IN THE BEDFORD MUNICIPAL COURT CUYAHOGA COUNTY, OHIO
STATE OF OHIO Plaintiff vs.
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CASE NO. (Your case number goes here)
CITY/VILLAGE OF __________________ )
APPLICATION FOR SEALING OF CONVICTION PURSUANT TO O.R.C. 2953.32
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Defendant makes application to this court, pursuant to Ohio Revised Code Section 2953.32 for the sealing of his/her official record of conviction in the within styled case. Application provides the following information for use of the Probation Department and Prosecutor in determining whether the provisions of the expungement statute are satisfied and sealing of the record should be granted: Current Address: Telephone: Social Security No.: Charge: Date of Conviction: Defendant makes the following additional representations: 1) 2) He/She is