Form Ch-120 - Response To Request For Civil Harassment Restraining Orders Page 7
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9Proof of Firearms Turned In, Sold,
Clerk stamps date here when form is filed.
CH-800
or Stored
Protected Person
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Name:
Restrained Person
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a. Your Name:
Your Lawyer (if you have one for this case):
Name:
State Bar No.:
Firm Name:
Fill in court name and street address:
b. Your Address (If you have a lawyer, give your lawyer’s information.
Superior Court of California, County of
If you do not have a lawyer and want to keep your home address
Nevada
201 Church Street
private, you may give a different mailing address instead. You do not
Nevada City, CA 95959
have to give telephone, fax, or e-mail.):
Address:
City:
State:
Zip:
Telephone:
Fax:
Court fills in case number when form is filed.
E-Mail Address:
Case Number:
To the Restrained Person:
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If the court has ordered you to turn in, sell, or store your firearms, you may use this form to prove to the court that
you have obeyed its orders. When you deliver your unloaded weapons, ask the law enforcement officer or the
licensed gun dealer to complete item
or
and item
. After the form is signed, file it with the court clerk.
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Keep a copy for yourself. For help, read Form CH-800-INFO, How Do I Turn in, Sell, or Store My Firearms?
To Law Enforcement
To Licensed Gun Dealer
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Fill out items
and
of this form. Keep a
Fill out items
and
of this form. Keep a
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copy and give the original to the person who
copy and give the original to the person who sold
turned in the firearms.
you the firearms or stored them with you.
The firearms listed in
were turned in on:
The firearms listed in
were
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sold to me
transferred to me for storage on:
Date:
at:
a.m.
p.m.
Date:
at:
a.m.
p.m.
To:
To:
Name and title of law enforcement agent
Name of licensed gun dealer
Name of law enforcement agency
License number
Telephone
Address
Address
I declare under penalty of perjury under the laws
I declare under penalty of perjury under the laws
of the State of California that the information
of the State of California that the information
above is true and correct.
above is true and correct.
Signature of law enforcement agent
Signature of gun dealer
Judicial Council of California,
Proof of Firearms Turned In, Sold, or Stored
CH-800,
Page 1 of 2
Revised July 1, 2014, Optional Form
Code of Civil Procedure, § 527.9,
(Civil Harassment Prevention)
Penal Code § 29830
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