NOTICE OF CLAIM FORM TO: ______________________________ Pawnbroker's Name ______________________________ Address ______________________________ ______________________________ Telephone Number The undersigned hereby notifies the Florida pawnbroker named above who has possession of the described property that the property has been reported stolen to a law enforcement agency and the undersigned is requesting the property be surrendered to this claimant. PROPERTY: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ If the claimant and the pawnbroker do not resolve the matter within ten days after receipt of this notice, the claimant may petition the court to order the return of the property. ______________________________ Claimant ______________________________ Name ______________________________ Address ______________________________ ______________________________ Telephone Number Method of Service: _____ Hand Delivered __________________________ Pawnbroker Signature ___________________________ Date ______________________________ Date ______ Certified Mail Return Receipt Requested Attachment: Law Enforcement Agency's report American LegalNet, Inc. www.FormsWorkFlow.com