400 - 00 152B - Motion f or Order to Release Firearms ( 08 /2017 ) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Plaintiff Name DOB V. Defendant Name DOB MOTION FOR ORDER TO RELEASE FIREARMS Subject to the penalti es for perjury, I state the following facts to be true to the best of my knowledge and be lief . 1. On , th is Court issued a Relief From A buse O rder and ordered that my firearm(s), ammunition or other weapon(s) be securely stored while an order remained in effect. 2. The R el ief From Abuse O rder referred to in paragraph one expired on and has not been extended or renewed. Check appropriate box 3. I am subject to other relief from abuse or abuse protection order (s) in this or other state (s) . I am not subject to any other relief from abuse or abuse protection order in this or any other state. Check appropriate box 4 . I am subject to other restrictions on my ability to possess firearms under state or federal law. I am not subject to other restrictions on my ability to possess firearms under state or federal law. Therefore, I request that the Court issue an Order releasing my firearm(s), ammunition or other weapons that are currently held by . Date Signature of Petitioner Signed and sworn to before me: Date Signature of Notary Public Expiration Date American LegalNet, Inc. www.FormsWorkFlow.com