______________________________________________________________________________
NOTICE OF INTENT
TO FORFEIT
Pursuant to ORS 131.567, the undersigned states:
That I, _______________ do declare that it is my intent to initiate criminal forfeiture proceedings on the following described real property:
________________________
________________________
________________________
________________________
________________________
________________________
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Dated this ___ day of ________, ___.
This notice of intent to file forfeiture will expire on the ___ day of ________, ___, absent future filings.
Name of agency seeking forfeiture
________________________
Name of Forfeiture Counsel
________________________
Address
________________________
________________________
________________________
Telephone Number
________________________
State of Oregon | ) |
) | ss. |
County of _____ | ) |
The foregoing instrument was acknowledged before me this ___ day of ________, ___.
_______________
Notary Public for Oregon
My commission expires ________.
______________________________________________________________________________
ORS 131.567