IN THE COURT OF COMMON PLEAS OF _________________________ COUNTY  
_________________________카운티  민사소송 법원 
 

ATTACHMENT А TO PETITION 
청원서에 첨부된 증물 A 
 
FIREARMS, OTHER WEAPONS AND AMMUNITION INVENTORY 
화기, 기타 무기 및 탄약 재고 

   

 

   

     

     

 

______________________________________________ 
PLAINTIFF / 원고 

FAMILY COURT DIVISION 
가정법원부 
 

V./ 대 

_____________________________________________
DEFENDANT / 피고 
 

No. / 번호 ___________________ 
  

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

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

 

 

 

 

Firearm/Other Weapon/Ammunition / Location 

본인,________________________________, 은(는) 이 
폭행으로부터의 보호를 청원하는 이 소의 원고로서 
 
(a)  피고가 원고 및/또는 미성년 자녀를 향해 
다음과 같은 화기, 기타 무기 및 탄약을 사용했거나 
사용하겠다고 위협했음을 진술합니다(알고 있으면 
“파란색 트럭의 앞 좌석”, “총 캐비닛”, “침실 옷장” 등과 
같이 주소나 위치로 쓰십시오): 

화기/기타 무기/탄약 / 위치 
 

    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 and ammunition not set forth in (a) above (include 
addresses or locations, if known): 

 

 

Firearm/Other Weapon/Ammunition / Location 

(b)  피고는,  원고인 본인이 아는 한, 위 (a)에 
 
기재되지 않은 다음과 같은 화기, 기타 무기 및 탄약을 
소유하거나 소지하고 있다고 진술합니다(알고 있으면 
주소 및 위치를 포함하십시오): 

화기/기타 무기/탄약 / 위치 

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

ENGLISH/KOREAN PFA Pet. Attachment A 
Pa. R.C.P. 1905(b) Rev. 11-08 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

     AOPC Rev. 6-2011 

 
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(c)  request that the court order Defendant to relinquish 

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

        (c)  피고가 다음과 같은 화기, 기타 무기 및 탄약을 

내어 놓도록 법원이 명령할 것을 요청합니다 (가능하면 

주소 및 위치를 포함하십시오): 

 

Firearm/Other Weapon/Ammunition / Location 

화기/기타 무기/탄약 / 위치 

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

수 있습니다. 

    여

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

탄약. 

  피고가 소유하거나 소지한 모든 화기, 기타 무기 및 

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

백이 더 필요할 경우 이 문서에 추가 용지를 첨부하실 

ame / 이름 ___________________________________________               Date / 날짜________________ 

otice: This attachment will be withheld from public inspection in accordance with 23 Pa.C.S.A. §6108(a)(7)(v). 

알림: 본 첨부문서는 23 Pa.C.S.A. §6108(a)(7)(v)조항에 따라 공공 열람이 거부될 것입니다. 

 

 

   

 

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ENGLISH/KOREAN PFA Pet. Attachment A 
Pa. R.C.P. 1905(b) Rev. 11-08 

 

 

 

 

 

 

 

 

 

 

 

 

 

            AOPC Rev. 6-2011 

 
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