Fill and Sign the Petition for Forfeiture Form

IN THE CIRCUIT COURT OF COUNTY, MISSISSIPPI STATE OF MISSISSIPPI PLAINTIFF NO. VS. DEFENDANT NO. PETITION FOR FORFEITURE COMES NOW the State of Mississippi, by , Assistant District Attorney, Judicial District, and files this Petition for Forfeiture, and would show unto the Court the following, to wit:1.This Court has jurisdiction over this matter pursuant to M.C.A. 41-29-177 (2) (1972).2. This action is filed in the County in which the seizure was made.3.The property subject to forfeiture is described as: dollars in U.S. Currency and one (1) VIN in color.4. Said property was seized on or about the day of , , at or near the 5555 located at in the City of , County, Mississippi.5. Said property was connected with a violation of the Mississippi Uniform Controlled Substance Law in that it was present and seized by a law enforcement official of the County Mississippi Sheriff's office, pursuant to an agreed search of said vehicle by the owner, 555, and wherein said possessed a controlled substance in said vehicle and $ cash on his/her person, all of which was used to facilitate the transportation, possession, distribution and delivering of said controlled substance, all in violation of M.C.A. Section 41-29-139 (A).6.Said property is subject to forfeiture pursuant to M.C.A. Sections 41-29-153; 41-29-177; 41-29-179; 41-29-181; (1972).WHEREFORE PREMISES CONSIDERED, the State of Mississippi requests that said property be forfeited to the State of Mississippi.Submitted this day of , 20 . ________________________________________