IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINCOLN, 17TH JUDICIAL DISTRICT STATE OF OREGON, Plaintiff v. Defendant. ) ) ) ) ) ,) ) CASE # MOTION TO SET ASIDE ARREST RECORD The above named defendant hereby moves the Court for an Order Setting Aside the Arrest herein and sealing official records in this case, including the records of arrest pursuant to the provisions of ORS 137.225. This Motion is based upon the record herein and upon the facts set forth in the attached Affidavit. Dated: Defendant's Signature Defendant's Name Address City / State / Zip Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com