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Order For The Expungement Of Criminal Offender Record Form. This is a Tennessee form and can be use in Knox Local County.
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Tags: Order For The Expungement Of Criminal Offender Record, Tennessee Local County, Knox
ORDER FOR THE EXPUNGEMENT OF CRIMINAL OFFENDER RECORD
STATE OF TENNESSEE vs.
_________________________________
General Sessions Warrant No.
________________________
In the General Sessions Court for Knox County, Tennessee at Knoxville
Petition of Expungement
Defendant/Arrest Information
Defendant
Race
Sex
Date of Birth
Arresting Agency
IDN
SSN#
Arrest Date
Charge 1 (As shown on Arrest Fingerprint Card)
Charge 2 (As shown on Arrest Fingerprint Card)
Charge 3 (As shown on Arrest Fingerprint Card)
Disposition Information
Final Charge 1
Final Charge 2
Final Charge 3
Final Disposition
Diversion Date (if applicable):
The defendant named above is entitled to have all PUBLIC RECORDS relating to the offense listed above expunged according to the Tennessee
Code Annotated provision marked below:
Provisions Relating to Adults:
Charge has been dismissed (TCA § 40-32-101)
No true bill returned by Grand Jury (TCA § 40-32-101)
Verdict of not guilty returned by jury (TCA § 40-32-101)
Conviction which has by appeal been reversed (TCA § 40-32-101)
Nolle presequi entered in case (TCA § 40-32-101)
Successful completion of all probation provisions and processings against Defendant have been
discharged by the Court (TCA § 40-35-313)
It is ordered that all PUBLIC RECORDS relating to such offense above referenced be expunged and immediately destroyed upon payment of all
cost to clerk and that no evidence of such records pertaining to such offense by retained by any municipal, county or state agency, except nonpublic confidential information retaining in accordance with TCA § 10-7-504 and TCA § 38-6-118.
APPROVED FOR ENTRY
Entered this _____ day of ________________, 200____.
_____________________________________ ________________________________________
Defendant
Judge in the General Sessions for Knox County
Division ______
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IN THE GENERAL SESSIONS COURT FOR KNOX COUNTY, TENNESSEE
CRIMINAL DIVISION
STATE OF TENNESSEE
Petitioner,
)
)
)
)
vs.
)
)
)
_______________________________ )
)
Defendant
)
)
DOB:
S.S.#:
IDN:
Case No(s):
Arrest Date:
Offense Charge:
ORDER OF EXPUNGEMENT OF RECORD
This matter came on petition of the defendant, _______________________________________, to the
Honorable ________________________________, Judge of the General Sessions Court of Knox County,
Tennessee, Division _______, for an Order, pursuant to Tennessee Codes Annotated § 40-32-101, to the
agencies listed herein to expunge the public records as set forth in this Order, including those records stored
in the Justice Information Management System and available to the public in their possession or under their
control relating to the arrest of _______________________________________on ____________________,
and the issuance of State Warrant Number(s) ________________________. It appearing to the Court that
said charge(s) was dismissed on _______________________________, and that pursuant to such statute
the defendant is entitled to the relief for which Petitioner prays;
IT IS, THEREFORE, ORDERED that the public records described in this Order, including those
records stored on computer in the Justice Information Management System which are available to the public,
and the records available to the public in the custody of the below listed agencies:
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[List all agencies that have records pertaining to this case that are to be expunged (e.g. Knox
County Sheriff’s Department, Knoxville Police Department, Knox County General Sessions Court,
Criminal Division)]
a. ________________________________________________________________
b. ________________________________________________________________
c.
________________________________________________________________
d. ________________________________________________________________
e. ________________________________________________________________
f.
________________________________________________________________
g. ________________________________________________________________
relating to the arrest and subsequent prosecution of this defendant, or obtained as a result of said arrest or
persecution or information relating thereto, which are in the possession of the above listed agencies be
expunged by the destruction of the same forthwith pursuant to Tennessee Code Annotated § 40-32-101, and
that the defendant be restored, in contemplation of the law, to the status he/she occupied before his/her arrest
in this case. The Knox County General Sessions Court, Criminal Division and the above named agencies are
hereby directed to implement and comply with this order as follows:
1. The Knox County General Sessions Court, Criminal Division shall provide a copy of this order
to the agencies named herein for the implementation of this order of expungement;
2. The Knox County General Sessions Court, Criminal Division shall expunge the below listed
records and references to this defendant contained in the public records of the Knox County
General Sessions Court, Criminal Division pertaining to Warrant Number(s)
_____________________:
[List all records to be expunged. (e.g. preliminary hearing tapes, warrant, docket sheets, cost
sheets, copies of bonds etc.)]
a. ________________________________________________________________
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b. ________________________________________________________________
c.
________________________________________________________________
d. ________________________________________________________________
e. ________________________________________________________________
f.
________________________________________________________________
g. ________________________________________________________________
3. [List all other agencies possessing records to be expunged and describe the specific records to
be expunged (e.g. Knoxville, Police Department, Knox County Sheriff’s Office, Tennessee Bureau
of Investigation, etc.)]
a.
________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
b. ________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
c.
________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
d. ________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
e. ________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
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f.
________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
g. ________________________________________________________________
i. _____________________________________________________________
ii. _____________________________________________________________
4. Any records kept by the Knox County Sheriff’s Department Criminal Records Bureau which is
specifically exempted from expungement by statute with reference to the defendant’s arrest card,
arrest report and arrest folder shall be taken from the records which are open to the public and
placed under lick and key with the records which are not open to public inspection. The Knox
County Sheriff’s Department shall retrieve any records specifically described and set forth herein
relating to the defendant’s arrest including computer records, from the Knoxville Police
Department, the Tennessee Bureau of Investigation, the Tennessee State Highway Patrol, and
the Federal Bureau of Investigation and said records shall be treated in a manner consistent with
this order. In order to facilitate the action required by this Order and necessary accompanying
information to the Tennessee Bureau of Investigation, and the Tennessee Bureau of Investigation
shall provide a copy of this Order and necessary accompanying information to the Federal
Bureau of Investigation.
5. The above-listed records shall be expunged in the following manner:
a. Wherever the reference to the defendant is in a public record, that record shall be
expunged either by shredding or incineration, whichever is most convenient for the
effectuation;
b. Wherever a reference to the defendant is a sole entry on the page of a book, that page is
to be removed and destroyed by shredding or incineration, whichever is most convenient
for the effectuation of this order, and a substitute page, noting the removal of the
destroyed reference by reason of this order, is to be entered with the appropriate page
number and
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c.
Wherever a reference to the defendant is among several entries on a page, the entry
relating to the defendant is to be eradicated by means of a heavy black felt pen and a
notation made by the Clerk that this was done pursuant to an expungement order.
6. For the purpose of this expungement order, “public records” dose not include arrest histories,
investigative reports, intelligence information of law enforcement agencies, or file of district
attorneys general that are maintained as confidential records for law enforcement purposes and
are not open for inspection by members of the public.
7. Upon completion of the expungement or destruction as directed by this Court, each recipient of
this order may retain this order or a copy hereof his/her private or non-public file.
ENTER, _______ day of ________________, 200______.
__________________________________________
KNOX COUNTY GENERAL SESSIONS COURT
DIVISION _________
APPROVED FOR ENTRY:
_______________________________________
Assistance District Attorney General
_______________________________________
Defendant
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