Fill and Sign the Possession Penalties Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use In the matter of the possession of firearms by:       (Name of person subject to firearm restriction) Notice of Firearms Possession Penalties       Date of Birth Case No.       To:       This court has ordered that the above named person surrender to you any firearms he or she owns or has in his or her possession. A copy of the injunction ordering this surrender is attached. YOU ARE INFORMED THAT: 1. You may not furnish to this person any firearm in violation of the injunction. This prohibition includes: • Any firearms the above named person is required to surrender to you. • Any other firearms. 2. You may not return any firearms to this person until a judge has ordered that you may return the firearms to the person. 3. Any person who knowingly furnishes the above named person with a firearm in violation of the injunction can be charged with criminal possession of a firearm, party to a crime, in violation of §§939.05(2)(b) and 941.29(2), Wisconsin Statutes, a Class G felony, punishable by a fine not to exceed $25,000 or imprisonment not to exceed 10 years, or both. Distribution: 1. Court - Original 2. Person to whom firearm(s) were surrendered 3. Petitioner 4. Respondent 5. Law Enforcement BY THE COURT: Circuit Court Judge/Circuit Court Commissioner       Name Printed or Typed       Date CV-432 , 06/03 Notice of Firearms Possession Penalties §§813.12(4m)(a)2, 813.122(5m)(a)2 and 813.125(4m)(c)2, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material.