VERIFIED PETITION TO ISSUE REPLACEMENT CERTIFICATE OF TITLE TIPPECANOE SUPERIOR COURT No. 4 Courthouse, 301 Main Street, Lafayette, Indiana 47901 Telephone: (765) 423-9266 www.tippecanoe.in.gov Cause No. 79D04-2509-sc-000607 IN THE MATTER OF AN APPLICATION FOR AN ORDER TO THE INDIANA BUREAU OF MOTOR VEHICLES TO ISSUE A REPLACEMENT CERTIFICATE OF TITLE Petitioner: Sheri Cook VERIFIED PETITION TO ISSUE REPLACEMENT CERTIFICATE OF TITLE I am the Petitioner listed above and I am seeking an Order from this Court for the Indiana Bureau of Motor Vehicles to issue a replacement Certificate of Title for the below-listed motor vehicle. I am requesting this Order because the original Certificate of Title: To obtain a Replacement Certificate of Title I came into possession of and became the legal owner of this motor vehicle by: The original Certificate of Title has not been provided to me by the person from whom I purchased the motor vehicle despite full payment and repeated requests. The motor vehicle is described as follows: Motorcycle 2018 Indian Chieftain Elite 56KTCEAA9J3364209 I swear or affirm under penalties for perjury, as specified in I.C. 35-44-2-1, the information herein is true and accurate to the best of my knowledge and belief. I understand that notice of this Petition must be published in a local newspaper of general distribution pursuant to Trial Rule 4.13 and I must bring Proof of Publication with me to the hearing. September 5, 2025 /s/ Sheri Cook ORDER SCHEDULING HEARING ON VERIFIED PETITION TO ISSUE REPLACEMENT CERTIFICATE OF TITLE The Court now schedules this Petition for hearing on December 1, 2025 at 8:30 AM. September 5, 2025 Mathew Sandy Judge/Magistrate Tippecanoe Superior Court No. 4 HSPAXLP October 22,29,November 5 2025 LSBN0392466