STATE OF SOUTH CAROLINA	)
)	IN THE MAGISTRATE COURT
COUNTY/CITY OF	)	MUNICIPAL COURT
)
THE STATE OF SOUTH CAROLINA	)	NOTICE OF FEDERAL FIREARMS PROHIBITION PURSUANT TO 18 U.S.C. 922 & SC CODE OF LAWS 16-25-30
)
)
vs.	)
)
)	Warrant/Docket No.:
Defendant.	)

The defendant named hereinabove was convicted of South Carolina Code of Laws Section 16-25-20, Domestic Violence, on the following date .

Pursuant to SC Code of Laws, 16-25-30, the defendant named hereinabove, is given notice of the following:

PURSUANT TO 18 U.S.C. 922, IT IS UNLAWFUL FOR A PERSON CONVICTED OF A VIOLATION OF SECTION 16-25-20 OR 16-25-65 TO SHIP, TRANSPORT, POSSESS, OR RECEIVE A FIREARM OR AMMUNITION.

This notice was provided by the court to the defendant on the day of , 20 .

Court Official

Received by defendant:

SCCA/652 (Amended 03/16)

STATE OF SOUTH CAROLINA

traines

2009-06-16

mbaughman

SCJD