Printed NameSignature of Defendant DateE-mail FaxE-mail Fax AddressSignature of AttorneyCIRCUIT COURT DISTRICT COURT OF MARYLAND FORLocated at Case No.City/CountyCourt AddressSTATE OF MARYLANDvs.DefendantDOBPETITION FOR EXPUNGEMENT OF RECORDS(ACQUITTAL, DISMISSAL, PROBATION BEFORE JUDGMENT, NOLLE PROSEQUI,STET, NOT CRIMINALLY RESPONSIBLE, OR TRANSFER TO JUVENILE DISPOSITION)CC-DC-CR-072A (Rev. 12/2018)(Check one of the following boxes) On or about , I was arrested, served with a summons, orDateLaw Enforcement AgencyI was charged with the offense ofOn or about , the charge was disposed of as follows (check all that apply, making sure that eachstatement is true and correct): I was acquitted of the charge. Either three (3) years have passed since the acquittal, or a General Waiver and Release is attached. the charge was otherwise dismissed or quashed. Either three (3) years have passed since that disposition, or a General Waiverand Release is attached.I solemnly affirm under the penalties of perjury that the contents of this petition are true to the best of my knowledge, information,and belief, and that the charge to which this petition relates was not for any nonincarcerable violation of the vehicle laws of the Stateof Maryland, or any traffic law, ordinance, or regulation, nor is it part of a unit the expungement of which is precluded underCriminal Procedure Article, 247 10-107.Date I request the court to enter an Order for Expungement of all police and court records pertaining to the above arrest, detention,confinement, and/or charges.Tracking # a probation before judgment was entered on the charge, but the conduct on which the charge was based is no longer a crime.. (In this petition, references are to the Annotated Code of Maryland, and references to "crime"; "criminal action"; and "civil offense orinfraction" refer to any criminal or civil offense, other than a violation of the vehicle or traffic laws, ordinances, or regulations, thatdoes not carry a possible sentence of imprisonment.) a stet was entered. Three (3) years have passed since that disposition. I am not now a defendant in any pending criminal action. The case was transferred to the juvenile court pursuant to Criminal Procedure Article, 247247 4-202 or 4-202.2. (Note: Thispetition must be filed in the court that issued the order of transfer. The expungement is only of the records in the criminal case, not therecords in the juvenile court. See Criminal Procedure Article, 247 10-106.) I was found not criminally responsible for a crime specified in Criminal Procedure Article, 247 10-105 (a)(9) or (a)(10).Three (3) years have passed since the finding of not criminally responsible. I am not now a defendant in any pending criminal action. a probation before judgment was entered on the charge, and the conduct on which the charge was based still is a crime.The charge did not allege a violation of Transportation Article, 247 21-902; Criminal Law Article, 247247 2-503, 2-504, 2-505, or 2-506;Criminal Law Article, 247 3-211; or former Article 27, 247 388A or 247 388B. Either (a) at least three (3) years have passed since thatdisposition, or (b) I have been discharged from probation, whichever is later. Except for any conviction of a charge where the conducton which the charge was based is no longer a crime, I was not convicted of any crime during the three-year period immediatelyfollowing entry of the probation before judgment. I am not now a defendant in any pending criminal action. a nolle prosequi was entered. Either three (3) years have passed since that disposition, or a General Waiver and Release isattached. I am not now a defendant in any pending criminal action.at , Maryland, as a result of the following incident served with a citation by an officer of theCity, State, Zip TelephoneAddress City, State, Zip Telephone Printed Name The case began in one court and was transferred to another court other than the juvenile court. (Note: This petition must befiled in the court to which the case was transferred.) The case was compromised or dismissed pursuant to Criminal Law Article, 247 3-207, former Article 27, 247 12A-5,Article 10, 247 37. Three (3) years have passed since that disposition.4.5.6..1.2.3.DateCPF ID No. American LegalNet, Inc. www.FormsWorkFlow.com