Application for forfeiture order
Schedule 5 Application for forfeiture order
regulation 109
NORTHERN TERRITORY OF AUSTRALIA
Liquor Act 2019
regulation 109
APPLICATION TO LOCAL COURT
FOR FORFEITURE ORDER
I,_______________________________________________________
a police officer in the Police Force of the Northern Territory make this application under section 275(1) of the Liquor Act 2019 for a forfeiture order under section 278 of that Act.
1. This application is for the forfeiture of the following vehicle, vessel or aircraft (the property):
2. Description of the property:
3. The property:
was seized on ___________________20___
has not been seized.
4. I believe on reasonable grounds that the property was used in the commission of a forfeiture offence against section ____ of the
Liquor Act 2019.
5. The particulars of the forfeiture offence are as follows (include sufficient detail to identify the occasion of the alleged offence):
6. I believe on reasonable grounds that the quantity of liquor involved in the forfeiture offence exceeded 10 standard drinks and the basis for that belief is:
7. I declare that:
no person was charged with a forfeiture offence in respect of the property;
a person was charged with a forfeiture offence in respect of the property but all proceedings for the offence have ended and no person was found guilty of a forfeiture offence.
8. I declare that the following persons were notified in accordance with section 274(3) of the Liquor Act 2019:
Notified by statement of facts:
Name of Person |
Notes |
|
|
|
|
|
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Notified by service of written notice:
Name of Person |
Date of service |
|
_________________ 20__ |
|
__________________ 20__ |
|
__________________ 20__ |
I have attached further information about the persons who were notified.
Section
8 is not applicable because no person was charged with a forfeiture offence in respect of the property
9. I understand I must take reasonable efforts to:
identify any person who owns or has an interest in the property;
and
serve a copy of this application on any persons so identified and located.
Signature of applicant: _____________________________
Date:
_________________________20___
Application received by the Local Court on: ___________________________
Signed:
_____________________________________
Date:
_________________________20___
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