NOTICE OF CONFISCATION/REQUEST FOR CONFISCATION HEARING As the owner of record of _________________________________________________, South Carolina license tag number __________________, you are hereby advised that on ______________ the above vehicle was confiscated by ________________________________________ pursuant to S.C. Code Ann. §56-5-6240(A) upon the arrest of _______________________________________, Ticket/Warrant #______________________________ for the offense of __________________________. You may request a hearing before the Court of Common Pleas (or the designated hearing officer) and contest the confiscation of the above referenced vehicle. Otherwise, the vehicle will remain in the possession of ___________________________________________________ pending the final disposition of the criminal charges and/or forfeiture proceedings. To request a confiscation hearing, sign this document below and return it to the Clerk of Court of ________________________ County, located at _______________________________________, ________________________, South Carolina. ________________________________________ Agent of Confiscating Law Enforcement Agency __________________________ , 20_______ YOUR REQUEST MUST BE RECEIVED BY THE CLERK WITHIN TEN(10) DAYS OF YOUR RECEIPT OF THIS NOTICE. IF NOT, YOUR RIGHT TO THE HEARING IS WAIVED. IF YOUR REQUEST IS RECEIVED WITHIN TEN(10) DAYS, THE HEARING WILL BE HELD WITHIN TEN(10) DAYS OF RECEIPT OF YOUR REQUEST. YOU WILL BE NOTIFIED BY FIRST CLASS MAIL OF THE DATE, TIME AND LOCATION OF THE HEARING. I REQUEST A HEARING. _______________________________________ Vehicle Owner’s Signature ____________________________, 20 _____ _______________________________________ ___________________________________ , SC Vehicle Owner’s Address SCCA/211 (7/06) American LegalNet, Inc. www.FormsWorkflow.com