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Application For Expungement Of Record Involving Conviction - Ohio

Application For Expungement Of Record Involving Conviction Form. This is a Ohio form and can be used in Criminal Hamilton County (Court Of Common Pleas) .
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HAMILTON COUNTY MUNICIPAL COURT CRIMINAL DIVISION HAMILTON COUNTY, OHIO STATE OF OHIO Plaintiff, - Vs. _______________________________________ APPLICATION FOR EXPUNGEMENT OF RECORD INVOLVING CONVICTION D.O.B. Defendant, __________________________________________________________, respectfully makes application to the Court for expungement of his/her criminal record, pursuant to Ohio Revised Code 2953.32. The applicant states the following: that he/she is an eligible offender, that one year has passed since the final discharge of misdemeanor conviction, and that no criminal proceedings are pending. CASE NO.__________________________ JUDGE_____________________________ Current Address of Applicant: _____________________________________________________ ______________________________________________________________________________ Phone: ________________________________________________________________________ __________________________________________ Defendant / Applicant CERTIFICATE OF SERVICE I hereby certify that a true copy of the above Application was delivered hand or mail (circle which) to the Office of the Prosecutor on the _______day of _________________________, 20_______. ___________________________________________ Defendant / Applicant Revised 09/19/2014 American LegalNet, Inc. www.FormsWorkFlow.com FOR OFFICE USE ONLY ************************************************************************************ The Applicant's Date of Birth and Social Security Number reported on this page are for office use only. They will not become part of the Public Record. Applicant's Name Date of Birth Date of Arrest Charge Social Security Number Arresting Agency Section Code Date of Sentence B.C.I. No. F.B.I. No. Control No. I give my word that the Date of Birth and Social Security Number were given to the Clerk of Courts by the Applicant or Attorney. Signature of Applicant/Attorney American LegalNet, Inc. www.FormsWorkFlow.com PATRICK X. DRESSING, ESQ. COURT ADMINISTRATOR (S 13) 946-S900 COURT OF COMMON PLEAS MUNICIPAL COURT 1000 MAIN STREET ROOM 410 CINCINNATI, OHIO 45202 ASSISTANT COURT ADMINISTRATORS SUSAN M. LUKEN, ESQ. COMMON PLEAS COURT (513) 946-5901 ANDREW J. GILLEN MUNICIPAL COURT (RM. 205) (513) 946-5201 FAX (513) 946-5808 Chief Probation Officer Municipal Court Operation RE: State of Ohio City of Cincinnati -vs- City Prosecutor Municipal Court Operation NAME:~--------- ADDRESS:~---~~~~~- or PHONENO.~~~~~~~~~- DATE OF BIRTH: _ _ _ _ _ _ __ County Prosecutor Municipal Court Operation DATE OF CONVICTION: _ _ _ _ __ or NON-CONVICTION: _ _ _ _ _ __ Gentlemen: The above named defendant has applied for the expungement of the record of his/her conviction/non-conviction in the above captioned matter. The Court has set this at in Room _ _ __ application for hearing on The Probation Department is hereby directed to conduct an investigation of the desirability of granting such application for expungement. Sincerely, ~~~ Kristie Cornelius Assignment Commissioner Municipal Court MC684-1013 American LegalNet, Inc. www.FormsWorkFlow.com HAMILTON COUNTY ADULT PROBATION DEPARTMENT As required by Ohio State Law, an expungement investigation will be conducted by the Probation Department and presented to the Court. Please provide the information listed below completely and accurately in order to avoid a delay in the investigation. 1). Current home address (if moving before your expungement hearing date, please note the new address). 2). Date of Birth: 3.) List any aliases, maiden name, and/or legal name changes since the age of 18. 4). List all cities/states that you have lived since the age of 18. Include locations of colleges and/or other schools attended, military assignments, employment locations, etc. 5). Current place of employment: If not employed, current source of income: 6). List any pending charge(s) in this or any other Court. 7). Reason for requesting expungement: Employment Purposes Housing Purposes Educational Purposes Other I, the undersigned, acknowledge that the above information is true and correct to the best of my ability. SIGNATURE OF APPLICANT DATE American LegalNet, Inc. www.FormsWorkFlow.com
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