80317565Wisdom Bar & Cafe

80317565 Wisdom Bar & Cafe

Schedule 5 Application for forfeiture order Liquor Regulations 2019 56 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:

Schedule 5 Application for forfeiture order Liquor Regulations 2019 57 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: (a) Notified by statement of facts: Name of Person Notes (b) 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