Petition For Remission Or Mitigation Of A Criminal Or Civil Forfeiture Action By The United States Department Of Justice

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PETITION FOR REMISSION OR MITIGATION OF A CRIMINAL OR CIVIL
FORFEITURE ACTION BY THE UNITED STATES DEPARTMENT OF JUSTICE
Note: This is a sample to assist potential petitioners. There is no legal form or format required for filing a petition. For more
specific guidance on filing your petition, please consult Title 28, Code of Federal Regulations (C.F.R.) Section 9.4, which can be
found at
To: The Attorney General of the United States
From:
(Name and address of petitioner or petitioner's attorney or representative)
(Social Security Number / Taxpayer Identification Number of Petitioner)
I am petitioning for the remission of the property described below because I am (check all that
Phone Number
Email Address
apply):
a victim of the crime underlying the forfeiture of the forfeited property, or related offense
(complete Sections I, III, and V);
an owner of the forfeited property (complete Sections I, II and V); and/or
a lienholder of the forfeited property (complete Sections I, II, and V).
If you would like to petition for the mitigation of the property (return of part of your interest in the
property or return upon the imposition of certain conditions) because of extreme hardship, you must
also complete Section IV.
SECTION I
Description of Property (include specific information such as make, model, or serial numbers if
applicable):
Seizing Agency:
Seizure Number/Asset ID Number:
Date and Place of Seizure:
Court Case Information
Case Name:
Case Number:
Judicial District:

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