Madera Superior Court Form Adopted for Optional Use MAD-CRM-0008 (Rev. 3/11/19) NOTICE OF PETITION AND PETITION FOR RELIEF Page 1 of 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Telephone No.) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA 200 South G Street Madera, CA 93637 PEOPLE OF THE STATE OF CALIFORNIA VS. Defendant: NOTICE OF PETITION AND PETITION FOR RELIEF PURSUANT TO PENAL CODE SECTION 1210(e)(1) CASE NUMBER: DA NUMBER: COURT HEARING Date: Time: Dept: TO: DISTRICT ATTORNEY, COUNTY OF MADERA CHIEF PROBATION OFFICER, COUNTY OF MADERA PLEASE TAKE NOTICE that on the date, time and in the department indicated above, or as soon thereafter as petitioner may be heard, the petitioner will present the following petition: PETITION Pursuant to Penal code 1210(e)(1) petitioner requests that the court set aside the conviction herein, and order the charge(s) dismissed. STATEMENT OF FACTS Petitioner was convicted on of the following charges: Probation was granted by the Court for a period of years. Petitioner is entitled to the relief requested by reason of the following: (1) Petitioner successfully completed drug treatment. (2) Petitioner has substantially complied with the conditions of probation. (3) There is reasonable cause to believe that Petitioner will not abuse controlled substances in the future. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Petitioner/Attorney for Petitioner American LegalNet, Inc. www.FormsWorkFlow.com