Seized Asset Claim Form PDF Details

Are you receiving payments from a seized asset claim? The process for claiming any assets or payments may seem intimidating, however filing a Seized Asset Claim Form is designed to make the process as simple and straightforward as possible. In this post, we'll be looking at what information should be included in your form, how it will ultimately benefit you, and other tips that can help speed up the process of recovering your funds from an asset seizure. So whether you're just starting out with filing these forms or want to brush up on existing knowledge, read on to learn more about this important aspect of dealing with seized assets.

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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Part # 1 in submitting ENT

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

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this field, next field, and other fields of ENT

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Step no. 4 in filling in ENT

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Stage # 5 of filling in ENT

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