1. A motorcycle is described as follows,

PETITION

Year

Make

Model

VIN

License plate no.

  and owned by the petitioner was seized on 

Date

 by 

Police agency

2. The motorcycle has been held unlawfully beyond the 30 calendar days prescribed in MCL 257.230a(2).

3. The petitioner requests 
  a. a court hearing to determine whether the motorcycle described above should be returned.

 

 b. damages, costs, and actual attorney fees of $ 

.

 

Date

 

Petitioner

NOTICE OF HEARING

A hearing on the above petition will be held on 

Date and time

 . 

 
 

 .

If you require accommodations to use the court because of a disability or if you require a foreign language interpreter to help 
you fully participate in court proceedings, please contact the court immediately to make arrangements.

Judge/Deputy clerk signature and date

CERTIFICATE OF MAILING

I certify that on this date I served a copy of this petition and notice on the police agency by first-class mail addressed to their 
last-known addresses as defined by MCR 2.107(C)(3). I declare under the penalties of perjury that this certificate has been 
examined by me and that its contents are true to the best of my information, knowledge, and belief.

at 

Location

 

                     

 

                     

Approved, SCAO
Form DC 90a, Rev. 11/19
MCL 257.230a
Page 1 of 1

Signature and date

Distribute form to: 
Court 
Petitioner
Respondent 

STATE OF MICHIGANJUDICIAL DISTRICTPETITION REGARDING SEIZURE OF MOTORCYCLECASE NO. and JUDGECourt address                     Court telephone no.     Petitioner’s name, address, and telephone no.vPolice agency’s name, address, and telephone no.