ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address): FOR COURT USE ONLY TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): In Pro Per SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS 800 11th Street P.O. Box 1098 Modesto, CA 95354 Criminal Division CASE NUMBER: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: (RELATED #): The People of the State of California VS. (Name): NOTICE OF HEARING - CRIMINAL PROCEEDING Penal Code §§1203.4 / 1203.4(A) Penal Code § 17 Attention (mark all that apply): Birgit Fladagar, Stanislaus County District Attorney (832 12th Street, Suite # 300, Modesto, CA 95354) Jill Silva, Stanislaus County Chief Probation Office (801 11th Street, Suite #B100, Modesto, CA 95354) NOTICE is given that: The declared defendant in this matter hereby requests a hearing and order for the following: Penal Code §§1203.4 / 1203.4(A); permitting the defendant to withdraw his/her criminal conviction and seek relief for any and all penalties. Penal Code § 17; permitting the defendant to reduce his/her felony criminal conviction to a misdemeanor. A hearing on this motion for the relief requested will be held as follows: DATE: TIME: DEPARTMENT: The hearing will be based upon this notice, to include the petition for expungement of the defendant. Any & all documents, records, exhibits, & declarations on file herein and such may be presented at the time of the hearing. DATE: (TYPE OR PRINT NAME) (SIGNATURE) Local Form CR-001 (Optional) NOTICE OF HEARING - CRIMINAL PROCEEDING Revised 7/2012 Expungement American LegalNet, Inc. www.FormsWorkFlow.com