Form #L-118 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): BAR NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 th West - 8141 13 Street, Westminster, CA 92683-4593 PEOPLE OF THE STATE OF CALIFORNIA vs. PETITION FOR DISMISSAL UNDER PENAL CODE 1210.1(e)(1) & NOTICE OF HEARING CASE NUMBER: The defendant in the above-entitled criminal action was convicted of the felony/misdemeanor violation of section(s) _____________________________ of the ____________________________ on _________________________. [SECTION(S)] [CODE(S)] (DATE) I am the attorney for the petitioner and state the following on information and belief: The defendant has successfully completed treatment as defined in Penal Code section 1210(c) and substantially complied with the conditions of probation. Defendant requests that the conviction on which the probation was based be set aside and the court dismiss this action pursuant to Penal Code section 1210.1(e)(1). A hearing on the Petition for Dismissal is scheduled for _____________ at _______ AM/PM in Department _____. (DATE) (TIME) (DEPT.) I, the undersigned, say: I am the ______________ (attorney/defendant) in this action. I declare under penalty of perjury under the laws of the State of California that the foregoing statements are true and correct, except as to those matters that are stated on my information and belief, and as to those matters, I believe them to be true. Date: _____________________ (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER/ATTORNEY) Approved for Optional Use Form # L-118 [Revised May 33, 2013] PETITION FOR DISMISSAL UNDER PENAL CODE 1210.1(e)(1) & NOTICE OF HEARING Penal Code §1210.1(e)(1) American LegalNet, Inc. www.FormsWorkFlow.com