Petition For Order Of Dismissal Or Vacation Of Record Of Conviction Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Order Of Dismissal Or Vacation Of Record Of Conviction Form. This is a Washington form and can be use in Spokane Local County.
Loading PDF...
Tags: Petition For Order Of Dismissal Or Vacation Of Record Of Conviction, Washington Local County, Spokane
(Copy Receipt)
(Clerk’s Date Stamp)
SUPERIOR COURT OF WASHINGTON
COUNTY OF SPOKANE
Petitioner: ______________________________
CASE NO. ______________________
vs.
PETITION FOR ORDER OF DISMISSAL
OR VACATION OF RECORD OF
CONVICTION
Respondent: STATE OF WASHINGTON
COMES NOW, ___________________________ petitioner, and petitions the Court for an order
of dismissal pursuant to RCW 9.94A.640 (formerly 9.94A.230).
1. I have been convicted of the following crimes(s):
Type of Crime
Date of Sentencing
Court/Location
2. Attached is a certified copy of the Order(s) of the Court where I sentenced that I have
successfully completed the terms and conditions of each sentence.
3. I have no criminal charges pending in any court of this state or any other state, or in any federal
court.
4. Attached is a certified copy of the record of all my criminal convictions.
5. None of my criminal convictions are a “violent offense” as described in RCW 9.94A.030. (This
paragraph not applicable under RCW 9.95.240 or RCW 10.05.120 or RCW 3.66.067).
6. The offense involved was not a crime as described by RCW 43.43.830(5).
PETITION FOR ORDER OF DISMISSAL/VACATION OF CONVICTION
PAGE 1 OF 2
American LegalNet, Inc.
www.USCourtForms.com
7. I have not been convicted since I was discharged under RCW .9.94A.637 (formerly 9.94A.220)
of any new crimes in this state, other states, or federal court.
8. The offense involved was a Class B felony and more than ten years have passed since I was
discharged under RCW 9.94A.637 (formerly 9.94A.220). (This paragraph not applicable under
RCW 9.95.240 or RCW 10.05.120 or RCW 3.66.067.)
9. The offense involved was a Class C felony and more than ten years have passed since I was
discharged under RCW 9.94A.637 (formerly 9.94A.22). (This paragraph not applicable under
RCW 9.95.240 or RCW 3.66.037 or 10.05.120.)
I CERTIFY AND DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF
THE STATE OF WASHINGTON THAT THE ABOVE IS TRUE AND CORRECT.
Date: ___________________
Petitioner
PLACE OF SIGNING:
________________________________________
City/State
PETITION FOR ORDER OF DISMISSAL/VACATION OF CONVICTION
PAGE 2 OF 2
American LegalNet, Inc.
www.USCourtForms.com