IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN State of Oregon, Plaintiff, v. _______________________________, Defendant. STATE OF OREGON ) ) ss COUNTY OF LINN ) Case No. _________________ Affidavit in Support of Motion to Set Aside Records of Arrest I, _____________________________, do hereby depose and say that: I am the Defendant herein, and I am filing this Affidavit in Support of my Motion to Set Aside and to seal the records of my arrest. I have been acquitted of all charges contained in this case or they have been dismissed by the Court. My acquittal on these charges and/or their dismissal by the Court resolves all of the charges that I am requesting to have set aside. I have no criminal cases presently pending against me in any court. I have no criminal convictions in the ten (10) year period immediately preceding the filing of this motion, excluding motor vehicles violations. I have not had a conviction set aside within the ten (10) year period immediately preceding the filing of this Motion and have no other similar motions pending in this or any other court. I have not been arrested for any other matter unassociated with this matter within the last three (3) years immediately preceding the filing of this motion, excluding motor vehicles violations. A copy of this Affidavit and a copy of my Motion to Set Aside and Seal Records of Arrest have been served upon the District Attorney of Linn County. A complete set of my fingerprints has been served on the District Attorney of Linn County. The arrest that I am seeking to have set aside occurred on The charge(s) that I was arrested for on the above date were Arresting agency and incident number (if known): Dated this _____ day of ___________________, ______. ____________________________________ Signature of Defendant SUBSCRIBED AND SWORN TO before me this _____ day of __________________, _____. _______________________________________ Notary Public of Oregon/Deputy Clerk of Court My Commission Expires: ______________ . . Linn County Expungement Packet B Affidavit in Support of Motion to Set Aside Records of Arrest Page 1 of 1 EXPUNGEMENT PACKET B.doc American LegalNet, Inc. www.FormsWorkFlow.com