Original - Court 1st copy - Prosecuting official Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY ORI 2nd copy - Defendant 3rd copy - Defendant attorney CASE NO. NOTICE OF INTENT TO FORFEIT VEHICLE Court address Court telephone no. MIDefendant's name, address, and telephone no. The State of Michigan THE PEOPLE OF v CTN SID DOB YOU ARE NOTIFIED: 1. The following vehicle: Year Make Model License plate no. Vehicle identification no. has been or will be seized by court order and is subject to forfeiture or return to the lessor for the following reasons: . 2. The court intends to consider imposing this sanction under the authority of MCL 257.625n. 3. Within 3 days after this notice, the prosecuting attorney shall give notice to all owners of this vehicle and any person holding a security interest in the vehicle that the court may require: • forfeiture of the vehicle if the defendant owns the vehicle in whole or part. • return of the vehicle to the lessor if the defendant leases the vehicle. 4. Within 14 days after the prosecuting attorney gives notice, an owner, lessee, or holder of a security interest may file a claim of interest in the vehicle. Within 21 days after this notice is given, but before sentencing, the court will hold a hearing to determine the legitimacy of any claim, the extent of any co-owner's equity interest, and the liability of the defendant to any co-lessee. 5. If the vehicle is forfeited, the unit of government that seized the vehicle shall sell the vehicle and dispose of the proceeds as indicated by law. Date MC 64 (6/04) Signature NOTICE OF INTENT TO FORFEIT VEHICLE MCL 257.625n(4) American LegalNet, Inc. www.FormsWorkflow.com