COMPLETE THE ATTACHED FORM USE A SEPERATE FORM …



COMPLETE THE ATTACHED FORM USE A SEPERATE FORM FOR EACH CASE ALONG WITH A COPY OF THE FOLLOWINGITEMS: STATEMENT OF CHARGESDEFENDANT TRIAL SUMMARY DOCUMENTS SUPPORTING YOUR CLAIM DO NOT SEND ORIGINALSTHEY WILL NOT BE RETURNEDINSTRUCTIONSThis form is for seizure of money in connection with CDS or Gambling.All other seizures contact the seizing/arresting Police rmation that does not apply to you or that you do not know leave it blank or mark it N/A.Most of the information can be found on your charge papers. If you do not have a copy of your charges papers you may obtain a copy from the court in which your case was heard.EMAIL COMPLETED FORM TO4fit@ OR MAIL FORM TO BALTIMORE POLICE DEPARTMENTLEGAL AFFAIRS DIVISION – FORFEITURE UNIT 242 W. 29TH STREETBALTIMORE, MARYLAND 21211(HAND-DELIVERED FORMS WILL NOT BE ACCEPTED)BALTIMORE CITY POLICE DEPARTMENT OFFICE OF LEGAL AFFAIRSForfeiture Information SheetREAD THE INSTRUCTIONS BEFORE YOU BEGIN PLEASE PRINTDate Submitted: __________________________________________Name:Date of Birth:Current Address (including zip): _______________________________________________________________________________E-mail Address: _________________________________________________________________Telephone Number: _Police Report/Complaint Number (CC#): _____________________________________________Property Number: ________________________________________________________________Date of Seizure/Arrest: ____________________________________________________________Amount of Money Seized: _________________________________________________________Name(s) of Other Person(s) Arrested: ______________________________________________________________________________________________________________________________Criminal Charges Filed: _______ ___________________________________________________Criminal Case Number: ______ _____________________________________________________Trial Date: ______________________________________________________________________Outcome: _______________________________________________________________________Additional Information: ___________________________________________________________________________________________________________________________________________Please allow up to 90 days for review. Monies seized within 30 days prior to this request may require additional time.Form may be returned by e-mail 4fit@ or mailed to Office of Legal Affairs, Forfeiture Unit, 242 W. 29th Street, Baltimore, MD 21211Office of Legal Affairs Use Only:Date Received: _________________Date Resolved: _________________Outcome: _____________________________________________________________________Attached Documents:___ Police Report___ Statement of Charges___ Maryland Judiciary Case Search printout or other Court Disposition documentsRevised 11/2017 ................
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