Missouri > Statewide > Circuit Court > Criminal
Petition for Expungement of Arrest Records CR145 - Missouri
| Petition for Expungement of Arrest Records Form. This is a Missouri form and can be used in Criminal Circuit Court Statewide . |
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IN THE CIRCUIT COURT OF Judge or Division: Petitioner: vs. Defendant(s): Circuit Court Division Associate Court Division Municipal Court Division Criminal Records Repository Case Number: Court ORI Number: COUNTY, MISSOURI (Date File Stamp) County Sheriff's Dept. Municipal Police Dept Missouri Highway Patrol Troop Prosecutor's Office (include name of county or city) County Municipal Other (include name and address of agency) Petition for Expungement of Arrest Records Pursuant to Section 610.122, RSMo, I request that the court issue an order to expunge my record of arrest, for the following criminal case: I am filing this petition in the county where the arrest occurred and I hereby swear that I have no prior or subsequent misdemeanor or felony convictions and I did not receive a suspended imposition of sentence (SIS) for the offense for which the arrest was made or for any offense related to the arrest. I also state that the arrest was based on false information, there is no probable cause at the time of the action to expunge to believe that I committed the offense and charges will be pursued as a result of the arrest, and no civil action is pending relating to the arrest or the records sought to be expunged .I am providing my fingerprints on a standard fingerprint card for verification of my identity. I have reason to believe the agencies named above as defendants may possess records subject to expungement. Full Name M F Race Sex Date of Birth Address at Time of Arrest Date of Arrest Arrest Citation Number Social Security Number Driver's License Number Offense Charged If criminal charges were filed, date of dismissal or reversal Name of Arresting Agency County where Petitioner was arrested (if Arrest Occurred in a Municipality, also Name Municipality) Case Number and Division of Court of the Offense # Circuit Associate Not Applicable Municipal Division I swear the facts stated in the above petition are true according to my best knowledge and belief. Petitioner's Signature/Address Subscribed and sworn to before me this My commission expires: day of , Notary Public/Judge/Clerk OSCA (7-03) CR145 1 of 2 Chapter 610 RSMo American LegalNet, Inc. www.USCourtForms.com Instructions to Clerk 1. A copy of the petition shall be issued to the prosecuting attorney. 2. A copy of the petition and the fingerprint card should be sent to the Missouri Criminal Record Repository. 3. Give notice of the hearing to the prosecuting attorney and each official, or agency, or other entity named in the petition.. OSCA (7-03) CR145 2 of 2 Chapter 610 RSMo American LegalNet, Inc. www.USCourtForms.com
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