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Federal Annual Certification Report Instructions Law Enforcement Agency: Enter the complete name of your state or local law enforcement agency - e.g., Anytown Police Department. This must be consistent with the DAG-7l. Check the appropriate box to indicate type of agency. Acronyms should be spelled out. If a task force, provide a list of member agencies, addresses, and lead agency, if designated. Contact Person: Enter the name of the person who can provide additional information on the certification report. E-mail Address: Enter the e-mail address of the contact person or the e-mail address of the agency. Mailing Address: Enter your agency's complete mailing address (number, street, city, state, and zip code). Telephone Number: Enter the phone number of the contact person, including area code and extension, if any. Fax Number: Enter your agency's fax number, including area code. Agency Fiscal Year Ends on: Enter the ending date (month/day/year) of your agency's fiscal year - e.g., 6/30/05. NCIC/ORI/Tracking No.: Enter your valid FBI-issued National Crime Information Center (NCIC)/ORI code - e.g., CAOOOOOOO - or tracking number assigned by the Asset Forfeiture and Money Laundering Section. Beginning Equitable Sharing Fund Balance: Enter on line 1 the amount in your federal forfeiture fund account at the beginning of your fiscal year. The amount entered on line 1 must match the Ending Equitable Sharing Fund Balance reported on your agency's Federal Annual Certification Report for the prior fiscal year. If the Beginning Equitable Sharing Fund Balance differs from the Ending Equitable Sharing Fund Balance reported last year, an amended Federal Annual Certification Report must be submitted. Separate Justice funds from Treasury funds. Include under Justice funds shared cash and/or proceeds received from the Drug Enforcement Administration (DEA), Federal Bureau of Investigation (FBI), U.S. Attorney's Office, u.s. Postal Inspection Service, Food and Drug Administration, and U.S. Department of Agriculture. Include under Treasury funds shared cash and/or proceeds received from the Bureau of Alcohol, Tobacco, Firearms and Explosives (A TF), Internal Revenue Service (IRS), U.S. Immigration and Customs Enforcement (ICE), U.S. Customs and Border Protection, U.S. Secret Service, and U.S. Coast Guard. Please note that A TF is a component of the Department of Justice, but A TF' s equitable sharing is currently processed by the Department of the Treasury. Until further notice, please deposit all equitably shared cash arl<tproceeds'-from A TF in your agency's Treasury fund. Federal Sharing Funds Received from the Departments of Justice and Treasury: Enter on line 2 the total amount of shared cash and/or proceeds received from the federal equitable sharing program. For example, if your fiscal year ends 6/30/05, include all sharing funds received from 7/1/04 through 6/30/05. Separate Justice funds from Treasury funds. Funds from state and local forfeitures should not be reported on the Federal Annual Certification Report. Federal Sharing Funds Received from Other Law Enforcement Agencies and Task Forces: Enter on line 3 the total amount of federal sharing funds received from other state and local law enforcement agencies and task forces. Please provide a list of the agencies your agency received funds from, their address, and the amount received on the Federal Annual Certification Report Attachment. Other Income: Enter on line 4 the proceeds from the sale of shared property or any amounts returned to your forfeiture fund account - e.g., funds from the sale of a car placed in official use or reimbursements received from your city, county, or state for expenditures made with shared funds. Interest Income Accrued: Enter on line 5 the interest earned on your federal forfeiture fund account during your fiscal year. Account for Justice and Treasury interest income separately. Check box if shared funds are in a non-interest-bearing account. Total Equitable Sharing Funds: Add the beginning equitable sharing fund balance (line I), the federal sharing funds received from the Department of Justice and the Department of the Treasury (line 2), federal sharing funds received from state and local law enforcement agencies and task forces (line 3), other income (line 4), and interest income (line 5). Enter on line 6 the total amount. Federal Sharing Funds Spent: Add items a through n. Enter the total amount on line 7. ..." R