COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : IN THE CIRCUIT COURT OF THE STATE OF OREGON Calendar No. FOR THE COUNTY OF LINN Plaintiff(s) -against- : JUDICIAL SUBPOENA : ) State of Oregon, ) Case No. _________________ : Plaintiff, ) v. ) ORDER TO SET ASIDE : _______________________________, ) CONVICTION AND Defendant(s) : Defendant. . . . . . . . . . . ). . . . . . .SEAL .RECORDS. OF ARREST ..................... ..... ......... THIS MATTER having come before the Court upon the Motion of the Defendant for an Order Setting Aside Conviction and Sealing Records of Arrest, pursuant to ORS 137.225; the State of Oregon appearing by and through the District Attorney for Linn County and the Court having reviewed the TO records and being fully advised, finds as follows: THE PEOPLE OF THE STATE OF NEW YORK 1. A copy of the Motion to Set Aside, Affidavit in Support and a complete set of the defendant’s GREETINGS: fingerprints were served upon the District Attorney for Linn County. WE COMMAND Police Bureau of Identification and Information you and each of you attend before 2. The Oregon State YOU, that all business and excuses being laid aside, has made positive identification of , the Honorable at the Court this defendant and further identified this defendant by: located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed FBI Identification Number: evidence as a witness in this action or adjourned date, to testify and give_________________________ on the part of the Oregon State Bureau Number: _______________________ Your failure to comply with this subpoena is punishable as a Submitting Agency Number: ________________________ contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Date of Arrest: ______________________________ Witness, Honorable Court in County, , one of the Justices of the Arrested on Charges of: ______________________________________________ day of , 20 __________________________________________________________________ (Attorney must sign above and type name below) Convicted of Charges: ______________________________________________ Attorney(s) for __________________________________________________________________ 3. That the circumstances and behavior of the Defendant since the date of arrest are found to warrant setting aside records of that conviction and arrest. Office and P.O. Address 4. That the defendant has fully complied with and performed all provisions of the sentence herein. Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Linn County Form ORDER TO SET ASIDE CONVICTION AND SEAL RECORDS OF ARREST C Revised 9/6/01 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. NOW, THEREFORE, IT IS HEREBY ORDERED that :the Defendant’s conviction of Index No. _______________________________be, and same is, hereby set aside and the Defendant herein is : deemed not to have previously been convicted of said crime; and Calendar No. Plaintiff(s) : JUDICIAL SUBPOENA IT IS FURTHER ORDERED that the record of arrest maintained by any law enforcement agency -against: regarding the Defendant and the criminal episode contained herein be, and the same is, hereby set aside and the defendant herein is deemed not to have previously been arrested for said crime; and : IT IS FURTHER ORDERED, that the Clerk of the Court shall forward a certified copy of this order to : all appropriate criminal justice agencies. Defendant(s) : ...................................................... IT IS FURTHER ORDERED that thereafter the record of conviction and arrest herein shall be sealed together with other official Court records in this case, including investigation reports of involved law enforcement agencies concerning the criminal episode. THE PEOPLE OF THE STATE OF NEW YORK TO IT IS SO ORDERED this _____ day of ___________________, _______. ____________________________________ Judge GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Linn County Form ORDER TO SET ASIDE CONVICTION AND SEAL RECORDS OF ARREST C Revised 9/6/01 American LegalNet, Inc. www.USCourtForms.com