Secured Party (Print Name)
Date of Loan
FOR ADDITIONAL SECURED PARTIES, ATTACH
COMPLETED FORM #PS2017
City
State
Zip Code
Street Address
ODOMETER DISCLOSURE STATEMENT. I/WE CERTIFY THAT THE ODOMETER
DAMAGE DISCLOSURE STATEMENT. TO THE BEST OF
MY KNOWLEDGE THIS VEHICLE
(NO TENTHS) MILES
NOW READS
AND TO THE BEST OF MY KNOWLEDGE THE ODOMETER MILEAGE IS
HAS
HAS NOT (CHECK ONE)
:
ACTUAL MILEAGE
NOT ACTUAL MILEAGE -
SUSTAINED DAMAGE IN EXCESS OF 80 PERCENT ACTUAL
IN EXCESS OF ODOMETER'S
CASH VALUE.
WARNING ODOMETER DISCREPNCY
MECHANICAL LIMITS
ASSIGNMENT: I/WE CERTIFY THAT THIS VEHICLE IS FREE FROM ALL SECURITY INTERESTS. I/WE WARRANT TITLE AND ASSIGN THE REGISTRATION TAX AND VEHICLE TO
THE PERSON(S) NAMED ABOVE.
I/WE DID PURCHASE THE ABOVE DESCRIBED VEHICLE SUBJECT TO LIENS SHOW, AND NO OTHERS:
Date of Purchase
Signature(s) [CORRECT BUYER(S) MUST SIGN]
X
X
SELLER(S) MUST COMPLETE THIS SECTION
D
I/WE CERTIFY THAT ALL INFORMATION ABOVE IS CORRECT:
Seller's Full Name
Listed Dealer's Full Name
Seller's Signature
Listed Dealer's Signature
X
X
PS2025-B1 (05/18)