DISTRICT COURT OF MARYLAND FOR
Located at
Court Address
City/County
Case No.
Complainant Address
Defendant Address
COMPLAINT AND AFFIDAVIT APPLICATION FOR FORFEITURE OF CONTRABAND MONEY
THE
Forfeiting Authority
MAKES APPLICATION FOR:
Person/Agency
The seized monies now in possession of in the amount of $ cash seized on
Date
described as: check(s) at about other AM/PM at the location known as
these seized monies believed to be the property of the above name Defendant. THE FORFEITING AUTHORITY ALLEGES: These seized monies to be properly subject to forfeiture in that The seizure was incident to an arrest of the Defendant. The seizure was incident to a search under search warrant of premises to which the Defendant did have connection; The seizure was incident to an inspection under an administrative inspection warrant; The seizure amount reflects in part in whole a prior judgment awarded the State in a criminal injunction forfeiture proceeding; There is probable cause to believe the monies have been used or were intended for use in connection with illegal controlled dangerous substances gambling activity, for which the Defendant was charged in
the District Court of Maryland on
Date
the Circuit Court for , Criminal Case Number by not guilty verdict dismissal nolle prosequi stet.
The criminal charges were finally disposed of on conviction probation before judgment
THE FORFEITING AUTHORITY AFFIRMS: I do solemnly declare and affirm that under the penalties of perjury that the contents of this Complaint are true to the best of my knowledge, information, and belief.
Date Signature of Authorized Representative of Forfeiting Authority Name-Printed Address Telephone No. Title
NOTICE TO DEFENDANT
The complaint and application for forfeiture of contraband money has been filed with the Court. The seized monies described herein shall be forfeited if no answer to this complaint is timely filed. Any answer shall comply with Maryland Rules and must be filed with the Court at the address shown above. For additional information concerning the forfeiture, contact the forfeiting authority.
DC 24 (Rev. 10/2008)
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