Seized Asset Claim Form – Fill Out and Use This PDF

The Seized Asset Claim Form serves as a crucial document for individuals asserting their rights to property that has been seized by government agencies. This form requires detailed information about the seized items, including serial numbers, make and model, along with proof of the claimant's interest in the assets. Interested parties are encouraged to carefully fill out the form and attach any necessary documentation to validate their claims. Click the button below to start the process of reclaiming your property.

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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.

Question	Answer
Form Name	Seized Asset Claim Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	civil forfeiture claim form, CLAIM, seized asset claim form, FORM

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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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Seized Asset Claim Form – Fill Out and Use This PDF

Seized Asset Claim Form PDF Details

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