Approved, SCAO

STATE OF MICHIGAN

JUDICIAL DISTRICT

NOTICE OF SEIZURE AND INTENT TO
FORFEIT AND DISPOSE OF PROPERTY

Original - Court
Copies as needed

CASE NO.

Court  address

Court  telephone  no.

The People of the State of Michigan

Defendant name, address, and telephone no.

v

The People of

In the matter of

TO:

*See other side for a list of people
 entitled to notice and proof of service.

1. BE ADVISED  that the following

real property,

personal property,

Description

2. It is the intent of the

a. seizing agency,

Name and location

to forfeit and dispose of the personal property described above according to law.

b.

attorney general

city/township attorney of
to forfeit and dispose of the real property described above according to law.

prosecuting attorney

Date

Signature of seizing agency or attorney

has been seized.

   ,

Name (type or print)

Title

Address

City, state, zip

Telephone no.

DC 43   (3/15)   NOTICE OF SEIZURE AND INTENT TO FORFEIT AND DISPOSE OF PROPERTY

MCL 600.4704

In the case of personal property, the seizing agency is responsible for serving this notice.

In the case of real property, the attorney general, prosecuting attorney, or city/township attorney is responsible for serving this
notice.

This notice must be served within 28 days from the date of seizure or filing of lien notice.

LIST OF PERSONS TO WHOM NOTICE MUST BE GIVEN

1. Each person charged (if charges are filed).

2. Each person with a known interest in the property.

3. Each mortgagee, person holding a security interest, and each lienholder.

4. Each holder of a preferred ship mortgage of record (if property is a watercraft more than 28 feet long or has a capacity of five

5. Each person whose security interest is recorded with the appropriate public office under the Federal Aviation Act (if the property

tons or more).

is an aircraft or part of an aircraft).

6. Each person with a known security interest in the property.

7. Each victim of the crime.

8. If personal property is seized, the seizing agency shall immediately notify the prosecuting attorney, or the attorney general, if

the attorney general's office is actively handling the case.

I certify that on this date a copy of this notice was served on

Name

by

  personal service.          certified mail.

PROOF OF SERVICE

I declare that this proof of service is true to the best of my information, knowledge, and belief.

Date

Date

Signature

Name (type or print)

NOTICE BY PUBLICATION

Signature

Name (type or print)

It has been determined that the name and address of the person to whom this notice is directed cannot be reasonably ascertained
or delivery of the notice cannot be reasonably accomplished.  The notice on the other side was published for at least 10 consecutive
publishing days as required by law in a newspaper of general circulation in the county where the property was seized or is located.
Proof of publication is attached.