BRENDA GRANTLAND Cal. Bar #165899

Attorney for Claimant

265 Miller Avenue

Mill Valley, CA 94941

415-380-9108

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

UNITED STATES OF AMERICA           :

                                                                         :          Case No. C 02-0000 ABC

           Plaintiff,                                        : 

                                                                         : 

       v.                                           : 

                                                                         : 

$123,456 IN UNITED STATES                    :          VERIFIED STATEMENT OF INTEREST

CURRENCY                                                  :

                                                                        :

            Defendant.                                          :

                                                                        :  

            Claimant, John Doe, through undersigned counsel, files this verified Statement of Interest in the property described above. As grounds for this claim claimant states the following:

            1. I am the owner of the currency seized in the above-entitled action. I hereby claim the right to defend this action.

VERIFICATION

            I, John Doe, verify that I have read the foregoing Claim, and declare under penalty of perjury that the allegations therein are true and correct.

Executed on this ____ day of __________________, 2000.

                                                                                           ________________________

                                                                                                JOHN DOE, Claimant

                                                                       Respectfully submitted,

________________________

BRENDA GRANTLAND, ESQ.

CERTIFICATE OF SERVICE

            I hereby certify that a copy of the foregoing verified claim was served, by mail, upon Assistant United States Attorney Robert Ward, 450 Golden Gate Avenue, Box 36055, San Francisco, CA 94102, this ________ day of ___________________, 2003.

_________________________

                                                                                                Brenda Grantland