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Firearms Declaration - Tennessee

Firearms Declaration Form. This is a Tennessee form and can be used in Orders Of Protection Statewide .
 Fillable pdf Last Modified 4/2/2014
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Firearms Declaration In the Court of County, TN Petitioner (person needing protection) Case # (the clerk fills this in): If Petitioner is under 18, insert child's name if filed on behalf of an unemancipated person (someone under 18 years of age) pursuant to TCA §36-3602. This Request is being made by ____________________________ who is child's parent or legal guardian or a caseworker. first middle last Petitioner's Children under 18 Protected by this Order: Name Age Relationship to Respondent Name Age Relationship to Respondent 1. 2. 3. ___________________________________________________ 4. ______________________________________________ Respondent's Information: first middle last _ date of birth (MM/DD/YYYY) street address Respondent's Employer: Employer's name Describe Respondent: Sex Male Female Race White Asian Black Hispanic Other: Hair Black Grey Blond Bald Other: Eyes Brown Hazel Blue Green Gray Other: city state zip Employer's phone # Height ­ Weight ­ SSN ­ Other Height Weight Social Sec. # Scars/Special Features Phone Number To the Respondent: You have 1 business day after surrendering your firearms to fill out part of this form and file it with the Court Clerk. Start and End Dates of the Order of Protection The Respondent was given reasonable notice of the hearing and an opportunity to be heard. The Respondent understands that s/he must not own or have any firearms while this Order is in effect. This Order starts (date): This Order ends (date): Firearms Disposal (Respondent must read and fill out below): I understand I may not own or have firearms while this Protective Order is in effect. I own or possess firearms I do not own or possess firearms Because I own or possess firearms, in order to obey this Order, I did the following on (date) at (time): __________________. I gave the firearm(s) to an adult who is legally allowed to keep them. I have a National Firearms Act weapon. I had the firearm(s) locked up in a safe or other container that I cannot access. I have a federal firearms license (FFL) or am a responsible party under an FFL, and (you must check one): I transferred my firearms inventory to a responsible third party who is listed on my FFL. I am the only responsible party listed on my license, and I transferred my firearms inventory to a separate FFL holder. Respondent signs here in front of Notary/Clerk: Notary/Clerk fills out below-- Sworn to and subscribed before me, the undersigned authority, By (Print name of notary): On this date: Notary signs here 12/13/10 Date notary's commission expires Firearms Declaration ­ NOT AN ORDER OF THE COURT Date: (Notary's seal here) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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