THE COURT FINDS:

1. The vehicle described above was taken into custody on 

Date

 by 
 

 .

 2. The police agency complied with the procedures established for the processing of an abandoned vehicle or a vehicle  
    removed under MCL 257.252a, MCL 257.252b, or MCL 257.252d.

 3. The police agency did not enter the vehicle as abandoned into LEIN within 24 hours after the vehicle was taken into  
    custody as required by MCL 257.252a.

 4. The police agency improperly determined that the vehicle was abandoned.

 5. A private property owner requested removal of the vehicle and 
    of MCL 257.252k or MCL 257.252l.

 

 did 

 

 did not 

  comply with the provisions 

 6. Towing and daily storage fees were 

 

 reasonable. 

 

 unreasonable and should be refunded or reduced.

 7. The towing agency 
    reporting of an abandoned vehicle removed under MCL 257.252a(11), MCL 257.252b, or MCL 257.252d.

  comply with the procedures established for the proper removal and 

 did not 

 did 

 

 

8. The petitioner provided proof of ownership of the vehicle.

IT IS ORDERED:

 9. No refund of charges shall be made. The vehicle shall be redeemed within 10 days from the date of this order. If not
    redeemed it may be disposed of by the police agency according to law. The abandoned vehicle fee, if applicable, 
    shall be distributed according to law.

 

 

 

 

 
 

Approved, SCAO
Form DC 91, Rev. 11/19
MCL 257.252a, MCL 257.252f
Page 1 of 2

Distribute form to: 
Court 
Petitioner
Respondent 
Vehicle custodian
Towing agency (if applicable)

STATE OF MICHIGANJUDICIAL DISTRICTORDER REGARDING IMPOUNDMENT OF MOTOR VEHICLECASE NO. and JUDGECourt address                     Court telephone no.     Petitioner’s name, address, and telephone no.vRespondent’s name, address, and telephone no.Note: The petitioner must be an owner or secured party of the vehicle.Vehicle year, make, and modelVehicle custodian’s name and addressVINLicense plate no.Order Regarding Impoundment of Motor Vehicle 
Page 2 of 2

(11/19) 

Case No. 
 

IT IS ORDERED: (continued)

 10.  The vehicle shall be immediately released to the petitioner and, if the petitioner paid the accrued storage charges,
     
              entered the vehicle into LEIN.

 a. the police agency shall reimburse the petitioner for the storage charges accrued before the police agency  

 

 b. the towing agency shall reimburse the petitioner for the storage charges accrued before the police agency 

     
              entered the vehicle into LEIN.

 c.  the vehicle custodian shall reimburse the petitioner for the accrued towing and storage charges. The police  

     
 
              agency shall reimburse the vehicle custodian for the accrued towing and storage charges paid to the petitioner. 
              The police agency shall pay any other fees associated with recovering the vehicle and reimburse the petitioner 
              for any other fees the petitioner paid associated with recovering the vehicle. Any bond posted is returned to    
              the petitioner.

 a. the police agency shall pay directly to the petitioner the amount of the storage charges accrued before the 

 11.  The vehicle shall be immediately released to the petitioner and, if the petitioner did not pay the accrued towing and  
      storage fees, but posted a bond with the court, 
     
              police agency entered the vehicle into LEIN plus interest. Payment shall be made no later than 10 days after   
              the date of this order. The police agency shall notify the court after the police agency has issued payment to 
              the petitioner.

 b. the police agency shall pay the accrued storage and towing fees. The police agency shall pay any other fees   
 

     
              associated with recovering the vehicle and reimburse the petitioner for any other fees the petitioner paid  
              associated with recovering the vehicle. Any bond posted is returned to the petitioner.

     
 c.  if the petitioner did not pay the accrued towing and storage charges, but posted a bond with the court, the 
              amount of storage charges accrued before the police agency entered the vehicle into LEIN are to be returned  
              to the petitioner. The remainder of the bond shall be paid to the vehicle custodian.

 12. 

Private property owner

 shall reimburse the petitioner for the accrued towing and storage charges.

 13.  The towing and storage charges are reduced/refunded by 
     
      charges are now $ 

 . 

 

Dollars or percentage

 . The total towing and storage 

 
 

 
 

 
 
 
 
 

 
 
 
 
 

 
 
 

 
 
 

 
 

 14. Other:

 

                     

Judge/Magistrate signature and date

CERTIFICATE OF MAILING

I  certify  that  on  this  date  I  served  a  copy  of  this  order  on  the  parties  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.

 

                     

Court clerk signature and date