Petition For Expungement Pursuant To Section 42-4-1715(1)(b)(l), C.R.S.
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Petition For Expungement Pursuant To Section 42-4-1715(1)(b)(l), C.R.S. Form. This is a Colorado form and can be use in Juvenile Delinquency-Dependency-Neglect Statewide.
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Tags: Petition For Expungement Pursuant To Section 42-4-1715(1)(b)(l), C.R.S., JDF 305, Colorado Statewide, Juvenile Delinquency-Dependency-Neglect
County Court _________________________ County, Colorado
Court Address:
State of Colorado
v.
COURT USE ONLY
Defendant: _______________________________________
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:
FAX Number:
Division
E-mail:
Atty. Reg.#:
Courtroom
PETITION FOR EXPUNGEMENT PURSUANT TO §42-4-1715(1)(b)(I), C.R.S.
I, _______________________________________, (Defendant), petition the court for an expungement
of my conviction under §42-4-1301(2)(a.5), C.R.S. (Underage Drinking and Driving with a blood alcohol
level of at least .02 but no more than .05)
1. Information about the Defendant:
Date of Birth: _______________________
Current Mailing Address: ___________________________________________________________
City, State and Zip Code: __________________________________________________________
Home Phone #: ________________ Work Phone #: _______________ Cell #: ________________
2. I am over the age of 21 and have not been convicted of any other offense under §42-4-1301,
C.R.S. while under the age of 21.
3. I have paid all fines, costs, restitution, and surcharges assessed and have completed all other
requirements ordered in the case. The court action regarding the offense has been concluded.
4. I request that the following information be expunged:
Date of Offense
Name of Law Enforcement Agency
Arrest Number
I swear or affirm under oath that I have read the foregoing Petition and that the statements contained in
this Petition are true to the best of my knowledge and belief.
Date: _______________________________
__________________________________________
Signature of Defendant
Date: _______________________________
__________________________________________
Signature of Attorney, if applicable
Subscribed and affirmed, or sworn to before me in the County of ______________________, State of
________________, this ___________ day of _______________, 20 ______.
My Commission Expires: ______________________
______________________________________
Notary Public /Clerk
JDF 305
3/06
PETITION FOR EXPUNGEMENT PURSUANT TO §42-4-1715(1)(b)(I), C.R.S.
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