STATE OF WISCONSIN, CIRCUIT COURT, IN RE THE RETURN OF FIREARMS TO COUNTY Amended 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 [Date] domestic abuse petition. child abuse petition. individual at risk petition. harassment petition. . The injunction was issued based on a(n) 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 5. I 6. I have have been vacated. expired and has not been extended. have not been convicted of a misdemeanor crime of domestic violence. 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 (above) return to me those firearms that were surrendered pursuant to the order of the court. State of County of Subscribed and sworn to before me on Notary Public/Court Official Date Name Printed or Typed Person Requesting Return of Firearms 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 American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material.