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JD-1771, 05/18 Petition for Removal of Firearms Restriction (Juvenile) 247247941.29(1m)(bm) and 941.29(8), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 1 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN RE THE PETITION OF Name Date of Birth Petition for Removal of Firearm Restriction (Juvenile) Case No. UNDER OATH I STATE: 1. I was found delinquent in County on [ D ate ] for the following felonies: Attached is a copy of the dispositional order from case number prohibiting me from possessing a firearm. 2. I am asking to remove the prohibition against possessing firearms because: 3. I am not likely to act in a manner dangerous to public safety. 4. I have have not previously requested another court to remove the firearms prohibition. (If you have previously requested 5. I have have not fully complied with the dispositional order in this case including: payment of restitution, forfeitures, costs, or other financial obligations; completion of all community service obligations; completion of all other obligations. (If you have not fully complied with all provisions of the dispositional order, please explain.) 6. I do do not have any other outstanding financial obligations (restitution, fines, forfeitures) to this or any other court in the state of Wisconsin. List all financial court obligations: 7. Since the adjudication listed in paragraph 1, I have have not been adjudicated delinquent for additional crimes. I have have not been convicted as an adult for additional crimes. (Attach copies of all dispositional orders or judgments of conviction.) State of County of Subscribed and sworn to before me on Notary Public/Court Official Name Printed or Typed My commission/term expires: Petitioner Name Typed or Printed Address Phone Number Date DISTRIBUTION: 1. Court 2. Juvenile Clerk and District Attorney in county where: Delinquency adjudication occurred Petitioner resides (if different) Petition filed (if different) American LegalNet, Inc. www.FormsWorkFlow.com