IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT ) STATE OF OREGON, ) AFFIDAVIT IN SUPPORT OF MOTION TO Plaintiff, ) SET ASIDE RECORDS OF ARREST v. ) ________________________________________,) Case No. _________________ Defendant. ) STATE OF OREGON ) ) ss COUNTY OF MARION ) 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 toseal 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 amrequesting to have set aside. A copy of this Affidavit and a copy of my Motion to Set Aside and Seal Records of Arrest have beenserved upon the District Attorney of Marion County. A complete set of my fingerprints has been served on the District Attorney of Marion 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 was (were) ___________________________. Arresting agency and incident number (if known): _____________________________. Dated: ____________________________ __________________________________ Signature of DefendantSUBSCRIBED AND SWORN TO before me this _______ day of ________________________, _______. _______________________________________ Deputy Clerk of Court/ Notary Public of Oregon My Commission Expires: _________________AFFIDAVIT IN SUPPORT OF MOTION TO SET ASIDE RECORDS OF ARREST - Page 1 of 1 FC(11/10/03)