SUPERIOR COURT OF CALIFORNIA COUNTY OF PLACER THE PEOPLE OF THE STATE OF CALIFORNIA, CASE NO. __________ vs. CII NO. ____________ Defendant. PETITION PURSUANT TO: PC 1203.2(b)/1203.3 (Terminate) PC 1203.4 (Dismissal) PC 17(b) (Felony to Misdemeanor) I, the undersigned, declare that I am the Defendant in the above-entitled criminal action. I hereby request: that probation be terminated pursuant to Penal Code §1203.2(b)/1203.3; that I be permitted to withdraw my plea of guilty, or that the verdict or finding of guilt be set aside and that a plea of not guilty be entered and that the court dismiss this action pursuant to Penal Code § 1203.4; or that the Court specifies the offense as a misdemeanor pursuant to Penal Code § 17(b). PC 1203.4 – FELONY OR MISDEMEANOR - PROBATION GRANTED: I have fulfilled the conditions of probation for the entire period. I am not serving a sentence for any offense. I am not on probation for any offense. I am not under charge of commission of any crime. A person who petitions for a change of plea or setting aside of a verdict under Section 1203.4 may be required to reimburse the county for the actual cost of services rendered, whether or not the petition is granted and the records are sealed or expunged at a rate to be determined by the county board of supervisors not to exceed $120.00, and to reimburse the city for the actual cost of services rendered whether or not the petition is granted, at a rate to be determined by the city council not to exceed $120.00. Ability to make this reimbursement shall be determined by the court and shall not be a prerequisite to a person’s eligibility under this section. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: _________________________________ Signed: ____________________________________ Date of birth: ____________________________ Address: ___________________________________ ____________________________________ PROOF OF SERVICE: At the time of service I was at least 18 years of age. I served a copy of this U. S. mail or personal service to the office of the Placer County District Attorney; document by Placer County Probation Department, 11564 C Ave., Auburn, CA 11562 B Ave, Auburn, CA 95603 95603 American LegalNet, Inc. www.FormsWorkflow.com