Form Cv-801 - Petitioner'S Statement Of Respondent'S Possession Of Firearms

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STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
Amended
Petitioner’s Statement
Petitioner’s Name
of Respondent’s
Possession of Firearms
Case No.
(THIS FORM IS OPTIONAL. IF YOU CHOOSE TO USE IT, BRING IT TO THE INJUNCTION HEARING.)
ANSWER THE FOLLOWING QUESTIONS:
1. Do you know whether the respondent in this case currently or in the past six months owned or possessed any
firearms?
"Firearm" means a weapon that acts by force of gunpowder to fire a projectile, regardless of whether it is
inoperable due to disassembly. (§167.31(1)(c), Wis. Stats.)
NO, I do not know that the respondent now owns or possesses, or during the past six months has
owned or possessed, any firearms.
(
If you answered no, please continue to signature line.)
YES, I believe the respondent currently, or within the past six months, owned or possessed a firearm.
(If you answered yes, please continue to Question 2.)
2. List the firearm(s) that you believe the respondent currently, or within the past six months, has owned or
possessed, and the quantity, make or model and location of the firearm(s).
Firearm
Quantity
Make/Model
Serial Number
Location of Firearm(s)
[If you need room for additional firearms, attach additional sheet to this form]
Petitioner
DISTRIBUTION:
Name Printed or Typed
1. Court
2. Petitioner
Date
3. Other:
CV-801, 09/14 Petitioner’s Statement of Respondent’s Possession of Firearms
§813.1285(2), Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.

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