Petition For Forfeiture Petition For Forfeiture - Massachusetts by AmericanLegalNet

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									                                                                             CIVIL DOCKET NO.                     Trial Court of Massachusetts
            PETITION FOR FORFEITURE                                                                               District Court Department
                 OF MOTOR VEHICLE OR VESSEL
                       G.L. c. 90, § 24W                                                                                                          District Court
                                      DESCRIPTION OF MOTOR VEHICLE(s) OR VESSEL(s) (include year, make & model)


 COMMONWEALTH vs.                     __________________________________________________________________________________________________________________


                                      __________________________________________________________________________________________________________________


                                      __________________________________________________________________________________________________________________


 LOCATION OF MOTOR VEHICLE(s) OR VESSEL(s) (identify as particularly as possible)                                 VIN(s) OF MOTOR VEHICLE(s) OR VESSEL(s)




 NAME & ADDRESS OF RESPONDENT (CRIMINAL DEFENDANT)                                                                RESPONDENT’S DOB



                                                                                                                  DOCKET NO. OF CRIMINAL CASE



 NAME(s) & ADDRESS(es) OF OTHER OWNERS OR OTHERS WITH APPARENT INTEREST IN MV(s) OR VESSEL(s)                     POLICE DEPT(s) SUBSTANTIALLY INVOLVED
                                                                                                                  IN FORFEITURE




 Was any such motor vehicle(s) or vessel(s) jointly owned before the date of respondent’s second or subsequent qualifying
 offense by a parent, spouse, child, grandparent, brother, sister, or parent of the spouse living in respondent’s household?                       9 YES 9 NO

     1. As detailed below and in the attached affidavit(s), there is probable cause to believe that the motor vehicle(s) and/or
        vessel(s) described above are at the location named above and are owned by the respondent named above.

     2.     (Check A or B) :


            9       (A) 4 prior assignments/convictions: The respondent has at least four times been assigned to an alcohol or
                    controlled substance education, treatment or rehabilitation program or been convicted of a violation of G.L. c. 90,
                    § 24(1)(a) or § 24G(a), or of operating a motor vehicle with a percentage by weight of blood alcohol of eight
                    one-hundredths or greater or while under the influence of intoxicating liquor under § 24G(b), or of § 24L, or of G.L.
                    c. 90B, § 8(a), § 8A or § 8B, or of G.L. c. 265, § 13½, or of a like offense in another jurisdiction. The undersigned
                    hereby petitions this court in the name of the Commonwealth to order, after hearing, that the motor vehicle(s) and/or
                    vessel(s) described above be forfeited to the Commonwealth pursuant to G.L. c. 90, § 24W.

            9       (B) 3 prior assignments/convictions and another pending charge: The respondent has at least three times
                    been so assigned or convicted for such qualifying offenses, and a criminal complaint charging the respondent with
                    a fourth such qualifying offense is presently pending before this court. The undersigned hereby petitions this court
                    in the name of the Commonwealth, upon such an assignment or conviction for such fourth qualifying offense, to
                    order, after hearing, that the motor vehicle(s) and/or vessel(s) described above be forfeited to the Commonwealth
                    pursuant to G.L. c. 90, § 24W.


     3.     9                           Additional request for preliminary order to seize and secure. As detailed in the attached
                    (Check if applicable.)
                    affidavit(s), there are also reasonable grounds to believe that it is necessary to issue a preliminary order to seize
                    and secure such motor vehicle(s) and/or vessel(s) and to provide for their custody during the pendency of this
                    petition.

 DATE SIGNED                                 PETITIONER’S SIGNATURE

                                              X
 PETITIONER’S TITLE                                                          PETITIONER’S AGENCY

    9     ASST DISTRICT ATTORNEY         9   ASST ATTORNEY GENERAL

(5/07)
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