Form Cv-433 - Petition To Return Firearm(S)
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1STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
Amended
IN RE THE RETURN OF FIREARMS TO
Petition to
Return Firearm(s)
Case No.
A person required to surrender firearms in an injunction action
Requesting person’s
Date of Birth
Sex
Race
Height
Weight
Hair color
Eye color
Address
Telephone Number
UNDER OATH I STATE:
1. The court issued an injunction against me on
. The injunction was issued based on a(n)
[Date]
domestic abuse petition.
child abuse petition.
individual at risk petition.
harassment petition.
2. The court ordered me to surrender any firearms I owned or had in my possession to
the sheriff of this county.
the sheriff of the county in which I resided:
[Name of County]
the following person:
[Name]
[Address]
3. I surrendered the following firearms to that person: [Attach a copy of the receipt provided by the sheriff when the
firearm(s) were surrendered. If the firearm(s) were surrendered to a third person, attach a copy of the receipt from
that person or a complete description of the firearm(s).]
See attached receipt or list.
4. The injunction has
been vacated.
expired and has not been extended.
5. I
have
have not been convicted of a misdemeanor crime of domestic violence.
6. I
have
have not been convicted of a felony.
7. I am not prohibited from possessing a firearm under any state or federal law or by the order of any federal court or
state court, other than an order from which a judge or family court commissioner is competent to grant relief.
I REQUEST THE COURT enter an order directing that the person named in paragraph 2
return to me those
(above)
firearms that were surrendered pursuant to the order of the court.
State of
Person Requesting Return of Firearms
County of
Subscribed and sworn to before me on
Name Printed or Typed
Notary Public/Court Official
Date
Name Printed or Typed
My commission/term expires:
DISTRIBUTION:
1. Court
2. Petitioner in injunction action
3. Person to whom firearm(s) were surrendered
CV-433, 02/17 Petition to Return Firearm(s)
§813.1285(7), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
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