Fill and Sign the Sixteen 16 Form

File No. Name And Address Of Juvenile Name Of Petitioner Offense Code Offense In Violation Of G.S. Physical Address Of Offense, If Applicable Date Of OffenseTime Of Offense Juvenile’s Date Of Birth AgeRace Sex JUVENILE PETITION COMMUNICATING THREATS (DELINQUENT) G.S. 7B-1501(7), -1801, -1802 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). 2. The names, addresses, and telephone numbers of the juvenile’s parents, guardian, or custodian are as follows: 3. COMMUNICATING THREATS [G.S. 14-277.1] The juvenile is a delinquent juvenile as defined by G.S. 7B-1501(7) in that on or about the date of alleged offense shown above and in the county named above the juvenile did unlawfully and willfully threaten to physically injure the person or damage the property of: (name person) ________________________________________________________________________\ _______________________ . The threat was communicated to the person in the following manner (describe) : ________________________________________________________________________\ __________________________________ ________________________________________________________________________\ __________________________________ ________________________________________________________________________\ __________________________________ ________________________________________________________________________\ __________________________________ ________________________________________________________________________\ __________________________________ ________________________________________________________________________\ __________________________________ ________________________________________________________________________\ __________________________________ and the threat was made in a manner and under circumstances which would cause a reasonable person to believe that the threat was likely to be carried out and the person believed that the threat would be carried out. STATE OF NORTH CAROLINA County In The General Court Of Justice District Court Division IN THE MATTER OF (Over) AM PM 14-277.1 NC-JOIN No. Category Of Offense Misdemeanor, Class Name Address Relationship/Title Telephone No. AOC-J-314, Rev. 12/17