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20-613

Exhibit A
UCounty Court UDisinci Coupl UDenver Probate Court •
County. Colorado
fitt&Juar 9, 20
CourtAddress
.. ( Dì FijD pnyatyt 9, ZOO
201 1J. PORl l SUITE ItU
l OT l?

Petitioner: iÒL1 Ç
Address
JZ.7 1,/ì/ 4j5 Cõ g&s-

£
Respondent. ? t Lr IVID fj$
Dale of Birth:-,,, e
COURT USE ONLY

Address 7p ¡ A-Ai At/


c-ô
,
Altorney or Party Without Attomey (Name and Address) Case Number:
/76 - •37 -

Phone Number, E.mail.


FAX Number: Atty. Reg. #:
The addreu of the P,titloner may bs o,nittsd frooi the wrltten order of lh.
Court, includlng the R.gislsr of actlons. (Se. 09 below.) Divisic Courtroorn
PETITION AND AFFIDAVIT FOR EXTREME RISK PROTECflOÑORDER
i, ,L.5tðtì ¿1ÔL1I!1 tÇ (name 01 petitioner) request this Court to issue an Extreme Risk
Protectlon Order. and ln support of this request do hereby swearðaffirm the loHowing under penalty of perjury:

I am a family or household member to the respondent My relationship to the respondent is:


J l am related by blood. marriage, or adoption to lhe respondent
l have a child in oommon with the respondent. (Regardless of marriage or whether you have lived with the
respondent at any time)
U l reguiarly reside or have regularty resided with the respondent within the last snc months
J l am a domestic partner of the respondent
U i have a btological or legal parent-child relatìonship with the respondent (lncluding sLepparents and
stepchitdren, grandparents and grandchildren)
IJ i am acting or have acted as the respondents legal guardtan
lJ l am the spouse or former spouse of the Respondent
IJ ln the past l have been iri or am presently in an unmamed couple relationshìp wth the Respondent
2. U l am a law enforcement officer or l represent a law enforcement agency Name of law enforcemeni

(Name of Respondent) poses a signilricant risk 01 causing


parsnnl injury tn 41 nr nthars hy hving ln his or her custody or control a flrearm or by purchasing,
possessing. or receiving a firearm

Select all applicable reasons and provide detailed statements and inforrnation of ttie grounds supporting the
issuance 01 an Extreme Risk Protection Order

U There has been a recent act or credible threat of violence by the respondent against self or others
whether or not such violence or credible threat of vtolence involves a firearm
Explain in detail

JDF 574 R1120 PETITION AND AFFJDAVIT FOR EXTREME RISK PROTECTION OROER

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20-613

There have been a pattem of acts or credible threats of violence by the respondent within the past year, -

including but not limited to acts or credibte threats of violence by the respondent against self or others.
Explain in detait

/Jr4 4/j,,j - - bti - ,

D There has been a vioiation of Civit Protection Order by the respondent


Exptain in detail (Provide court tocation and case number of protection order and any cases filed as a result of
the violat,on)

D There is a previous or existing Extreme Risk Protection Order issued against the respondent and a
violation of a previous or Existing Extreme Risk Protection Order
Explain in detail (Provide court Iocation and case number of protection order and any cases fiied as a result of
the violation)•

The respondent has been convicted of a crime that included an underlying factual basis of domestic
vioience
Eicplain in detail (Provide couil location and case number)

The respondent owns. has access to. or intends to possess a firearm


Explain in detail
P,4 LLLtP

e
There has been a credible threat of or the unlawful or recktess use of a firearm by the respondent
xplain in detaill Ç)L AA,..- IC JrecwJ hÌ1 j743/ 7

JDF 574 131120 PETl1lON AND AFFIDAVIT FOR EX1REME RISK PROTEC1ÌON ORDER

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20-613
,
4

O There is a history of use. attempted use. or threatened use of unlawful physical force by the respondent
against another person or a history of stalking another person by the respondent
Explain in delaul.

O The respondent has been arrested for a crime listed in section 244 1.302(1 )-Victims Rights Crimes or
section 18-9-202-Cruelty to Anumals
Explain in detail

O The respondent has abused controlled substances or alcohol


Expla.n in detail

The respondent is required to possess carry or use a firearm as a conditlon 01 the respondents current
employrnent.

O The respondent has recently acquired a firearm or ammunition


Eplain in detai1

JDF 574 R1120 PETITION AND AFFIDAVFÎ FOR EXTREME RISK PROTECTION ORDER

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20-613

E3 Other applicable reasons and information of the grounds suppotting the issuance of an Extreme Risk
Protection Order.
Explain in detail:

4. Respondent resides in L Avi fr e_.._ county. Colorado

S. The quantities types. and locatons of ali firearms and ammunion the petitioner believes to be šn the
respondents current ownership, possession. custody or control are as follows

Quantìty _L.
Type Locat!on
1 ntiori
,4i/ 1
Quant.ty Type -

Quanttty Type Location


Quantity -
Type
-
- Location
Quantity Type Locatlon
Quantkty Type Location

U Additionat pages are attached


6. To my knowledge there are no exist.ng protect,on orders governing the Petltioner and Respondent
tThere are existing protection orders goveîning the Petitioner and Respondent (List information below)

Court Locatlon Cais Numb.r

7. To my knowledge, there are no pending lawsuits complaints petftions or other actions between
Petitioner and Respondent
]There are pending tawsuits complaints. pettions, or other actions between Petitioner and Respondent
(List information below)

S. (For famlly or housshold memb.rs only)


l have informed law enforcement regarding the respondent (List law entorcemenl agencies)
I ¡
¿ 5 Ô
aizr .? i4Mpt/ s s uTh ìc
l have not notified law enforcemeflt regarding the respondent

h ve bi-/ uø?ifit9d1 ¿/ Jacì 7

JOF 574 R1120 PETtTtON AND AFFIDAVIT FOR EXTREME RISK PROTECTION ORDER

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20-613

(51 applicable) l request that l be permitted to omit my address from this Petituon and Affudavit for Extreme
R sk Protecton Order because i fear that inc1ud1r19 my address will risk harm to mr any, member of my family
or household O , Cô o k
11 Requured altemate address at which the Respondent and Court may seve noce of any motions

VERlFlCATlON AND ACKNOWLEGEMENT

lswearlalflrm under oath and p.nalty of perjury under the laws of the Slate of Colorado th.t the foregolng
ls true and corr.ct.

.5i5j ho Ll1C5 JJAZt ja R-X-04~:i


(Printed name of Pet,tioner) Signature of Petitioner

SUBSCRIBED AND AFFIRMED OR SWORN 10 before me in the County of Lsner


State of Criln _____this day of i r 201Q

YF41 J.1AAL2, My commission expires

Petitioners Attomey Signature. 11 any


ANÃS
NOTARY PUBL(C
TE OF COLORADO
LNOI'YARY ID 2O184O431
My oNExpiRjn

JDF 574 R1120 PETJTION AND AFFIDAVfl FOR E)(TREME RISK PROTECTION ORDER

Ki
D0352020CR000219 DISCOVERY PAGE 149

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