Caption and property
The district, "In the Matter of the Seizure of" with a brief description of the property, a Case No. line, the district where the property is located, and a fuller description of the property.
AO 109
Warrant to Seize Property Subject to Forfeiture
- Agency
- U.S. Courts
- Revision
- Rev. 11/13
- Fillable fields
- 27
- Pages
- 2
- Official source
- U.S. Courts form page
- Checked
- October 20, 2026
AO 109: Warrant to Seize Property Subject to Forfeiture
AO 109, Warrant to Seize Property Subject to Forfeiture, is a United States District Court form from the U.S. Courts. The U.S. Courts page lists it under Law Enforcement, Grand Jury, and Prosecution Forms, effective on November 1, 2013, and the PDF prints the edition AO 109 (Rev. 11/13).
It is a warrant the court issues, not an application. Page 1 is addressed "To: Any authorized law enforcement officer," describes the property an application by a federal law enforcement officer or an attorney for the government asks to seize, records the judge's finding of probable cause, and sets the time limits and notice terms for executing it. Page 2 is the Return, where the executing officer lists the property taken and certifies the inventory under penalty of perjury. It is not a form a member of the public completes.
This page explains the form in plain words and is not legal advice. You can fill it out free in your browser on this page and download the result without an account.
What's on AO 109
Finding and command
The judge's finding of probable cause, then the command to execute the warrant and seize the property on or before a date (not to exceed 14 days), with boxes for "in the daytime 6:00 a.m. to 10:00 p.m." or "at any time in the day or night because good cause has been established."
Copy, receipt and inventory
Terms for leaving a copy of the warrant and a receipt, preparing an inventory of any property seized, and returning the warrant and a copy of the inventory to the named United States Magistrate Judge.
Delayed notice
A box under 18 U.S.C. § 3103a(b) for a finding that immediate notification may have an adverse result listed in 18 U.S.C. § 2705 (except for delay of trial), with a choice of a number of days (not to exceed 30) or a later specific date.
Issuance
The date and time issued, the judge's signature, the city and state, and the judge's printed name and title.
Page 2: Return and certification
Case No., the date and time the warrant was executed, who the copy of the warrant and inventory was left with, who the inventory was made in the presence of, the inventory of property taken, and the executing officer's certification.
How AO 109 is filled out
- 1
Caption and property
The district, a brief description of the property, the district where it is located and the full property description are entered on page 1.
- 2
Execution terms
The date on or before which the warrant is to be executed (not to exceed 14 days) is filled in, one of the daytime or any time boxes is checked, and the United States Magistrate Judge is named.
- 3
Delayed notice, if authorized
If the judge authorizes delayed notice, the box is checked with either a number of days (not to exceed 30) or a later specific date.
- 4
Judge signs
The judge enters the date and time issued and the city and state, signs, and prints a name and title.
- 5
Officer completes the Return
On page 2, the executing officer fills in the case number, the date and time executed, who the copy was left with, who was present for the inventory, and the property taken.
- 6
Officer certifies
The executing officer declares under penalty of perjury that the inventory is correct and was returned along with the original warrant to the designated judge, then dates and signs.
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Court, time limits and return
Court
The warrant is captioned for a United States District Court, with the district named at the top.
Time limits printed on the form
The warrant is to be executed on or before a date "not to exceed 14 days," and delayed notice is "for ___ days (not to exceed 30)" or until a later specific date.
Return
The form says the officer executing the warrant promptly returns it and a copy of the inventory to the United States Magistrate Judge named on page 1.
Fees
The form does not print a fee.
Formats
The U.S. Courts page offers AO 109 as a PDF (767.67 KB). The PDF has Print, Save As and Reset buttons.
Related forms
AO 108
Application for a Warrant to Seize Property Subject to Forfeiture
20 fields, 1 page
AO 93
Search and Seizure Warrant
28 fields, 2 pages
AO 93A
Search and Seizure Warrant on Oral Testimony
31 fields, 2 pages
AO 93B
Anticipatory Search and Seizure Warrant
29 fields, 2 pages
AO 93C
Warrant by Telephone or Other Reliable Electronic Means
29 fields, 2 pages
AO 104
Tracking Warrant
37 fields, 2 pages
Who uses AO 109?
The form is issued and signed by a judge and completed on page 2 by the officer who executes it.
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Questions about Form AO 109
Who issues AO 109?
A judge. The judge signs page 1 with the date and time issued and states the finding that the affidavit(s) and any recorded testimony establish probable cause to seize the property. It is not a form a member of the public completes.
Who is AO 109 addressed to?
The warrant is addressed "To: Any authorized law enforcement officer."
What times does AO 109 allow for executing the warrant?
The form has two boxes: in the daytime 6:00 a.m. to 10:00 p.m., or at any time in the day or night because good cause has been established. The date to execute it by is not to exceed 14 days.
What happens to a copy of the warrant?
The form says that unless delayed notice is authorized, a copy of the warrant and a receipt for the property taken go to the person from whom, or from whose premises, the property was taken, or are left at the place where the property was taken.
What is on page 2 of AO 109?
The Return and the Certification. The executing officer records when the warrant was executed, who the copy and inventory were left with, and the property taken, then declares under penalty of perjury that the inventory is correct and was returned with the original warrant to the designated judge.
Is this page legal advice?
No. This page explains the form in plain words and is not legal advice. It does not say whether property is subject to forfeiture or whether a warrant is valid.