PRINT IN THE COURT OF COMMON PLEAS, FRANKLIN COUNTY, OHIO CRIMINAL DIVISION In the Matter of: ______________________________________ Sealing Case No. ________________________________ Criminal Case Number(s): _________________ _________________ _________________ _________________ Application for Order Sealing Record of Dismissal, Finding of Not Guilty or No Bill [R.C. 2953.52(A)] ___________________________________________ applies to the Court for an [Name of applicant] Order sealing all official records of ___________________________________________________________ [Indicate dismissal, finding of not guilty or no bill] in criminal Case No. ___________________ Court of Common Pleas, Franklin County, Ohio, as provided in Section 2953.52 of the Ohio Revised Code. Applicant was found not guilty, the complaint against applicant was dismissed, or the foreman or deputy foreman of the grand jury reported to the court that a no bill was returned as to applicant on the _____ day of ___________________________, ___________. [month] [year] ____________________________________ Applicant, PRO SE ____________________________________ Address ________________________________________ City, State, Zip Code Memorandum in Support of Application for Order Sealing Record No criminal proceedings are pending against applicant. A dismissal of the former complaint or a finding of not guilty has been journalized by the court in the prior case; or if this application is based upon a no bill having been returned against applicant, more than two years have passed since the foreman or deputy foreman of the grand jury reported the no bill to the court. All other factors listed in R.C. 2953.52(B)(2) support granting this application. ____________________________________ Applicant, PRO SE American LegalNet, Inc. www.FormsWorkFlow.com APPLICANT'S FULL NAME: ________________________________________________ SEX: _________________ RACE: _____________ DATE OF BIRTH: ______________ SSN: _________________ ADDRESS: ________________________________________ CITY: ________________________ STATE: _____________________ ZIP: ________ TELEPHONE NO. ________________________ RESET FORM American LegalNet, Inc. www.FormsWorkFlow.com