IN THE CIRCUIT COURT OF THE________________ JUDICIAL CIRCUIT ______________ COUNTY, ILLINOIS In the Interest of ) ___________________________________, ) Petitioner. ) No. _______________ PETITION TO EXPUNGE JUVENILE RECORD (Category 2) Now comes _____________________________, Petitioner, pursuant to 705 ILCS 405/5915(2), and respectfully requests that this Honorable Court to expunge all Juvenile Law Enforcement and Court records of petitioner and in support thereof states that: The incident for which the Petitioner seeks expungement occurred before the Petitioner’s 17th birthday and did not result in proceedings in criminal court and the Petitioner has not had any convictions for any crime since his/her 17th birthday; and The incident for which the Petitioner seeks expungement occurred before the Petitioner’s th 17 birthday and the adjudication was not based upon first-degree murder or sex offenses which would be felonies if committed by an adult, and the Petitioner has not had any convictions for any crime since his/her 17th birthday. Petitioner was arrested on___________________________by the __________________ _____________________________________Police Department for the offense of___________ _____________________________________, and: (Check whichever one occurred the latest:) The Petitioner has attained the age of 21 years, his/her birthday being _______________________; OR G B. G A. 5 years have elapsed since all juvenile court proceedings relating to the Petitioner have been terminated; or the Petitioner’s commitment to the Department of Corrections, Juvenile Division pursuant to the expungement of juvenile law enforcement and court records provision of the Juvenile Court Act of 1987 has been terminated. Petitioner has/has not been arrested on charges in this or any county other than the charges listed above. If Petitioner has been arrested on additional charges, please list the charges below: Charge(s):_______________________________________________________________ Arresting Agency/Agencies:_________________________________________________ 1 American LegalNet, Inc. www.USCourtForms.com Disposition/Result: (choose from A or B, above)____________________________ ________________________________________________________________________ WHEREFORE, the Petitioner respectfully requests this Honorable Court (1) to order all law enforcement agencies to expunge all records of petitioner to this incident, and (2) to order the clerk of the Court to expunge all records concerning the Petitioner regarding this incident. __________________________________________ Petitioner __________________________________________ Petitioner’s Street Address __________________________________________ City, State, Zip Code __________________________________________ Petitioner’s Telephone Number VERIFICATION BY CERTIFICATION Pursuant to the penalties of perjury under the Code of Civil Procedure, 735 ILCS 5/1-109, I hereby certify that the statements in this petition are true and correct, or on information and belief I believe the same to be true. Dated: _____________________ ____________________________________ Petitioner (Signature) 2 American LegalNet, Inc. www.USCourtForms.com