AO 108 (Rev. 01/09) Application for a Warrant to Seize Personal Property Subject to Civil Forfeiture
UNITED STATES DISTRICT COURT
for the __________ District of __________ In the Matter of the Seizure of
(Briefly describe the property to be seized)
) ) ) ) )
Case No.
APPLICATION FOR A WARRANT TO SEIZE PERSONAL PROPERTY SUBJECT TO CIVIL FORFEITURE
I, a federal law enforcement officer or attorney for the government, request a seizure warrant and state under penalty of perjury that I have reason to believe that the following property in the District of is subject to forfeiture to the United States of America under U.S.C. ยง
(describe the property):
The application is based on these facts:
' Continued on the attached sheet.
Applicant's signature
Printed name and title
Sworn to before me and signed in my presence.
Date:
Judge's signature
City and state:
Printed name and title
Print
Save As...
Attach
Reset