CH-800 1 Name: 2 Proof of Firearms Turned In, Sold, or Stored Clerk stamps date here when form is filed. Protected Person Restrained Person a. Your Name Your Lawyer (if you have one for this case): Name: State Bar No.: Firm Name: b. Your Address (If you have a lawyer, give your lawyer's information. If you do not have a lawyer and want to keep your home address private, you may give a different mailing address instead. You do not have to give telephone, fax, or e-mail.): Address: City: Telephone: E-Mail Address: State: Fax: Zip: Court fills in case number when form is filed. Fill in court name and street address: Superior Court of California, County of Case Number: 3 To the Restrained Person: 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 4 or 5 and item 6 . After the form is signed, file it with the court clerk. Keep a copy for yourself. For help, read Form CH-800-INFO, How Do I Turn in, Sell, or Store My Firearms? 4 To Law Enforcement Fill out items 4 and 6 of this form. Keep a copy and give the original to the person who turned in the firearms. The firearms listed in 6 were turned in on: Date: To: Name and title of law enforcement agent Name of law enforcement agency 5 To Licensed Gun Dealer Fill out items 5 and 6 of this form. Keep a copy and give the original to the person who sold you the firearms or stored them with you. The firearms listed in 6 were sold to me transferred to me for storage on: Date: To: Name of licensed gun dealer License number Telephone at: a.m. p.m. at: a.m. p.m. Address Address I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Signature of law enforcement agent I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Signature of gun dealer Judicial Council of California, www.courts.ca.gov Revised July 1, 2014, Optional Form Code of Civil Procedure, § 527.9, Penal Code § 29830 Proof of Firearms Turned In, Sold, or Stored (Civil Harassment Prevention) CH-800, Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case Number: 6 Firearms Make a. b. Model Serial Number c. d. e. Check here if you turned in, sold, or stored more firearms. Attach a sheet of paper and write "CH-800, Item 6--Firearms Turned In, Sold, or Stored" for a title. Include make, model, and serial number of each firearm. You may use Form MC-025, Attachment. 7 Do you have, own, possess, or control any other firearms besides the firearms listed in 6 ? Yes If you answered yes, have you turned in, sold, or stored those other firearms? If yes, check one of the boxes below: a. b. Yes No No I filed a Proof of Firearms Turned In, Sold, or Stored for those firearms with the court on (date): I am filing the proof for those firearms along with this proof. I have not yet filed the proof for the other firearms. (Explain why not): Check here if there is not enough space below for your answer. Put your complete answer on the attached sheet of paper or Form MC-025 and write "Attachment 7c" for a title. c. I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: Type or print your name Sign your name Revised July 1, 2014 Proof of Firearms Turned In, Sold, or Stored (Civil Harassment Prevention) CH-800, Page 2 of 2