Free 497.2 - Kentucky

NOTE: A SEPARATE PETITION MUST BE FILED FOR EACH CRIMINAL CASE AND THE CHARGE(S) MUST BE LISTED IN THIS PETITION FOR THE CHARGE(S) TO BE EXPUNGED. ADDITIONALLY, A COPY OF YOUR CURRENT AOC CRIMINAL HISTORY RECORD MUST BE ATTACHED TO THIS PETITION. AOC-497.2 Doc. Code: PEXA Rev. 10-07 Page 1 of 2 Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 431.076
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Case No.____________________ Court_________________________ County________________________

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PETITION/ MOTION FOR EXPUNGEMENT (FOR ACQUITTAL OR DISMISSAL WITH PREJUDICE)

COMMONWEALTH OF KENTUCKY VS. ________________________________NAME ________________________________ADDRESS ________________________________PHONE NUMBER

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Defendant's Birthdate:________________Defendant's SSN:__________________Violation/Arrest Date:_____________ Jail ID Number_____________________________(optional) Comes now, the Defendant herein, and petitions the Court, pursuant to KRS 431.076, to expunge the following charges which were either acquitted or dismissed with prejudice in the above-referenced case: CHARGE: ____________________________________ CHARGE: ____________________________________ CHARGE: ____________________________________ In support of this Petition, the Defendant states as follows: 1. 2. [ ] At least sixty (60) days prior to filing this motion, the Defendant was acquitted of the above-listed charge(s); or, [ ] The above-referenced charge(s) was/were dismissed with prejudice and said dismissal was NOT in exchange for a guilty plea to another offense; There are no current charges or proceedings pending in the above-styled case. CHARGE: ___________________________________ CHARGE: ___________________________________ CHARGE: ___________________________________

The Defendant prays that this Petition for Expungement for Acquittal or Dismissal with Prejudice be granted and that this Court enter an Order that the following agencies expunge/seal any records in the agency(ies) custody regarding these charges: LIST AGENCIES HERE _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________,. and further Order said agency(ies) to certify to the Court within sixty (60) days of entry of the Order that the required sealing action has been completed.

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DEFENDANT

AOC-497.2 Rev. 10-07 Page 2 of 2

Case No._____________________

Note: Defendant/Petitioner must sign this petition in the presence of the circuit clerk so that the clerk can notarize his/her signature. Date:__________________, 2_______. ___________________________________________ Defendant/Petitioner

Subscribed and sworn to before me by _________________________________________________________________ this _______ day of _________________, 2_______. _____________________________________________ Clerk By:_______________________________________D.C

NOTICE This case is set for a hearing on _____________________________________________ at the hour of ____________ [ ]a.m. [ ]p.m. at the ________________________________ [ ]District [ ]Circuit Court. Dated this __________ day of ___________________________________, 2_________.

_____________________________________________ Clerk By:_______________________________________D.C.

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