HomeMy Public PortalAboutDeclaration of Non-Surrender case 3A0652635 CN GEVERS GENTRY (2023-12-08)Bothell Municipal Court
10116 NE 183rd St
Bothell, WA. 98011
Phone (425) 487-5587, Fax: 425-487-5580
municourt@bothellwa.gov
Declaration: No Weapons to Surrender
City of Bothell , Plaintiff vs. GEVERS, GENTRY
WILLIAM, Defendant
AKA(s):
DOB: 2/17/1993 CCN:
Case Numbers: 3A0652635
Declaration: No Weapons to Surrender
If you previously surrendered your firearms, other dangerous weapons, and concealed pistol licenses, use
the Proof of Surrender (form WS 100). If you want to plead your Fifth Amendment privilege against self-
incrimination, you may use the Declaration of Fifth Amendment Privilege (form WS 105).
I understand that the court has ordered me to surrender all firearms, and other dangerous weapons that I
own or have in my possession or control, and any concealed pistol licenses in my name. I have not
surrendered any firearms, other dangerous weapons, or concealed pistol licenses pursuant to that order
because I do not have any of those items.
I also understand that:
I am prohibited from accessing,having in my custody or control, obtaining, possessing, purchasing,
receiving or attempting to purchase or receive any firearms or other dangerous weapons, or
obtaining or possessing a concealed pistol license until further order of the court.
If I fail to comply with the Order to Surrender Weapons and Prohibit Weapons, I may be found in
contempt of court and be charged with a misdemeanor.
I may be charged with a crime up to and including a fe lony if I am found to own, possess, or
control a firearm or other dangerous weapon while the Order to Surrender and Prohibit Weapons
is in effect.
I declare, under penalty of perjury under the laws of the State of Washington, that this statement is
true and correct.
Dated: at (place) Bothell ,Washington.
Signature of Restrained Person
Print Name GEVERS, GENTRY WILLIAM