VN060 IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF ___________________________________ (Name of County) In the matter of the Application of ___________________________________________ (Print or write your name legibly) No. ______________________________ For a Certificate of Rehabilitation and Pardon Notice of Filing of Petition for Certificate of Rehabilitation and Pardon To the Governer of the State of California; District Attorney of _______________________ ; Name of County(Note 1) District Attorney, County of _______________________________ ; Name of County(Note 1) District Attorney, County of _______________________________ ; State of ________________________ ; Name of County and State (Note 3) District Attorney, County of _______________________________ ; State of ________________________ ; Name of County and State (Note 4) You and Each of You will Please Take Notice That On the _________________________________________ day (Date you filed your petition for Certificate of Rebabilitation) of _______________________________ ____________ , the undersigned filed a petition in the above-entitled court for a Certificate of Rehabilitation and Pardon in accordance with the provision of Chapter 3.5, Title 6, Part 3 of the Penal Code of the State of California, and that the said petition has by said court been set for hearing on the ___________________________________ day of _____________________________ __________ , at the hours (Date set y CountyClerk. (S)He will inform you of date.) of ____________________ o'clock _______ . M. of said day, or as soon thereafter as the matter can be heard, at (Ask County Clerk) its courtroom, department __________________________________________________ at the Courthouse, in the City of _______________________________ , County of __________________________________ , State of California. Dated ______________________________________ [Sign Your Name Here] _____________________________________________ _____________________________________________ Optional Form VN060 (Rev. 07/12) NOTICE OF FILING OF PETITION FOR CERTIFICATE OF REHABILITIATION AND PARDON Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com VN060 Receipt of copy of the within Notice is hereby admitted this _________________________________ day of ___________________________________ __________. _____________________________________________ Governor of the State of California By _________________________________________ Receipt of copy of the within Notice is hereby admitted this _________________________________ day of ___________________________________ __________. _____________________________________________ District Attorney of ___________________________ County Receipt of copy of the within Notice is hereby admitted this _________________________________ day of ___________________________________ __________. _____________________________________________ District Attorney of ___________________________ County Receipt of copy of the within Notice is hereby admitted this _________________________________ day of ___________________________________ __________. _____________________________________________ District Attorney of ___________________________ County Receipt of copy of the within Notice is hereby admitted this _________________________________ day of ___________________________________ __________. _____________________________________________ District Attorney of ___________________________ County Receipt of copy of the within Notice is hereby admitted this _________________________________ day of ___________________________________ __________. _____________________________________________ District Attorney of ___________________________ County Optional Form VN060 (Rev. 07/12) NOTICE OF FILING OF PETITION FOR CERTIFICATE OF REHABILITIATION AND PARDON Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com VN060 AFFIDAVIT OF SERVICE BY MAIL STATE OF CALIFORNIA ss. ________________________ County of ______________________ _____________________________________________________________ being first duly sworn deposes and says: I am a citizen of the United States, over the age of 18 years and am not a party to the above-entitled proceeding. I am a resident of the County of ___________________________________ , State of California. My residence/business address is _____________________________________________________________ Number Street City California. On the _________________________________ day of __________________________________ , at County of __________________________ California, I served the within Notice upon the person hereinafter named: NAME ADDRESS _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ by placing a copy of this Notice in sealed envelopes, addressing one envelope as herein above indicated to each of aid persons, sealing said envelopes and then depositing the same in the United States mail with postage fully prepaid thereon; that there is a delivery service by United States mail at each of the places so addressed, or that there is a regular communication by mail between the said place of mailing and each of the said places so addressed. Subscribed and sworn to before me this ___________________________ day of __________________________________________ ______________________ _______________________________________________ ____________________________________________________________________________ Notary Public In and for the _____________________________________________ County of ______________________________________ State of California Optional Form VN060 (Rev. 07/12) NOTICE OF FILING OF PETITION FOR CERTIFICATE OF REHABILITIATION AND PARDON Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com VN060 NOTES (1) Fill in the name of the county in which you have filed your Petition. (2) Fill in nam