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Here is the text we could read:

IN THE COURT OF COMMON PLEAS OF _________________________ COUNTY  
AU TRIBUNAL DE PREMIÈRE INSTANCE DU COMTÉ DE ____________________  

_______________________________________________ 
PLAINTIFF / PARTIE DEMANDERESSE 

FAMILY COURT DIVISION 
DIVISION DU TRIBUNAL DES AFFAIRES 
FAMILIALES 

V. / CONTRE

No. / No. ___________________ 

______________________________________________
DEFENDANT / PARTIE DÉFENDERESSE 

ATTACHMENT А TO PETITION 
ANNEXE A À LA REQUÊTE 

FIREARMS,  OTHER  WEAPONS,  OR  AMMUNITION  INVENTORY 
INVENTAIRE DES ARMES À FEU, AUTRES ARMES, OU MUNITIONS 

I,________________________________, Plaintiff in this 
Protection from Abuse Action, hereby 

Je soussigné(e), ________________________________, 
Partie demanderesse de ce Recours pour Protection contre 
Mauvais traitements, 

(a)  state that Defendant used or threatened to use the 
following firearms, other weapons, or ammunition against 
Plaintiff or the minor child/ren (include addresses or 
locations, if known, such as “front seat of blue truck”, “gun 
cabinet”, “bedroom closet”, etc.): 

(a) déclare par les présentes que la Partie défenderesse a

utilisé ou menacé d'utiliser les armes à feu, autres armes, 
ou munitions suivantes contre la Partie demanderesse ou 
les enfants mineurs (inclure les adresses ou emplacements si 
vous les connaissez comme « le siège avant du camion 
bleu », « l'armoire à fusil », « la garde-robe de la chambre », 
etc.) : 

Firearm/Other Weapon/Ammunition / Location 

Arme à feu / Autre arme / Munitions / Emplacement 

1. _____________________/_______________________
2. _____________________/_______________________
3. _____________________/_______________________
4. _____________________/_______________________
5. _____________________/_______________________

   _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 
   _____________________/_________________________ 
  _____________________/_________________________ 

(b) state that Defendant, to the best of my knowledge
or belief, owns or possesses the following firearms, other 
weapons, or ammunition not set forth in (a) above (include 
addresses or locations, if known): 

(b) déclare que la Partie défenderesse possède ou a en
sa possession, pour autant que je le sache, les armes à feu, 
autres armes, ou munitions suivantes, énumérées à l'alinéa (a) 
ci-dessus (incluez les adresses ou emplacements si vous les
connaissez) :

Firearm/Other Weapon/Ammunition / Location 

Arme à feu / Autre arme / Munitions / Emplacement 

1. _____________________/_______________________
2. _____________________/_______________________
3. _____________________/_______________________
4. _____________________/_______________________
5. _____________________/_______________________

   _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 

ENGLISH/FRENCH PFA Pet. Attachment 
A Pa. R.C.P. 1905(b) Rev. 3-19  

1 

AOPC Rev. 4-2019 

(c)  request that the court order Defendant to relinquish 

the following firearms, other weapons, or ammunition 
(include addresses or locations, if known): 

(c)  demande que le tribunal ordonne à la Partie  
défenderesse de se dessaisir des armes à feu, autres armes, ou 
munitions suivantes (incluez les adresses ou emplacements, 
si vous les connaissez) :

Firearm/Other Weapon/Ammunition / Location 

Arme à feu / Autre arme / Munitions / Emplacement 

1. _____________________/_______________________
2. _____________________/_______________________
3. _____________________/_______________________
4. _____________________/_______________________
5. _____________________/_______________________

   _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 
  _____________________/_________________________ 

  All firearms, other weapons, or ammunition owned or 
possessed by Defendant. 

  Toutes les armes à feu, autres armes, ou munitions 
que la Partie défenderesse possède ou a en sa possession. 

If more space is needed, more sheets may be attached to 
this document  

Si vous avez besoin de plus de place, vous pouvez ajouter 
des feuilles à ce document. 

Name / Nom ___________________________________________   

   Date / Date ________________ 

Notice: This attachment will be withheld from public inspection in accordance with 23 Pa.C.S. §6108(a)(7)(v). 
Avis : Cette annexe ne sera pas accessible pour inspection publique, conformément à 23 Pa.C.S. §6108(a)(7)(v). 

