Seized Asset Claim Form PDF Details

Navigating the complexities of law enforcement actions, particularly when it involves the seizure of assets, requires an understanding of specific procedural documents like the Seized Asset Claim form. This document plays a crucial role for individuals or entities looking to reclaim property that has been taken by government agencies. The form begins with essential administrative details such as the date the claim is received and whether it was filed within the necessary timeframe, immediately signifying the importance of timeliness in the process. Claimants are prompted to provide detailed identification information and a precise listing of the assets for which they seek to reclaim ownership, including serial numbers, make and model numbers, and even photographs to eliminate any ambiguity. It doesn't stop there; the form requires a declaration of the claimant's interest in the seized items, supported by documentary evidence like titles, registrations, or bills of sale. An attestation section underscores the gravity of the process, reminding claimants that providing false information can lead to severe legal repercussions, including fines and imprisonment. The layout and content of this form underscore the balance between enabling rightful owners to reclaim their property and ensuring that such claims are legitimate and well-documented.

QuestionAnswer
Form NameSeized Asset Claim Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescivil forfeiture claim form, CLAIM, seized asset claim form, FORM

Form Preview Example

FOR GOVERNMENT AGENCY USE ONLY

DATE CLAIM RECEIVED: ______________________

CLAIM FILED TIMELY? Y N

SEIZED ASSET CLAIM FORM

Name:___________________________________

 

Address:_________________________________

Telephone No. ( )_____________________

Agency Case No.:_________________________________

 

Seizure No.:_______________________________________

 

PART I

City & State of Seizure:___________________________

 

List the items in which you claim an interest. Include sufficient information to identify the items, such as serial numbers, make and model numbers, tail numbers, photographs, and so forth. Additional space is provided on the back of the form. You may attach additional sheets of paper if more space is needed.

1._______________________________________________________________________________________________

2._______________________________________________________________________________________________

3._______________________________________________________________________________________________

4._______________________________________________________________________________________________

5._______________________________________________________________________________________________

6._______________________________________________________________________________________________

PART II

State your interest in each item of property listed above. Please provide any documents that support your claim of interest in these items. Supporting documentation includes titles, registrations, bills of sale, receipts, etc. Additional space is provided on the back of the form. You may attach additional sheets of paper if more space is needed.

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

PART I (continued)

7.________________________________________________________________________________________

8.________________________________________________________________________________________

9.________________________________________________________________________________________

10._______________________________________________________________________________________

11._______________________________________________________________________________________

12.________________________________________________________________________________________

PART II (continued)

PART III

ATTESTATION AND OATH

I attest and declare under penalty of perjury that my claim to this property is not frivolous and that the information provided in support of my claim is true and correct, to the best of my knowledge and belief.

____________________________________

_________________________________

Name (Print)

Date

_____________________________________

 

Signature

 

A FALSE STATEMENT OR CLAIM MAY SUBJECT A PERSON TO PROSECUTION UNDER 18 USC § 1001 AND/OR

1621 AND IS PUNISHABLE BY A FINE AND UP TO FIVE YEARS IMPRSONMENT.

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State your interest in each item, PART II, and PART II of ENT

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