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G10. Have you ever carried on your person or in a vehicle any weapon for protection (other than <br /> while employed as a police officer)? <br /> a. No <br /> b. Yes <br /> G11. Since age 18, have you ever stolen or taken without permission any money or property <br /> from persons or businesses, other than from a company you worked for? <br /> r <br /> a. No, never <br /> b. Yes, money or property with a total retail value of less than $25 <br /> c. Yes, money or property with a total retail value between$25 and$100 <br /> d. Yes, money or property with a total retail value between$101 and$500 <br /> e. Yes, money or property with a total retail value over$500 <br /> G12. During the last 3 years, have you ever stolen or taken without permission any money or <br /> property from persons or businesses, other than from a company you worked for? <br /> a. No, never <br /> b. Yes, money or property with a total retail value of less than $25 <br /> c. Yes, money or property with a total retail value between$25 and $100 <br /> d. Yes, money or property with a total retail value between$101 and $500 <br /> e. Yes, money or property with a total retail value over$500 <br /> G13. Did you ever buy anything that you suspected was stolen? <br /> a. No <br /> b. Yes, once <br /> c. Yes, 2 or 3 times <br /> d. Yes, 4 or more times <br /> G14. Did you ever sell anything that you thought was stolen? <br /> a. No <br /> b. Yes, once <br /> c. Yes, 2 or 3 times <br /> d. Yes, 4 or more times <br /> The next 13 questions ask about specific criminal offenses. Respond to each criminal offense as it <br /> applies to you. For each criminal offense, mark all answers that apply. If none of the first four <br /> responses apply, mark the response labeled "none of the above". Be sure to mark at least one <br /> response for each offense. <br /> G15. Arson (intentionally setting a fire). (MARK ALL THAT APPLY) <br /> a. I have committed it <br /> b. i have been arrested for it <br /> c. I have been tried in court for it <br /> d. I have been convicted of it, or pleaded guilty or no contest <br /> e. None of the above <br /> G16. Forgery(signing another person's name to a document,without permission or <br /> authorization). (MARK ALL THAT APPLY) <br /> a. I have committed it <br /> b. I have been arrested for it <br /> c. I have been tried in court for it <br /> d. I have been convicted of it, or pleaded guilty or no contest <br /> e. None of the above <br /> PSS/LEPS PLLC 74 <br />