PPQ Form 625 Claim and Bond

FORM APPROVED
OMB NO. 0579-0076
EXPIRATION DATE: xxxxx

Filing of this claim and bond is required for return of seized property. Information shall be transmitted to the U.S.
Attorney for forfeiture proceedings in the U.S. District Court (7 CFR 356).
U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE

FILE NO.

CLAIM AND BOND
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control numbers for this information collection are 0579-0076. The time
required to complete this information collection is estimated to average .50 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
1.

I, ________________________________________________________________, hereby file a claim and bond as specified in 7 CFR
356.4(c)(2). My interest in this property is as follows:

2. LIST OR SCHEDULE CONTAINING A DESCRIPTION OF SEIZED ARTICLES, CLAIM FOR WHICH IS COVERED BY THE BOND.

THE FOREGOING LIST IS CORRECT
3. CLAIMANT

4. ATTEST

5. ATTEST

6.

I understand that this claim and bond does not entitle me to possession of the property. I also understand that in case of condemnation of the
articles claimed, the claimant shall pay all costs and expenses of the proceeding to obtain such condemnation.
PPQ FORM 625
(JUNE 2000)