State Of Alabama Unified Judicial System Form CR-65D Rev. 4/2015 IN THE CIRCUIT COURT OF ORDER OF EXPUNGEMENT (Section 15-27-1 et.seq., Code of Alabama 1975) Case No. ALABAMA (Name of County) [ [ v. ] STATE OF ALABAMA ] MUNICIPALITY OF ____________________________ (Court of Jurisdiction of case to be Expunged) ___________________________________ (Defendant/Petitioner) (Current Address) XXX � XX � (Social Security Number, Last 4 Digits only) _________________________ (Date of Birth) reviewing the Petition for Expungement of Records submitted by the Petitioner, this Court is reasonably satisfied from the evidence that the Petitioner has complied with and satisfied the requirements of Sections 15-27-1 et. seq., Ala. Code (1975), [ ] After It is Hereby Ordered as follows: The clerk of the Court of shall EXPUNGE, by immediately collecting and sending said records to the Alabama Law Enforcement Agency (ALEA), all records in the custody of said court pertaining to the Petitioner's charge of in Case No. in the Court of . The Petitioner was arrested on said charge on by officers of said agency. ___________________________________ (Arresting Agency) (Address) It is further ORDERED that any other Agency or Official having custody of records pertaining to the above-listed Charge and Case No. shall EXPUNGE, by collecting and sending said records to the Alabama Law Enforcement Agency (ALEA), all records, including law enforcement records1, in the custody of the named Agency, Official, or Law Enforcement Officer pertaining to the above-listed Charge and Case No. American LegalNet, Inc. www.FormsWorkFlow.com State Of Alabama Unified Judicial System Form CR-65D Rev. 4/2015 Page 2 ORDER OF EXPUNGEMENT (Section 15-27-1 et.seq., Code of Alabama 1975) Case No. The Clerk is DIRECTED to provide a copy of the criminal history record and petition to expunge with this Order to the Alabama Law Enforcement Agency (ALEA) electronically or by U.S. Mail; It is Further Ordered that all proceedings related to the above listed charges are DEEMED NEVER TO HAVE OCCURRED. VIOLATION OF THIS ORDER IS PUNISHABLE UNDER ALABAMA LAW. "AN INDIVIDUAL WHO KNOWS AN EXPUNGEMENT ORDER WAS GRANTED PURSUANT TO THIS CHAPTER [� 15-27] AND WHO INTENTIONALLY AND MALICIOUSLY DIVULGES, MAKES KNOWN, REVEALS, GIVES ACCESS TO, MAKES PUBLIC, USES, OR OTHERWISE DISCLOSES THE CONTENTS OF AN EXPUNGED FILE WITHOUT A COURT ORDER, OR PURSUANT TO A PROVISION OF THIS CHAPTER, SHALL BE GUILTY OF A CLASS B MISDEMEANOR." Ala. Code � 15-27-16(a) (1975). 1 Including Alabama law enforcement records except privileged presentence or postsentence investigation reports produced by the Alabama Board of Pardons and Paroles and its officers, records, documents, databases, and files of the district attorney and the Office of Prosecution Services. Ala. Code � 15-27-6(a) (1975). OR: [ ] After reviewing the Petition for the Expungement of Records submitted by the Petitioner in this case, the Court makes the following findings of fact: This Court is NOT reasonably satisfied from the evidence that the Expungement Petition should be granted; therefore, it is ORDERED that this petition for expungement is denied. Date the Petition is [ ] GRANTED or [ ] DENIED (Date) . CIRCUIT JUDGE American LegalNet, Inc. www.FormsWorkFlow.com