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Original - Court 1st copy - Plaintiff/Attorney

2nd copy - Defendant/Attorney 3rd copy - Seizing agency

STATE OF MICHIGAN JUDICIAL DISTRICT

MOTION AND ORDER TO SEIZE PERSONAL PROPERTY SUBJECT TO FORFEITURE

CASE NO.

Court address

Court telephone no.

The People of the State of Michigan The People of In the matter of MOTION attorney general prosecuting attorney city/township attorney for v

Defendant name, address, and telephone no.

1. I am the

and I state
Description

there is probable cause to believe the following personal property, , is subject to forfeiture for the following reasons:

. 2. I REQUEST an order to seize the described property because it is believed a. the property is the proceeds of a crime. b. the property is the substituted proceeds of a crime. c. the property is an instrumentality of a crime.
Date Signature Name (type or print)

ORDER 3. THE COURT FINDS the personal property described above IT IS ORDERED: 4. The personal property be seized and a. placed under seal in the custody of the seizing agency
Location

is

is not

subject to seizure.

. b. stored at
Name and location

.

5. The motion is denied.
Date Judge Bar no.

DC 41 (3/09)

MOTION AND ORDER TO SEIZE PERSONAL PROPERTY SUBJECT TO FORFEITURE

MCL 600.4703(5)