File No. STATE OF NORTH CAROLINA In The General Court Of Justice District Court Division County IN THE MATTER OF: JUVENILE PETITION SIMPLE POSSESSION OF SCHEDULE VI CONTROLLED SUBSTANCE Name And Address Of Juvenile (DELINQUENT) Social Security No. Of Juvenile G.S. 7B-1501(7), -1801, -1802 Juvenile's Date Of Birth Age Race Sex Name Of Petitioner Category Of Offense Felony, Class Misdemeanor, Class Date Of Offense Time Of Offense AM PM I have sufficient knowledge or information to believe that a case has arisen that invokes the juvenile jurisdiction of the court, and therefore allege that: 1. The juvenile named above is under the age of eighteen (18) and committed a delinquent act in this district while under the age of sixteen (16). NOTE: If the respondent is eighteen or older and is alleged to have committed a felony while age thirteen, fourteen, or fifteen, this allegation should be modified accordingly. See G.S. 7B-1601. 2. The names, addresses and telephone numbers of the juvenile's parents, guardian, or custodian are as follows: NAME 3. RELATIONSHIP/TITLE ADDRESS TELEPHONE NO. I. FELONIOUS POSSESSION (over one and one-half ounces of marijuana) The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of offense shown above and in the county named above, the juvenile did unlawfully, willfully and feloniously possess more than one and one-half ounces of marijuana, a controlled substance which is included in Schedule VI of the North Carolina Controlled Substances Act, in violation of G.S. 90-95(d)(4). II. AGGRAVATED MISDEMEANOR POSSESSION (over one-half ounce of marijuana but not more than one and one-half ounces) The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of offense shown above and in the county named above, the juvenile did unlawfully and willfully possess more than one-half ounce of marijuana but not more than one and one-half ounces of marijuana, a controlled substance which is included in Schedule VI of the North Carolina Controlled Substances Act, . in violation of G.S. 90-95(d)(4). III. SIMPLE MISDEMEANOR POSSESSION (one-half ounce of marijuana or less) The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of offense shown above and in the county named above, the juvenile did unlawfully and willfully possess marijuana, a controlled substance which is included in Schedule VI of the North Carolina Controlled Substances Act, in violation of G.S. 90-95(d)(4). AOC-J-331, New 9/2000 2000 Administrative Office of the Courts (Over) 2001 © American LegalNet, Inc. I request the Court to hear the case to determine whether the allegations are true and whether the juvenile is within the jurisdiction of the Court as a delinquent juvenile. VERIFICATION Being first duly sworn, I say that I have read the allegations in the petition and that the same are true to my own knowledge, except as to those matters alleged upon information and belief, and as to those, I believe them to be true. SWORN AND SUBSCRIBED TO BEFORE ME Signature Of Petitioner Date Address Signature Of Person Authorized To Administer Oaths City, State, Zip Deputy CSC Assistant CSC Clerk Of Superior Court Agency (if applicable) Magistrate SEAL Notary Date My Commission Expires Title (if applicable) Telephone No. Witness(es) Name Address Telephone No. Decision of Intake Counselor Regarding the Filing of the Petition Date 1. Approved for Filing 2. Not Approved for Filing Time AM PM Name Of Intake Counselor Giving Telephonic Approval a. Closed b. Diverted and Retained Name And Title Of Person Receiving Telephonic Approval Date Signature Of Intake Counselor Signature Of Person Receiving Telephonic Approval Post-Diversion Approval For Filing Of Petition Approved for Filing Date Signature Of Intake Counselor AOC-J-331, Side Two, New 9/2000 2000 Administrative Office of the Courts 2001 © American LegalNet, Inc.