THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) NOTICE OF INTENT TO SEEK CLASS A MISDEMEANOR PENALTIES Notice is hereby given that the State, pursuant to RSA 625:9, IV(c)(2), intends to seek class A misdemeanor penalties against the above named Defendant upon conviction of the offense(s) listed below: Penalties requiring the charging offense to be classified as a class A misdemeanor include any of the following: 1. Imprisonment for any period, whether imposed, suspended or deferred; 2. A fine higher than $1200 for any single offense; 3. Probation; and, 4. Home confinement for any period; Date For the State I certify that on this date I provided a copy of this document to Defendant/Defendant Attorney at or Hand-delivery OR US Mail OR E-mail (E-mail only by prior agreement before arraignment by: of the parties based on Circuit Court Administrative Order). Date For the State NHJB-2618-DS (03/25/2013) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com