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EFTA00315044
CTIM f 1 Adult [ ] Mror 1 Acquitted by Reason of Insanity Oa 91C n bon ifense Committed / L Victim a. ‘p Race of Conviction CourtiCourt No Au NC (tel./tin talon how Are You Registered as a Sex Offender in another State: [ ] NO [ ] YES If YES, which state: and at what LEVEL SECTION M -
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