Fish and Wildlife Abandonment Form

The user wants me to transcribe ALL visible text on the page exactly as it appears, in the original language. I need to be very careful to capture every word, number, date, and detail precisely. Let me go through the document systematically. First, let me identify all the text elements: Header: - DEPARTMENT OF THE INTERIOR - U.S. FISH AND WILDLIFE SERVICE - OFFICE OF LAW ENFORCEMENT - Fish and Wildlife Abandonment Form Section 1-4 table: 1. Date of Seizure (empty) 2. Region: R-4 3. Place of Seizure: USFWS OLE - Tampa 4. File No., if applicable: INV- Section 5: 5. Description of Fish or Wildlife Seized (Complete this item on additional forms if more space is needed): One Kilogram of Russian Sturgeon Caviar (Acipenser gueldenstaedtii). Discover Eurowings Flight 4Y64 Seizure Tag no. 111120 Then there's a section with "Initial one:" and two options: First option is checked: "I(we) have sole interest in this property, or I am an authorized officer acting on behalf of an individual, corporation, partnership, or any other entity as per 50 CFR 12 that has sole interest in this property, and I have full authority to abandon that interest to the government." Second option is unchecked: "There is another entity which holds an interest in this property (examples of interests might include: liens or the purchase not consummated yet). I hereby abandon my interest in the property to the government, but _________________________(name of individual or company) should be contacted about their interest. They can be contacted at: address:_______________________________, by email at:______________________________ and by telephone at:______________________." Section 6: 6. The above-described property was seized based upon a violation of: Then checkboxes: ☑ Endangered Species Act, 16 USC 1538 ☐ Bald and Golden Eagle Protection Act, 16 USC 668 ☑ Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), 16 USC 1538 ☐ Migratory Bird Treaty Act, 16 USC 703 ☐ Lacey Act Amendments of 1981, 16 USC 3372 ☐ Wild Bird Conservation Act, 16 USC 4910 ☐ Marine Mammal Protection Act, 16 USC 1371, 1372 ☐ Rhinoceros and Tiger Conservation Act, 16 USC 5305a ☐ Airborne Hunting Act, 16 USC 742j-1 ☐ African Elephant Conservation Act, 16 USC 4223 ☐ Other - Section 7-10 table: 7. Name of Owner(s): Alena Busel 8. Address: 851 Bright Water Blvd NE, St. Petersburg, Fl 33704 9. Email: tj@jongsma.me 10. Phone: 727-225-3810 Then the legal text: "I(we) hereby abandon and quitclaim all of my(our) right, title, and interest in and to the above-described property to the United States and waive any further rights or proceedings relative to this property other than my(our) right to file a petition for remission of this property as authorized at 50 CFR 12. I(we) understand that the Fish and Wildlife Service must receive my(our) petition for remission by 30 days from the last date of posting of the public notice of seizure (50 CFR 12.33(b)). I understand that knowingly and willfully making a false statement in this form may subject me to the criminal penalties of 18 U.S.C. 1001." Section 11-14 table: 11. Signature of Owner(s): [signature] 12. Date: 5/25/26 13. Witness (FWS Officer): (empty) 14. Date: (empty) Then: SERVICE USE ONLY-CERTIFICATE OF DISPOSAL Section 15-18 table: 15. Location: (empty) 16. Date: (empty) 17. Method of Disposal: (empty) 18. Date: (empty) Section 19: 19. This property was received (mark one): ☐ as a voluntary donation. ☐ in relation to a violation. Section 20-21 table: 20. Signature and Badge Number of FWS Officer: (empty) 21. Witness: (empty) Footer: Form 3-2096 (Rev. 9/23) Page __ of __ Wait, I need to check if there are any other small text details. Let me look again. In the initial one section, there's a checkmark in the first option. The text says "Initial one:" not "Initial one:" - let me check the image. It says "Initial one:" yes. Also, looking at the signature date: 5/25/26 Looking at the checked boxes - they appear to be X marks in boxes. Looking at item 4: "INV-" with a dash after it. Item 1 is empty. Let me make sure I get the exact text of the abandonment paragraph: "I(we) hereby abandon and quitclaim all of my(our) right, title, and interest in and to the above-described property to the United States and waive any further rights or proceedings relative to this property other than my(our) right to file a petition for remission of this property as authorized at 50 CFR 12. I(we) understand that the Fish and Wildlife Service must receive my(our) petition for remission by 30 days from the last date of posting of the public notice of seizure (50 CFR 12.33(b)). I understand that knowingly and willfully making a false statement in this form may subject me to the criminal penalties of 18 U.S.C. 1001." Wait, looking closely at the image, it says "the criminal penalties" - let me verify. The text says "the criminal penalties of 18 U.S.C. 1001." Actually looking at the image, it might say "the criminal penalties" or just "criminal penalties". Let me look carefully. It says "form may subject me to the criminal penalties of 18 U.S.C. 1001." Yes, "the criminal penalties". Also in the first paragraph of the legal text, it