Statement of Responsible Person
The following questions must be answered with a “YES” or “NO”
Are you a fugitive from justice?
Are you an unlawful user of, or addicted to marijuana or any depressant, stimulant, or narcotic drug, or any other controlled substance?
Have you ever been convicted in any court of a felony, or any other crime for which the judge could have imprisoned you for more than one year, even if you received a shorter sentence, including probation?
Have you ever been adjudicated mentally defective (which includes having been adjudicated incompetent to manage your own affairs), or have you ever been committed to a mental institution?
Have you ever been discharged from the Armed Forces under dishonorable conditions?
Have you ever renounced your United States citizenship?
Are you an alien in the United States? If “YES”, attach an explanatory statement showing that you are a lawful permanent resident.
