District No.

Between

.............. Applicant of ................

*(in court area and district aforesaid)

and

............. Respondent of ..................

UPON HEARING an application made to this Court to-day by the above-named applicant, the said applicant being

*(a superintendent of the Garda Síochána,)

*(a claimant of the property mentioned herein,)

for an order pursuant to section 1 (1) of the above-mentioned Act for the disposal of the following property which has come into the possession of the Garda Síochána at .............. in the said district

*(in connection with a criminal charge),

...................

THE COURT *(being satisfied that notice of the application was duly served in accordance with Rules of Court,) having heard the evidence tendered herein,

*and it appearing that ......... of .............

is the owner of the said property,

HEREBY ORDERS that the said property be delivered to the said owner.]

(OR)

*being satisfied that the owner of the said property cannot be ascertained,

HEREBY ORDERS as follows:—

Dated this ... day of ..... 19....

Signed .................

Judge of the District Court.

* Delete words inapplicable