_______________JUVENILE COURT FOR___________________COUNTY, STATE OF UTAH ______________________________________________________________________________ State of Utah, in the interest of PETITION FOR EXPUNGEMENT OF RECORD Name: ______________________________ CASE NO: ____________ Address: ____________________________ Phone Number: ______________________ Date of Birth: ________________________ A person eighteen years or older ___________________________________________________________________________ Parent's Names: ________________________________________________________________ Comes now, _______________________________________________ and, pursuant to Section 78A-6-1105, U.C.A. 1953, as amended, hereby petitions this Court to expunge my juvenile record in whole or in part. In support of such petition, I allege under oath the following: 1. My full and correct name, the date and year of birth and the names of my parents are as set forth above. That Juvenile Court jurisdiction and/or custody and parole supervision of the Division of Youth Corrections was unconditionally terminated on _____________________ and that one year has expired since such date. ( ) I have not been convicted of a felony level criminal offense or of a misdemeanor level offense involving moral turpitude and no such charge or proceeding is pending or being instituted against me in any other Court. I have been convicted of a felony level criminal offense or of a misdemeanor level offense involving moral turpitude and a charge or proceeding is pending or being instituted against me.
Since my 18th birthday I have resided at the following address(es):
That I am a responsible and law-abiding citizen of good moral character.
Signed, _________________________________ Petitioner Subscribed and sworn to before me on ______________________________________________ ______________________________________________ Clerk/Deputy Clerk/Notary
__________DISTRICT JUVENILE COURT FOR ______ COUNTY, STATE OF UTAH STATE OF UTAH, in the interest of NAME: DATE OF BIRTH: A person eighteen years or older A petition for Expungement of Record in whole or in part came before this Court on the day of , 20 , the Petitioner being present, the Court heard and examined all evidence at the hearing and found that 1. ( ) Juvenile Court jurisdiction over the petitioner has been terminated, or the petitioner has been unconditionally released from secure confinement by the State Division of Juvenile Justice for more that one year. The petitioner has not been convicted of a felony or a misdemeanor involving moral turpitude since such termination of jurisdiction nor are there proceedings involving such felony or misdemeanor pending or being instituted against the petitioner. The petitioner has been rehabilitated to the satisfaction of the Court. The Petition is granted. The Petition is denied. ORDER EXPUNGING RECORD
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It is therefore ordered that all the records in the petitioner's case in the custody of this Court and the records of: pertaining to violations of law as a juvenile or resulting from court proceedings as a juvenile be sealed (except traffic matters) or all references to the petitioner's name in the records be expunged. Inspection of such records shall hereafter only be permitted by the Court upon petition by the petitioner and only persons named in such petition. The petitioner's case shall be deemed never to have occurred and the petitioner may properly reply accordingly upon any inquiry in the matter. Dated this ______ day of __________, 20__, BY THE COURT:
____ Judge Certified copies of this order given to the petitioner for delivery to appropriate agencies. __________________________________, Deputy Court Clerk