Free State of Minnesota - Minnesota

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Judicial District: Court File Number: Case Type: Civil

Petition for Return of Seized Property Minn. Stat. §626.04

(Name) (Address) (City/State) (Zip Code) Plaintiff/Claimant

(Agency Acting as Custodian of the Seized Property)

vs.

(Address) (City/State) (Zip Code) Defendant

Plaintiff/Claimant says: 1. I own property that was seized by a law enforcement officer for use as evidence in a trial. 2. The property was seized in the following county: ____________________________________. 3. I want all or some of this property returned to me. The property I want returned is: (Describe each item of property. Attach additional sheets if more space is needed.)

4. I made a written request for return of the property to the seizing officer's agency before filing this petition. (Attach a copy of your written request.) 5. At least 48 hours have passed, not including weekends and legal holidays, since the agency received my written request. The property has not been returned to me. Order Requested: I ask that the Court order defendant to return my property to me. I understand that if the Court denies my request to return the property, the Court may order me to pay the defendant reasonable costs and attorney fees. Dated:
Signature (Sign only in front of notary public or court administrator.)

Name: Sworn/affirmed before me this day of , . Address: City/State/Zip: Telephone:
Notary Public \ Deputy Court Administrator

FOR502

State

ENG

Rev 7/05-D

www.courts.state.mn.us/forms

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