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. * RETURN

*

VEHICLE and , *

*

Defendant. *

* * * * * * * * * * * * * * * * I received the attached order or seizure on , 19 , and have executed it as follows;

On , 19 at o'clock (a.m. or p.m.), I seized the property described in the order, and left a copy of the order with together with a receipt for the property seized.

The following is an inventory of property seized pursuant to the order:

.

I swear that this inventory is a true and detailedaccount of all property seized by me pursuant to the order issued by this Court.

DATED this day of , 19 .

Title

SUBSCRIBED AND SWORN TO and returned before me this day of , 19 .

Judge