Yuba — G13074

Source: https://www.yuba.courts.ca.gov/system/files/g13074.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF YUBA 215 5th STREET, SUITE 200 MARYSVILLE CA 95901 (530) 740-1800

CONFIDENTIAL

DOJ FIREARM PROHIBITION/RELEASE INFORMATION SHEET [Conservatorship]

In the Matter of the Conservatorship of: Case Number:

PROPOSED CONSERVATORS MUST COMPLETE THIS INFORMATION SHEET, WHICH MUST BE RETURNED TO THE COURT WITH THE PETITION. LETTERS WILL NOT BE ISSUED UNTIL THIS FORM IS PROVIDED TO THE COURT.

Name: ___________________________ ______________________ ___________________ Last First Middle

Address: ___________________________ ______________________ ______ ________ Street Address City State Zip Code

Sex______Race___________Height__________Weight__________Eyes________Hair__________

Date of Birth: ________________SSN:___________________CII Number: _____________________

Driver’s License No: __________________________ State of Issuance: ______________________

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Yuba County Superior Court CONFIDENTIAL G13074 11/05/13, Rev. 1/5/17 DOJ FIREARM PROHIBITION/RELEASE INFORMATION SHEET [Conservatorship]