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Petition To Seal Form. This is a Florida form and can be use in Clay Local County.
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Tags: Petition To Seal, Florida Local County, Clay
IN THE CIRCUIT COURT OF THE FOURTH JUDICIAL CIRCUIT IN AND FOR CLAY COUNTY, FLORIDA. 471 IN THE COUNTY COURT IN AND FOR CLAY COUNTY, FLORIDA. DIVISION CRIMINAL CASE NUMBER PETITION TO SEAL JUVENILE TRAFFIC THE STATE OF FLORIDA VS. CLOCK IN PLAINTIFF DEFENDANT The petitioner, by and through the undersigned attorney, petitions this
honorable court, pursuant to Florida Rule of Criminal Proce-dure 3.692 and section 943.059, Florida Statutes, to seal all criminal h
istory record information in the custody of any criminaljustice agency and the official records of the court concerning the peti
tioners arrest on the day of ,20 , by
(arresting agency), for
(charges), and as grounds therefor shows: 1 .On the day of , 20 , the petitioner, , a (race)/ (sex), whose date of birth is , was arrested by and charged with
. 2 . The petitioner has not been previously adjudicated guilty of any of the
charges stemming from this arrest or alleged criminal activity. 3 . The petitioner has not been previously adjudicated guilty of a criminal
offense or a comparable ordinance violation. 4 . The petitioner has not secured a prior records expunction or sealing un
der section 943.0585, or 943.059, Florida Statutes, former section 943.058, Florida Statutes, former section 893.14, Florida
Statutes, or former section 901.33, Florida Statutes, or any other law, rule or authority. 5 . The Petitioner has applied for and been issued a Certificate of Eligibi
lity, Number , by the Florida Department of Law Enforcement. WHEREFORE, the petitioner moves to seal any criminal history record info
rmation and any official court records regarding his/herarrest by
(agency) for (charges)on the day of , 20 . I HEREBY CERTIFY that a true and correct copy of the foregoing pleading
has been served on Harry L. Shorstein, State Attorney for the 4th Judicial Circuit, in and for Clay County, 825 North Orange Ave., Green Cove Springs, FL 32043:
arresting agency); and the (Clay County SheriffDepartment, Records Section, 901 North Orange Ave.rnG.C.Sp., FL 32043, this day of ,20 . Signature Print Name Address: City-State: Telephone Number: Fla. Bar No. :_____________________( )CLK/CT 410 Rev.6/02
Clerks web address: http://clayclerk.com/