Form 282E (Rev 3/12) The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR EXPUNGEMENT OF JUVENILE RECORD CHARGE SHEET Petitioner Street Address (including Apt) P.O. Box Number City/State/Zip Code Crim. Case No. CPI No. The charges listed below are a continuation of the Petitioner's response to section #3 of the Petition for Expungement of Juvenile Record that this form is attached to. Charge Disposition Disposition Date Criminal Case Number American LegalNet, Inc. www.FormsWorkFlow.com