B144, 2015, Claim For Return Of Seized Goods

Form B144

Claim for Return of Seized Goods

Approved Form Section 205B of the Customs Act 1901

To:

Comptroller-General of Customs; or

Commissioner of Police/Deputy Commissioner of Police

(please tick)

1.

In accordance with section 205B of the Customs Act 1901, I

Name:

Phone

Date of Birth:

Street Address only:

Mobile

Fax

Suburb

State

Postcode

E-mail Address

2.

hereby make a claim for the return of the following seized goods:

Reference Number (if known)

Insert description of goods seized

which were seized on the

Insert name of place and State where seizure occurred

____________________day of _______________20____

NOTE: The Department of Immigration and Border Protection requires the above information to identify and contact you and also to identify the goods that are the

subject of this claim. If you are required to hold a permission to import these goods, this information may also be given to the relevant permit issuing agency.

3.

I am making this claim for return of seized goods, on the following grounds:

I have an Import Permit (copy to be attached to this claim form);

Goods incorrectly described in Seizure Notice;

Other reason: .........................................................................................................................................................................................

NOTE: Lodging this claim does not in itself mean that your goods will be returned.

4.

Name of owner of goods (BLOCK LETTERS)

Signature:

Date:

APPOINTING AN AGENT FOR PERSONS RESIDING OVERSEAS

This section MUST only be completed if this claim is being made by a person who does not reside or have a place of business in Australia

5.

(Insert name and address of

I hereby appoint the following person as my agent in Australia with authority to accept

agent)

service of documents, including process in any proceedings, arising out of this matter:

Name and Address:

On appointing an agent, this claim MUST be accompanied by the written consent of the agent signed

by that agent, agreeing to act as agent.

I, (name):

agree to act as agent

Date of Birth:

Signature

Street Address only:

Phone

Suburb

State

Postcode

Mobile

E-mail Address

Fax

NOTE: The Department of Immigration and Border Protection requires the above information to identify and contact you in the event of any court action which may

occur as a result of this claim.

(B144 JUL 2015)