LD 1546
pg. 3
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LR 1878
Item 1

 
Passamaquoddy Tribe or Penobscot Nation in a
proceeding in which the prosecuting authority has
pleaded that you committed the crime with the use of
a firearm against a person or with the use of a
dangerous weapon as defined in Title 17-A, section
2, subsection 9, paragraph A?

 
(h)__Is there a formal charging instrument now
pending against you in this or any other
jurisdiction for a juvenile offense that, if
committed by an adult, would be a crime described
in division (b), (c), (d) or (f) and involves
bodily injury or threatened bodily injury against
another person?

 
(i)__Is there a formal charging instrument now
pending against you in this or any other
jurisdiction for a juvenile offense that, if
committed by an adult, would be a crime described
in division (g)?

 
(j)__Is there a formal charging instrument now
pending against you in this or any other
jurisdiction for a juvenile offense that, if
committed by an adult, would be a crime described
in division (b), (c), (d) or (f), but does not
involve bodily injury or threatened bodily injury
against another person?

 
(k)__Have you ever been convicted of committing or
found not criminally responsible by reason of
mental disease or defect of committing a crime
described in division (b), (c), (f) or (g)?

 
(l)__Have you ever been convicted of committing or
found not criminally responsible by reason of
mental disease or defect of committing a crime
described in division (d)?

 
(m)__If your answer to the question in division
(l) is "yes," was that crime classified under the
laws of that state as a misdemeanor punishable by
a term of imprisonment of 2 years or less?

 
(n)__Have you ever been adjudicated as having
committed a juvenile offense described in division
(h) or (i)?


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