Kentucky Justice and Public Safety Cabinet
Annual Asset Forfeiture Report
Reporting Period – July 1, 2015 through June 30, 2016
KRS 218A.440 requires all law enforcement agencies submit this report within 60 days after the close of the fiscal year.
Specifically, the report should contain assets seized and assets awarded to include cash, vehicles, weapons, and real property.
Complete and submit a report for your agency even if there were no forfeitures during the year.
The forms can be mailed to:
Office of Drug Control Policy - Justice and Public Safety Cabinet – 125 Holmes Street - Frankfort, Kentucky 40601
OR
Faxed to: 502-564-6104
Law Enforcement Agency: xx______Agency Type: ______
Contact Person: xx______title: ______
Mailing Address: ______Telephone: ______
______Fax: ______
______E-Mail: ______
This agency had no forfeitures during this reporting period.
Cash Seized / Cash Awarded / # Vehicles Seized / # Vehicles Awarded / Vehicle Award$ Amount / # Guns Seized / # Guns Awarded / Gun Award $ Amount / # Real Property Seized / # Real Property Awarded / Real Property Award
$ Amount
$xx / $ / $ / $ / $
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Total columns or continue to next page
$ / $ / $ / $ / $
Agency Head: ______title: ______
Signature:______Date: ______
Attach additional sheets as needed revised 05/1/08
kentucky justice and public safety cabinet
annual asset forfeiture report – continuation page
Cash Seized / Cash Awarded / # Vehicles Seized / # Vehicles Awarded / Vehicle Award$ Amount / # Guns Seized / # Guns Awarded / Gun Award
$ Amount / # Real Property Seized / # Real Property Awarded / Real Property Award
$ Amount
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TOTAL
$ / TOTAL
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# / TOTAL
$
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