Request For Adoption Of State Or Local Seizure Page 3
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4Has a state or local prosecutor declined to proceed with forfeiture under state law?
Yes ☐
No ☐
If yes, provide name of state or local prosecutor and declination date:
Name:
Date:
Explain reasons for declination:
Has another federal agency been contacted and declined to proceed with this forfeiture under federal law?
Yes ☐
No ☐
If yes, provide name of agency contact and declination date:
Name:
Date:
Agency:
Explain reasons for declination:
Attach copies of pertinent investigative or arrest reports and copies of any affidavits filed in support
of a seizure warrant. If not attached, explain why relevant documents are not included:
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