Fillable REQUEST FOR A REPLACEMENT CONCEALED HANDGUN PERMIT COMMONWEALTH (County of Rockingham)

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REQUEST FOR A REPLACEMENT CONCEALED HANDGUN PERMIT COMMONWEALTH (County of Rockingham)

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U.S.A. forms for County of Rockingham

BROWSE COUNTY OF ROCKINGHAM (VA) FORMS

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REQUEST FOR A REPLACEMENT CONCEALED HANDGUN PERMIT
COMMONWEALTH OF VIRGINIA - § 18.2-308.011
Permit #:__________________
To The Rockingham County Circuit Court:
I, ______________________________________, hereby request that this court issue
me a replacement permit to carry a concealed handgun. In support of this request, I
state under oath the following information:
☐ permit was lost or destroyed
or
☐ my name has legally changed (attach documentation as proof of name change):
to
Name on Current Permit New Full Legal Name
Signature
State of __________________ City/County of _________________________,to-wit:
Subscribed and sworn to before me this ____ day of ________________, 20________.
Notary Public
My Commission Expires: _________________
Registration #: __________________
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REQUEST FOR A REPLACEMENT CONCEALED HANDGUN PERMIT COMMONWEALTH (County of Rockingham)

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Completed 18 July 2020

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