IN THE COURT OF COMMON PLEAS

OF

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COUNTY, PENNSYLVANIA

CRIMINAL

FIRST DEGREE MURDER

SENTENCING VERDICT SLIP

FINDINGS REGARDING MENTAL RETARDATION

INSTRUCTIONS:

Indicate whether you unanimously agree that the defendant has proven that he or she is mentally retarded.

Upon completion of deliberations on the question of the defendant’s mental retardation, return to the courtroom for further instructions from the judge.

FINDINGS:

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We, the jury, unanimously find that the defendant has proven by a preponderance of the evidence that the defendant is mentally retarded.

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We, the jury, unanimously find that the defendant has not proven by a preponderance of the evidence that the defendant is mentally retarded.

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We, the jury, cannot agree unanimously that the defendant is mentally retarded.

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DATE

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JURY FOREPERSON