says "authorized at 50 CFR 12." Let me check. Yes. Now, formatting: The user wants ### for sections, **bold** for labels, markdown tables for tabular data, - bullets for lists. I need to structure this carefully. Let me draft the transcription: --- ### DEPARTMENT OF THE INTERIOR ### U.S. FISH AND WILDLIFE SERVICE ### OFFICE OF LAW ENFORCEMENT **Fish and Wildlife Abandonment Form** | **1. Date of Seizure** | **2. Region** | **3. Place of Seizure** | **4. File No., if applicable** | |---|---|---|---| | | R-4 | USFWS OLE - Tampa | INV- | **5. Description of Fish or Wildlife Seized (Complete this item on additional forms if more space is needed):** One Kilogram of Russian Sturgeon Caviar (Acipenser gueldenstaedtii). Discover Eurowings Flight 4Y64 Seizure Tag no. 111120 **Initial one:** ☑ I(we) have sole interest in this property, or I am an authorized officer acting on behalf of an individual, corporation, partnership, or any other entity as per 50 CFR 12 that has sole interest in this property, and I have full authority to abandon that interest to the government. ☐ There is another entity which holds an interest in this property (examples of interests might include: liens or the purchase not consummated yet). I hereby abandon my interest in the property to the government, but _________________________(name of individual or company) should be contacted about their interest. They can be contacted at: address:_______________________________, by email at:______________________________ and by telephone at:______________________. **6. The above-described property was seized based upon a violation of:** | ☑ Endangered Species Act, 16 USC 1538 | ☐ Bald and Golden Eagle Protection Act, 16 USC 668 | |---|---| | ☑ Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), 16 USC 1538 | ☐ Migratory Bird Treaty Act, 16 USC 703 | | ☐ Lacey Act Amendments of 1981, 16 USC 3372 | ☐ Wild Bird Conservation Act, 16 USC 4910 | | ☐ Marine Mammal Protection Act, 16 USC 1371, 1372 | ☐ Rhinoceros and Tiger Conservation Act, 16 USC 5305a | | ☐ Airborne Hunting Act, 16 USC 742j-1 | ☐ African Elephant Conservation Act, 16 USC 4223 | | | ☐ Other - | Wait, the layout is a bit different. Let me look again. Actually, it seems like two columns. Let me represent it as a table or as a list. The user said markdown tables for tabular data. This section is kind of tabular with two columns of checkboxes. I could do: | ☑ Endangered Species Act, 16 USC 1538 | ☐ Bald and Golden Eagle Protection Act, 16 USC 668 | | ☑ Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), 16 USC 1538 | ☐ Migratory Bird Treaty Act, 16 USC 703 | | ☐ Lacey Act Amendments of 1981, 16 USC 3372 | ☐ Wild Bird Conservation Act, 16 USC 4910 | | ☐ Marine Mammal Protection Act, 16 USC 1371, 1372 | ☐ Rhinoceros and Tiger Conservation Act, 16 USC 5305a | | ☐ Airborne Hunting Act, 16 USC 742j-1 | ☐ African Elephant Conservation Act, 16 USC 4223 | | | ☐ Other - | But "Other -" might be in the second column. Let me check the image. Yes, it seems "Other -" is at the bottom right. Actually, looking more carefully, there are 10 checkboxes arranged in two columns. The last one "Other -" is alone in the right column at the bottom. Then: | **7. Name of Owner(s)** | **8. Address** | **9. Email** | **10. Phone** | |---|---|---|---| | Alena Busel | 851 Bright Water Blvd NE
St. Petersburg, Fl 33704 | tj@jongsma.me | 727-225-3810 | Then the paragraph: I(we) hereby abandon and quitclaim all of my(our) right, title, and interest in and to the above-described property to the United States and waive any further rights or proceedings relative to this property other than my(our) right to file a petition for remission of this property as authorized at 50 CFR 12. I(we) understand that the Fish and Wildlife Service must receive my(our) petition for remission by 30 days from the last date of posting of the public notice of seizure (50 CFR 12.33(b)). I understand that knowingly and willfully making a false statement in this form may subject me to the criminal penalties of 18 U.S.C. 1001. | **11. Signature of Owner(s)** | **12. Date** | **13. Witness (FWS Officer)** | **14. Date** | |---|---|---|---| | [signature] | 5/25/26 | | | --- **SERVICE USE ONLY-CERTIFICATE OF DISPOSAL** | **15. Location** | **16. Date** | **17. Method of Disposal** | **18. Date** | |---|---|---|---| | | | | | **19. This property was received (mark one):** ☐ as a voluntary donation. ☐ in relation to a violation. | **20. Signature and Badge Number of FWS Officer** | **21. Witness** | |---|---| | | | Form 3-2096 (Rev. 9/23) Page __ of __ --- Wait, I need to check the exact text in section 19. It says: "19. This property was received (mark one): ☐ as a voluntary donation. ☐ in relation to a violation." Actually looking at the image, there are two boxes, one for each option. Also, I need to check the exact text of the checked/unchecked marks. The user said preserve all. I'll use ☑ for checked and ☐ for unchecked. Wait, looking at the image again for the first "Initial one" section - the checkmark looks like a handwritten check, not necessarily a box. But I think using ☑ is fine, or I could describe it as checked. But the instruction says preserve