CID-014 Forfeiture Notice of Claim · CID-014 (11/2018) Michigan State Police. Seizing Law...
Transcript of CID-014 Forfeiture Notice of Claim · CID-014 (11/2018) Michigan State Police. Seizing Law...
CID-014 (11/2018) Michigan State Police
Seizing Law Enforcement Agency Phone Number
- Location to File Claim Address
Address Where Seized: Number and Street City State Zip Code
Description of Property - Describe Fully
(Manufacturer/Make/Serial No. - Denomination/Amount of Money)
Claim Deadline Date Seized
Incident No. AUTHORITY: MCL 333.7523 COMPLIANCE: Required PENALTY: Return of property to owner
Value of PropertyProperty
Number
NOTICE OF CLAIM
Name of Claimant Work Phone Home Phone
Address: Number and Street City State Zip Code
Signature of Claimant Date Signed
Claimant's Interest in the Property
RECEIPT OF CLAIM
Printed Name of Person Receiving Claim Work Unit
Signature of Person Receiving Claim Date Received Time
DISTRIBUTION:
Original - Master File
Machine Copy - Claimant
Machine Copy - Financial Services
*THIS INFORMATION IS
CONFIDENTIAL
DISCLOSURE OF CONFIDENTIAL
INFORMATION IS PROTECTED BY
THE FEDERAL PRIVACY ACT.