Name

County Attorney

Address

City, State, Zip

Telephone Number

Attorney for Plaintiff

MONTANA JUDICIAL DISTRICT COURT, COUNTY

*

STATE OF MONTANA, * CAUSE NO.

*

Plaintiff, * JUDGE

*

vs. * NOTICE OF SEIZURE AND

*

, * INTENTION TO INSTITUTE

*

Defendant. * FORFEITURE PROCEEDINGS

* * * * * * * * * * * * * * * * I.

, the duly (elected/appointed) and acting Sheriff of County, Montana, by and through the County Attorney, hereby gives notice that a bearing license number registered to of , was seized on by of the at

, County, Montana.

II.

(Officer's Report) .

III.

The aforementioned vehicle, which was used by

, was seized by and the undersigned hereby gives notice of his intention to institute forfeiture as required by section 44-12-201, M.C.A.

IV.

The certificate of title pertaining to the aforementioned vehicle indicates that there are no liens of record on said title. As a result, the Clerk of Court is requested to immediately serve notice to at the address listed above pursuant to the requirements of Section 44-12-201 M.C.A., and to notify and serve upon the County Sheriff's Office (or City Police Department) certified copies of said notice with a request that said notice be personally served upon .

V.

The Defendant has twenty (20) days from the date notice is served, not including the date of mailing, to file a verified answer in the District Court of the State of Montana in and for the County of , pursuant to section 44-12-201, et. seq., M.C.A., and to serve a copy of said verified answer upon the County Attorney at his office address, the attorney for saidPlaintiff. Failure to appear and file said answer shall result in a default being taken against you for the relief demanded in this notice of forfeiture.

DATED this day of , 19 .

Name

County Attorney