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A.gov DCJS 999 Form DCJS Seizure #: SEIZED PROPERTY DISPOSITION SHARING DECISION FORM Please type. SUBMISSION OF THIS FORM MUST BE ACCOMPANIED BY A COURT ORDER AND A CHECK FOR FORFEITED CURRENCY OR BILL OF SALE OF FORFEITED ITEMS. 1. Seizing Agency: 2. Seizing Agency Case No.: E-Mail Address: 3. Defendant s Name: 4. Date of Court Disposition: 5. Disposition of Property Seized: Forfeiture List of Item(s) Forfeited: Dismissal List of Item(s) Dismissed: Release to Lien Holder List of Item.

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