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0 Police Departinent 0 SherifPs Office/Department 0 Task Force' <br />0 Prosecutor s Office 0 Other <br />Contact Person: <br />E-mail Address: <br />Mailing Address: <br />(Slree) <br />Telephone Number: ( ) <br />Agency Fiscal Year Ends on: <br />(aiir) <br />Fax Number: ( ) <br />NCIC/ORI/Tracking No.: <br />(Slale) (ZipCode) <br />This Federal Equitable Sharing Agreement entered into among (L) the Federal Government, (2) the above-stated law enforcement agency, <br />and (3) the governing body seti forth the requiremenn for participation in the federal equitable sharing program and the restrictions upon <br />the use of federally forfeited cash, property, proceeds, and any interest earned thereon, which are equitably-shared with participating law <br />enforcement agencies. By their signatures, the parties agreethatthey will be bound bythe statutes and guidelines thatregulate shared assets <br />and the following requirementi for participation in the federal equitable sharing program. <br />1. Submission. TheFederalEquitableSharingAgreementandtheFederalAnnualCertificationReportmustbesubmitredtoboth <br />the Departinent of Justice and the Departinent of the Treasury with a copy provided to the U.S. Attorney in the district in which <br />the recipient law enforcement agency is located, in accordance with the instructions received from the respective departmenn or <br />as outlined in their equitable sharing guidelines. <br />U.S. Departmentof Justice/ACA Program <br />LOth and Constitution Avenues, NW <br />Criminal Division/AFMLS <br />Bond Building, Tenth Floor <br />Washington, D.C. 20530 <br />Faa- (202) 616-1344 <br />Executive Office for AssetForfeiture <br />U.S. Departinent of the Treasury <br />740 LSth Street, NW, Suite 700 <br />Washington, D.C. 20220 <br />E-mail address: treas.aca(d,teoa£treas.gov <br />Faa- (202) 622 96 LO <br />2. Signatories. This agreement must be signed by the head (or authorized representative) of the law enforcement agency and the <br />head (or authorized representative) of the governing body. Receipz nfzhe signed agreemenzis a prerequisize zn receiving any <br />equiXab[y-shared cash, prnperXy, nr prnceeds. <br />3. Uses. Any shared asset shall be used for law enforcement purposes in accordance with the statures and guidelines that govern <br />equitable sharing, and as specified in the equitable sharing request (either a DAG-71 or a TD F 92-22.46) submitted by the <br />requesting agency. <br />4. Transfers. Before the undersigned law enforcement agency transfers cash, property, or proceeds to other law enforcement <br />agencies, it must verify first thatthe receiving agency has a current and valid Federal Equitable Sharing Agreement on file with <br />both the Departinent of Justice and the Departinent of the Treasury. If there is no agreement on file, the undersigned law <br />enforcement agenc y m usz obtain one from the receiving agency, and forward it to the Departinent of Justice and the Departinent <br />ofthe Treasury as in item L A list of recipients,their addresses, and the amounttransferred mustbe attached to the FederalAnnual <br />Certification Report. <br />I Attach list of inember agencies with their addresses and ind icate lead agency. <br />