Application For Sealing Conviction Form. This is a Ohio form and can be use in Vermilion City (Municipal Court).
Tags: Application For Sealing Conviction, Ohio City (Municipal Court), Vermilion
VERMILION MUNICIPAL COURT 687 Decatur Street Vermilion, Ohio 44090 440 204‐2430 Facsimile 440 204‐2431 APPLICATION FOR SEALING CONVICTION R.C. 2953.32 TO R.C. 2953.36 APPLICANT NAME: ______________________________________ DATE OF BIRTH: ____________________ ADDRESS: ____________________________________ SSN: XXX‐XX‐_____________________ CITY/STATE/ZIP: _______________________________ TELEPHONE NUMBER: _______________ The Applicant, ____________________________________, individually and/or through his/her Attorney, requests to seal conviction for case number _________________________________________ offense ______________________________________________________________________________ The Applicant represents the following: 1. Applicant is a first offender as defined in R.C. 2953.31 (A). 2. One year has expired since Applicant’s final discharge. 3. No criminal or traffic proceedings are now pending against the Applicant. It is understood that if this Application is granted the ORDER will be as follows: 1. The official records of the Vermilion Municipal Court will be sealed. 2. The Applicant will be responsible to notify any other public office or agency, including law enforcement departments that may have a record of the conviction. Certified copies of the ORDER may be obtained from the Clerk. Expense of certified copies is to be defrayed by Applicant. 3. Applicant understands, the Vermilion City Prosecutor and the Police Agency making the arrest for the offense described in the first paragraph here of shall be notified of this application within three (3) days of filing this application. AFFIDAVIT ___________________________________ _______________________________________________ Date: _______________ Applicant: _____________________________________ Sworn to before me this ______ day of __________________________. 20 ____. _____________________________________ Deputy Clerk/Notary Public A copy of this application has been delivered on the above date to the Prosecutor’s Office of The City of Vermilion. _____________________________________ Clerk of the Vermilion Municipal Court American LegalNet, Inc. www.FormsWorkFlow.com VERMILION MUNICIPAL COURT 687 Decatur Street Vermilion, Ohio 44090 440 204‐2430 Facsimile 440 204‐2431 AFFIDAVIT FOR SEALING RECORD I, __________________________________________, swear and/or affirm that the statements made on my Application for Sealing Conviction and/or Application for Sealing Dismissal, and to the City of Vermilion Prosecutor Department, during the investigation of this request, are true and complete. Further, I swear and/or affirm that I do not have a criminal case, including traffic matters, pending at this time in any court in this State or elsewhere. I understand that an incomplete or false statement may cause the dismissal of my sealing record proceeding, or, if sealed the setting aside of that Order. _______________________________ Signature of Applicant Sworn to before me this ______ day of ______________________, 20 _____. _______________________________ Deputy Clerk/Notary Public American LegalNet, Inc. www.FormsWorkFlow.com