exactly. Since it's a form with checkboxes, I'll use ☑ and ☐. Let me re-read the "Initial one" text carefully: "I(we) have sole interest in this property, or I am an authorized officer acting on behalf of an individual, corporation, partnership, or any other entity as per 50 CFR 12 that has sole interest in this property, and I have full authority to abandon that interest to the government." And the second: "There is another entity which holds an interest in this property (examples of interests might include: liens or the purchase not consummated yet). I hereby abandon my interest in the property to the government, but _________________________(name of individual or company) should be contacted about their interest. They can be contacted at: address:_______________________________, by email at:______________________________ and by telephone at:______________________." I need to make sure I capture the underscores and blank spaces as shown? The user said "Transcribe ALL visible text". The underscores represent blank lines. I could include them as underscores or just note the blank. But to be exact, I should probably include the underscores to show where blanks are. However, in markdown, long underscores might be interpreted as horizontal rules. I could use underscores or just leave blank. Let me use underscores to represent the blank fields in that paragraph since they are part of the form text. Actually, looking closely, there are lines: "but _________________________(name of individual or company)". The text includes the parenthetical. I'll preserve that. Wait, I should check the header logo area. There's a logo but no text other than what's transcribed. Let me also verify the file number: "INV-" - it has a dash after it. Region: "R-4" Place of Seizure: "USFWS OLE - Tampa" (with spaces around the dash? Looking at image: "USFWS OLE - Tampa" yes. Description: "Discover Eurowings Flight 4Y64" - is it "Discover" or "Discover"? Looking at image, it says "Discover Eurowings Flight 4Y64". Yes, Discover. Seizure Tag no. 111120 Wait, is it "Initial one:" or "Initial one:"? The image shows "Initial one:" with a colon. Let me look at the abandonment paragraph once more. I see "waive any further rights or proceedings relative to this property other than my(our) right to file a petition for remission of this property as authorized at 50 CFR 12." Yes. And "last date of posting of the public notice of seizure (50 CFR 12.33(b))." Yes. "form may subject me to the criminal penalties of 18 U.S.C. 1001." Yes. Now, the signature section - date is "5/25/26". That seems to be the date. Wait, the date says "5/25/26" - is that 2026? It looks like it. Also, I need to check if there are any small text above the "Form 3-2096" line. No. Page __ of __ at the bottom right. One more thing: The header "Fish and Wildlife Abandonment Form" is in the top right. Let me structure this nicely with the requested formatting. Actually, I should consider whether to use ### for all section headers or just major ones. The user said "Use ### for sections". I think the form sections and major headings should use ###. Let me draft the final output: --- ### DEPARTMENT OF THE INTERIOR ### U.S. FISH AND WILDLIFE SERVICE ### OFFICE OF LAW ENFORCEMENT **Fish and Wildlife Abandonment Form** | **1. Date of Seizure** | **2. Region** | **3. Place of Seizure** | **4. File No., if applicable** | |---|---|---|---| | | R-4 | USFWS OLE - Tampa | INV- | **5. Description of Fish or Wildlife Seized (Complete this item on additional forms if more space is needed):** One Kilogram of Russian Sturgeon Caviar (Acipenser gueldenstaedtii). Discover Eurowings Flight 4Y64 Seizure Tag no. 111120 **Initial one:** ☑ I(we) have sole interest in this property, or I am an authorized officer acting on behalf of an individual, corporation, partnership, or any other entity as per 50 CFR 12 that has sole interest in this property, and I have full authority to abandon that interest to the government. ☐ There is another entity which holds an interest in this property (examples of interests might include: liens or the purchase not consummated yet). I hereby abandon my interest in the property to the government, but _________________________(name of individual or company) should be contacted about their interest. They can be contacted at: address:_______________________________, by email at:______________________________ and by telephone at:______________________. **6. The above-described property was seized based upon a violation of:** | ☑ Endangered Species Act, 16 USC 1538 | ☐ Bald and Golden Eagle Protection Act, 16 USC 668 | |---|---| | ☑ Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES), 16 USC 1538 | ☐ Migratory Bird Treaty Act, 16 USC 703 | | ☐ Lacey Act Amendments of 1981, 16 USC 3372 | ☐ Wild Bird Conservation Act, 16 USC 4910 | | ☐ Marine Mammal Protection Act, 16 USC 1371, 1372 | ☐ Rhinoceros and Tiger Conservation Act, 16 USC 5305a | | ☐ Airborne Hunting Act, 16 USC 742j-1 | ☐ African Elephant Conservation Act, 16 USC 4223 | | | ☐ Other - | | **7. Name of Owner(s)** | **8. Address** | **9. Email** | **10. Phone** | |---|---|---|---| | Alena Busel | 851 Bright Water Blvd NE
St. Petersburg, Fl