County Court District Court Denver Juvenile Court __________________________________County, Colorado Court Address: State of Colorado v. COURT USE ONLY Case Number Defendant: _____________________________ 16 - Character #: Division Courtroom ORDER RE: FACTUAL INNOCENCE PURSUANT TO §16-5-103, C.R.S. This matter was heard on _________________________ (date) or based upon declarations, fingerprints, affidavits, police reports, or any other relevant, material, reliable information provided, the Court Finds: There is no reasonable cause to believe that this victim of identity theft committed the offense(s) with which the victim’s identity has been mistakenly associated. The Court further finds that __________________________________________ (name of alleged victim of identity theft) is factually innocent of the offense(s). ______________________________________________ (name of alleged victim of identity theft) is not found to be factually innocent. The Court orders the following pursuant to §16-5-103, C.R.S.: The name of the victim of identity theft which is contained in the court records, files, and/or a criminal justice record shall be labeled to show that the information is not accurate due to identity theft. Colorado Bureau of Investigation shall seal their records associated with this case. Other: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Date: ________________________________ ______________________________________ Judge Magistrate I certify that on ______________________ (date), I mailed this Order to the following: Petitioner Prosecuting Attorney Law Enforcement ________________________ Colorado Bureau of Investigation (CBI) Other: _________________________________ ____________________________________ Clerk JDF 224 R7/05 ORDER RE: FACTUAL INNOCENCE PURSUANT TO §16-5-103, C.R.S. American LegalNet, Inc. www.USCourtForms.com