Petition To Seal Pursuant To Section 18-13-122(10), C.R.S.
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Petition To Seal Pursuant To Section 18-13-122(10), 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 To Seal Pursuant To Section 18-13-122(10), C.R.S., JDF 313, Colorado Statewide, Juvenile Delinquency-Dependency-Neglect
County Court _________________________ County, Colorado
Court Address:
State of Colorado
v.
Defendant: _______________________________________
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:
FAX Number:
Division
E-mail:
Atty. Reg. #:
Courtroom
PETITION TO SEAL PURSUANT TO §18-13-122(10), C.R.S.
I, ________________________________________________, (Name of Defendant), petition the court
to seal my conviction under §18-13-122(2)(a), C.R.S. (Illegal possession or consumption of ethyl
alcohol by an underage person) in the case.
1. Information about the Defendant:
Date of Birth: ________________________________
Current Mailing Address: ___________________________________________________________
City, State and Zip Code: __________________________________________________________
Home Phone #: ________________ Work Phone #: _______________ Cell #: ________________
2. I request that the following information be sealed:
Date of Offense
Name of Law Enforcement Agency
Arrest Number
3. The conviction was entered by the Court on _____________________ (date) and I have not been
arrested for, charged with, or convicted of any felony, misdemeanor, or petty offense during the
period of one year following the date of the above conviction.
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 313 4/06 PETITION TO SEAL PURSUANT TO §18-13-122(10), C.R.S.
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