Not the seller's form, and here because a person whose car has been taken will search for it. This is the document a secured party swears to say the vehicle was lawfully repossessed and to apply for a title in its own name - it is an affidavit and a title application on one sheet, it is notarised, and it carries the same odometer and damage disclosures a private sale does. Reading it tells a former owner exactly what has been said about their vehicle.
Written against PS2024 (Rev 05/18), issued under Minnesota Statutes 168A.13. If your car has been repossessed, this is the form that moves it out of your name - but it does not end what you owe. The security agreement, not the title, governs the money, and a title issued to a lender is the start of that conversation rather than the end of it.
Two documents, and they are not the same thing. Take the blank PS2024 from the assets.dps.mn.gov copy so you get the revision that is current today.
This is the actual PS2024, rendered from the PDF the Minnesota Driver and Vehicle Services publishes and completed end to end: letterhead, every field, and the blocks at the foot.
The wide box across the top of the form.
Watch out: It has to match the security agreement and the title record. A repossession affidavit against the wrong identification number is a claim against somebody else's car.
The row beneath, describing the vehicle as the record describes it.
Watch out: In Minnesota the plate is still on the vehicle, so this is simply what was on it when it was taken.
The person the vehicle was titled to, and the number of that certificate.
Watch out: This is the name that is about to come off the record. It is worth a former owner checking it is spelled correctly, because a corrected record afterwards is a harder job.
The two boxes that open the sworn statement, with the secured party's full address beneath.
Watch out: The date is the fact everything else hangs off. It is what the lawfulness of the taking is measured from and what a former owner would compare against their own notices.
Auto insurance company, policy number and expiration date - the repossessing party's own.
Watch out: The lender is applying to be the owner, and Minnesota's no-fault law attaches to owners. This block is not about the cover the former owner had.
The reading in whole miles, with either exception statement ticked only if true.
Watch out: The warning printed under the two statements is that there is an odometer discrepancy if box 1 or 2 is checked, and that discrepancy follows the vehicle onto every future title.
Has or Has Not sustained damage in excess of 80% actual cash value.
Watch out: Required here exactly as it is on a private sale. A lender that ticks Has Not on a car it has never seen is certifying something it does not know.
Signature of secured party, then subscribed and sworn before me, the day, the month, the year, county and commission expiry.
Watch out: The indemnity above the signature is broad - it covers the registrar and all persons acting for him against any and all liability - and that is what the notarised oath is buying.
| On the form | What to put in it |
|---|---|
| The vehicle block | Vehicle identification number across the top, then plate number, year, make, type and model, with the registered owner's name, the title number and the owner's address beneath. |
| Name of secured party and date of repossession | The two boxes that open the sworn statement, followed by the secured party's street address, city, county code, state and zip code. |
| Auto insurance company, policy number, expiration date | The repossessing party's own cover, because it is applying to be the owner. |
| The sworn statement | The interest of the owner was lawfully terminated and disposition made pursuant to the terms of the security agreement, and this application for a Certificate of Title is based on the repossession of this motor vehicle. |
| The indemnity | 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. |
| Odometer statement | I (we) state that the odometer now reads ______ (no tenths) miles, with the two exception statements and the printed warning that there is an odometer discrepancy if either is checked. |
| Damage disclosure statement | Has or Has Not sustained damage in excess of 80% actual cash value - the same disclosure a private seller makes, made here by the lender. |
| Signature of secured party and notary block | Subscribed and sworn before me this ___ day of ___, 20___, with county, commission expiry and a notary stamp area. |
| The fee column | Title fee, PSV fee, filing fee and total tax due down the right-hand edge, with an exemption code box and an identification number box. |
Every line here was read off PS2024 (Rev 05/18) itself — the PDF is here — and off the Minnesota Driver and Vehicle Services pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.
Back to all Minnesota seller paperwork, or what selling a car in Minnesota involves.