PETITION TO FIND UNSUITABILITY FOR FIREARM IDENTIFICATION CARD AND INITIAL DETERMINATION Petitioner Name and Address Docket No. MASSACHUETTS TRIAL COURT District Court Department Division Respondent Name and Address Pursuant to G.L. c. 140, � 129B(1�)(a) the Petitioner Firearm Licensing Authority petitions the Court to determine that the Respondent is an unsuitable person to possess a Firearm Identification Card at this time. The Petitioner attaches to this petition a written statement of the reasons supporting the unsuitability of the Respondent, and any additional documents the Petitioner advances in support of unsuitability. Total Number of Pages, including petition, written statement of reasons, and other attachments: Signature of Petitioner or Petitioner's Attorney Date Petitioner's Attorney's Address, if applicable COURT USE: Date Filed CM / ACM Initials X Petitioner's Attorney's Name & BBO #, if applicable FOR THE RESPONDENT: As of the date of this petition (see date above), your application or renewal for an FID card is STAYED, or, if you have an existing FID card, your FID card is SUSPENDED or REVOKED pending judicial determination. You will receive notice at the address listed above of a hearing on this matter. Petition to Deny Application or Renewal of FID Card (Petitioner checks box that applies) The Petitioner moves to deny the Respondent's The Petitioner moves to deny the Respondent's renewal application for Firearm Identification Card. of a Firearm Identification Card. Date FID Application or Renewal Application was received by the licensing authority: FOR COURT USE ONLY Deadline for hearing and findings is (within 90 days of petition filing date). OR Petition to Suspend or Revoke FID Card (Petitioner checks box that applies) The Petitioner moves to suspend the Respondent's The Petitioner moves to revoke the Respondent's Firearm Firearm Identification Card. Identification Card. FOR COURT USE ONLY Deadline for initial determination as to the sufficiency of the petition is (within 15 days of petition filing date). INITIAL DETERMINATION: Judge's Signature Having reviewed the petition and attachments, I hereby find the petition contains the following: Sufficient evidence to support a finding that the applicant is unsuitable; or Insufficient evidence to support a finding that the applicant is unsuitable. Initial Determination Date X If petition is found sufficient, deadline for hearing and findings is (within 75 days of initial determination). American LegalNet, Inc. www.FormsWorkFlow.com