ENGLISH/FRENCH  PFA Pet. Attachment 
A Pa. R.C.P. 1905(b) Rev. 3-19

2 

AOPC Rev. 4-2019

French Petition Attachment A

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.pacourts.us (2023-03)
Page(s): 2
Fields(s): 71
Average fields per page: 35
Reading Level: Grade 10
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

n_th_e_cour_f_commo_plea was IN THE COURT OF COMMON PLEAS OF (0.65 conf)
u_tribuna_l_e_prem_r_de was AU TRIBUNAL DE PREMIÈRE INSTANCE DU COMTÉ DE (0.46 conf)
plaintif_f_parti_e_demanderesse was PLAINTIFF PARTIE DEMANDERESSE (0.46 conf)
defendan_parti_e_fenderesse was DEFENDANT PARTIE DÉFENDERESSE (0.42 conf)
undefined__1 was undefined (0.38 conf)
i was I (0.38 conf)
je_soussign_e was Je soussignée (0.42 conf)
unknown__1 was 1 (0.38 conf)
undefined__2 was undefined_2 (0.39 conf)
feu_autre_emplacement__1 was Arme à feu Autre arme Munitions Emplacement (0.58 conf)
undefined__3 was undefined_3 (0.39 conf)
unknown__2 was 2 (0.38 conf)
undefined__4 was undefined_4 (0.39 conf)
unknown__3 was 3 (0.38 conf)
undefined__5 was undefined_5 (0.39 conf)
1_2 was 1_2 (0.38 conf)
2_2 was 2_2 (0.38 conf)
undefined__6 was undefined_6 (0.39 conf)
undefined__7 was undefined_7 (0.39 conf)
unknown__4 was 4 (0.38 conf)
undefined__8 was undefined_8 (0.39 conf)
undefined__9 was undefined_9 (0.39 conf)
undefined__10 was undefined_10 (0.39 conf)
unknown__5 was 5 (0.38 conf)
undefined__11 was undefined_11 (0.39 conf)
undefined__12 was undefined_12 (0.39 conf)
undefined__13 was undefined_13 (0.39 conf)
1_3 was 1_3 (0.38 conf)
undefined__14 was undefined_14 (0.39 conf)
feu_autre_emplacement__2 was Arme à feu Autre arme Munitions Emplacement_2 (0.54 conf)
undefined__15 was undefined_15 (0.39 conf)
2_3 was 2_3 (0.38 conf)
undefined__16 was undefined_16 (0.39 conf)
3_2 was 3_2 (0.38 conf)
undefined__17 was undefined_17 (0.39 conf)
4_2 was 4_2 (0.38 conf)
undefined__18 was undefined_18 (0.39 conf)
5_2 was 5_2 (0.38 conf)
undefined__19 was undefined_19 (0.39 conf)
1_4 was 1_4 (0.38 conf)
2_4 was 2_4 (0.38 conf)
3_3 was 3_3 (0.38 conf)
4_3 was 4_3 (0.38 conf)
undefined__20 was undefined_20 (0.39 conf)
undefined__21 was undefined_21 (0.39 conf)
undefined__22 was undefined_22 (0.39 conf)
undefined__23 was undefined_23 (0.39 conf)
1_5 was 1_5 (0.38 conf)
undefined__24 was undefined_24 (0.39 conf)
feu_autre_emplacement__3 was Arme à feu Autre arme Munitions Emplacement_3 (0.54 conf)
undefined__25 was undefined_25 (0.39 conf)
2_5 was 2_5 (0.38 conf)
undefined__26 was undefined_26 (0.39 conf)
3_4 was 3_4 (0.38 conf)
undefined__27 was undefined_27 (0.39 conf)
4_4 was 4_4 (0.38 conf)
undefined__28 was undefined_28 (0.39 conf)
5_3 was 5_3 (0.38 conf)
undefined__29 was undefined_29 (0.39 conf)
1_6 was 1_6 (0.38 conf)
2_6 was 2_6 (0.38 conf)
3_5 was 3_5 (0.38 conf)
4_5 was 4_5 (0.38 conf)
undefined__30 was undefined_30 (0.39 conf)
undefined__31 was undefined_31 (0.39 conf)
undefined__32 was undefined_32 (0.39 conf)
undefined__33 was undefined_33 (0.39 conf)
possessed_defendant was possessed by Defendant (0.50 conf)
la_partie_de_ou_en_sa was la Partie défenderesse possède ou a en sa possession (0.56 conf)
name_nom was Name Nom (0.46 conf)
date was Date Date (0.42 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

French Petition Attachment A

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02