Chester County Forfeiture Application

Type of Seizure (click all that apply)

Cash

General

Vehicle

Seizure Date and Time

Seizure Location

Police Incident Number

Police Department

Officer

Officer Email

Officer Phone

Defendant Name

Defendant Phone Number

Has initial police report been completed?

NOTE: If the police report is not complete, please send a copy as soon as available via email to: daforfeitures@chesco.org

Upload Police Report

Click Here to Upload

Why was property seized? (please check all that apply)

Found in close proximity to drugs

Property utilized to facilitate a crime

Property represents proceeds of crime

Related to criminal case

OTN related to criminal case

Brief description of basis for seizure

Did claimant make statement acknowledging ownership/possession?

Please summarize claimant's statement

Amount of currency to be forfeited (attach additional documentation at the end of this form if needed)

Items to be forfeited

Please upload any supporting documentation

Click Here to Upload

Vehicle Forfeiture

Lien Information

Is there a lien on the vehicle?

Address

Phone Number

Amount owed

If balance on lien, who is the money owed?

Vehicle Information

Year

Make

Model

Color

Vehicle Identification Number (VIN)

State and Tags

Name on registration

Kelly Blue Book value

Odometer reading

Is the vehicle operational

Where is the vehicle currently located?

Towing Fees (attach invoices using "upload document" option at the end of this form)

Storage Fees (attach invoices using "upload document" option at the end of this form)

Upload copies of police reports, invoices for vehicle fees (if applicable),

Click Here to Upload

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