251 Superior Court of Arizona in Maricopa County Page 1 of 8 CRRR10f 080318 ALL RIGHTS RESERVED Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY STATE OF ARIZONA , Plaintiff Case Number: - vs - APPLICATION UPON DISCHARGE TO: (check all that apply) RESTORE CIVIL RIGHTS DEFENDANT (First, MI, Last) RESTORE GUN RIGHTS Date of Birth: A.R.S . 247247 13 - 905, 13 - 906, 13 - 908, 13 - 909, 13 - 910, 13 - 911, and 13 - 912 Applicant is : Defendant Attorney for Defendant REQUEST FOR RECONSIDERATION (for applications previously denied) Civil Rights Gun Rights SECTION I: CONVICTION(S) A Judgment of Guilt was entered against me, the Defendant, on the day of , 20 , on the conviction of: 1. Count I: 2. Count II: 3. Count III: 4. Count IV: Additional counts continue on a separate page. American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 Superior Court of Arizona in Maricopa County Page 2 of 8 CRRR10f 080318 ALL RIGHTS RESERVED SECTION II: STATE CONVICTION: (For federal convictions, see SECTION III.) A Judgment of Guilt was entered against me in the Superior Court of Arizona in Maricopa County. 1. The above stated judgment of guilt and conviction for a felony is my first felony conviction in this or any other State and this application is for restoration of right to possess or carry a gun or firearm only. NOTE: If this is your first felony conviction in this or any other State, any civil rights lost or suspended by the conviction are automatically restored if you completed a term of probation or received an absolute discharge from imprisonment and paid any fine or restitution imposed; however, your right to possess or carry a gun or firearm requires an application under this rule. Refer to Section VII of this application. OR I have also been convicted of a felony in the following Court(s): Court Name: in case number Court Name: in case number (Attach a separate page for additional cases and convictions) 2. probation is in the court file or attached to this form. 3. I received a Certificate of Absolute Discharge from Imprisonment from the Arizona Department of Corrections in this petition. 4. I have complied with all required terms of probation (including all employment, classes, community restitution, victim restitution or other court ordered monetary obligations, drug/alcohol testing, or other requirements.) American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 Superior Court of Arizona in Maricopa County Page 3 of 8 CRRR10f 080318 ALL RIGHTS RESERVED 5. I HAVE NOT complied with all terms of my sentence. EXPLAIN: SECTION III. FEDERAL CONVICTION (For State convictions see SECTION II.) A Judgment of Guilt was entered against me, in United States District Court for the District of . 1. The above stated judgment of guilt and conviction for a felony is my first felony conviction in this or any other State and this application is for restoration of right to possess or carry a gun or firearm only. NOTE: If this is your first felony conviction in this or any other State, any civil rights lost or suspended by the conviction are automatically restored if you completed a term of probation or received an absolute discharge from imprisonment and paid any fine or restitution imposed; however, your right to possess or carry a gun or firearm requires an application under this rule. Refer to Section VII of this application. OR I have also been convicted of a felony in the following Court(s): Court Name: in case number Court Name: in case number (Attach a separate page for additional cases and convictions) 2. I was sentenced to and served a term of federal probation, and received an Affidavit of Discharge from the judge who discharged me. I have attached a copy to this petition. American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 Superior Court of Arizona in Maricopa County Page 4 of 8 CRRR10f 080318 ALL RIGHTS RESERVED 3. I was sentenced to and successfully served a federal prison term. I have attached a copy of the Federal Bureau of Prisons a Certificate of Absolute Discharge, or other official documentation provided by the Bureau of Prisons that indicates successful discharge from Imprisonment on a date two (2) or more years 4. I have complied with all required terms of probation (including all employment, classes, community restitution, victim restitution or other court ordered monetary obligations, drug/alcohol testing, or other requirements.) 5. I HAVE NOT complied with all terms of probation. EXPLAIN: SECTION IV. VICTIM RESTITUTION AND COURT ORDERED MONETARY OBLIGATIONS 1. Have you paid victim restitution in full? YES NO IF NO, a restoration of rights will be denied without a showing of extraordinary circumstances. If you believe you have extraordinary circumstances explain below. (Attach documentation you think is relevant for the American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 Superior Court of Arizona in Maricopa County Page 5 of 8 CRRR10f 080318 ALL RIGHTS RESERVED 2. Have you paid all other court-ordered monetary obligations in this case (criminal fines and fees) in full? YES NO If no, please explain: For a State case, in some circumstances you may be eligible to apply to the court to mitigate the amount owed or convert monies owed to community restitution (This does not apply for Federal convictions). SECTION V. PRIOR RESTORATION OF RIGHTS 1. Have you previously applied to have your rights restored? Yes No If yes, what was the date of your last application? 2. Have you been granted the restoration of your rights previously? Yes No 3. Have you been denied the restoration of your rights previously? Yes No SECTION VI. PENDING CASES AND ACTIVE WARRANTS 1. Are there any open criminal cases against you? Yes No 2. Do you have an active warrant? Yes No If yes to either question above, please explain: American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 Superior Court of Arizona in Maricopa County Page 6 of 8 CRRR10f 080318 ALL RIGHTS RESERVED SECTION VII . RESTORATION OF FIREARM RIGHTS NOTE: Arizona Revised Statutes require: If the person was convicted of an offense which would be a dangerous offense under section 13-704, the person may not file for the restoration of the right to possess or carry a gun or firearm. If the person was convicted of an offense which would be a serious offense as defined in section 13-706, the person may not file for the restoration of the right to possess or carry a gun or firearm for ten (10) years from the date of the person's absolute discharge from imprisonment or discharge from probation. If the person was convicted of any other felony offense, the person may not file for the restoration of the right to possess or carry a gun or firearm for two (2) years from the date of the person's absolute discharge from imprisonment or discharge from probation. 1. I was convicted of a felony offense not listed in A.R.S. 247247 13-704 or 13-706 and it has been two years since absolute discharge from imprisonment or probation. 2. I was convicted of a serious offense as defined in A.R.S. 247 13-706 and it has been ten years since absolute discharge from imprisonment or probation. 3. I was convicted of a dangerous offense as defined in A.R.S. 247 13-704. (If yes, you are not eligible to file for restoration of the right to possess or carry a gun or firearm.) If you are requesting that your civil right to possess a gun or firearm be restored, please write your reasons for the request below: I understand that even if I am granted the right to possess a gun or firearm under Arizona law, it may not give me the right to possess a gun or firearm under federal law. American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 251 Superior Court of Arizona in Maricopa County Page 7 of 8 CRRR10f 080318 ALL RIGHTS RESERVED SECTION VIII. OTHER INFORMATION FOR THE COURT Is there anything you would like the Court to take into consideration? Attached is other pertinent documentation. List attached documents: The Court may decide on this applicati