STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov APPLICATION FOR SUSPENSION OF PROSECUTION - PURCHASE, SALE, DELIVERY OR TRANSFER OF PISTOL OR REVOLVER JD-CR-106 Rev. 6-08 C.G.S. § 29-33 INSTRUCTIONS TO DEFENDANT: Send the original of this form to Clerk of Court and send a copy to the state's attorney. TO CLERK: Send a copy to CSSD - Intake, Assessment and Referral if the First Order continues the case for investigation. TO: The Superior Court of the State of Connecticut From (Name of Defendant) Address of Defendant (Number, street and town) Judicial District of Geographical Area Docket Number (For Court Use Only) Address of Court Application I am applying to have my prosecution suspended and say: 1. I am charged with illegally selling, delivering or transferring pistols or revolvers in violation of section 29-33 of the Connecticut General Statutes. 2. I have not been convicted of this crime before. 3. I have not had a prosecution of this crime suspended before under section 29-33(h). 4. If prosecution is suspended, I agree to give the state more time to prosecute me for this charge (the tolling of any statute of limitations with respect to this violation and to waive my right to a speedy trial). 5. I understand that if the court grants my application to suspend my prosecution: (a) I will be released to the custody of the Court Support Services Division for a period of not more than two years. (b) The court may order conditions it deems appropriate. (c) If the court finds that I refused to accept or violated the conditions of the suspension of prosecution, the court will terminate the suspension of prosecution and the case will be brought to trial. (d) If the court finds that I have satisfactorily completed the period of probation, the court will dismiss the charges and all records of the charges will be erased pursuant to section 54-142a. (e) An order of the court denying a motion to dismiss the charges against me, if I have completed the period of my probation, or ending my participation in such program will be a final judgment for purposes of appeal. By signing this form, I request that the prosecution for the violation be suspended and that the court order me placed in the custody of the Court Support Services Division. I have read or had read to me the statements above and understand them. I agree with the statements. Signed (Defendant) Date Signed Consented to by (Parent or Guardian) Signed (Attorney for Defendant) Date Signed First Order The foregoing application is denied. The foregoing application is continued to the following Court Hearing Date so that the Defendant's eligibility may be verified. Court Hearing Date and Time Signed (Judge or Clerk) Date Signed Court Support Services Division Recommendation Signed (CSSD Officer) ELIGIBLE Date Signed INELIGIBLE Second Order of Court (if applicable) The foregoing application is denied. Having found that (a) the violation alleged is not of a serious nature, (b) the Defendant (1) will probably not offend in the future, (2) has not previously been convicted of a violation of section 29-33, and (3) has not previously had a prosecution under section 29-33 suspended pursuant to subsection (h) of said statute, and (c) the Defendant has acknowledged that the Defendant understands the consequences of the suspension of prosecution, the application is granted; the prosecution is suspended, the case is continued to the below date, and the Defendant is released to the custody of the Court Support Services Division for the Period of Custody and subject to the conditions specified below. Period of Custody (Not to exceed two years) Case Continued To (Court Hearing Date) The Conditions of the Suspension of Prosecution Are: By the Court (Name of Judge) Signed (Clerk) Date Signed American LegalNet, Inc. www.FormsWorkflow.com