EXPUNGEMENT FEES AND PROCEDURES

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1 EXPUNGEMENT FEES AN PROCEURES EXPUNGEMENT PROCEURES: All required forms are available front our criminal customer services desk or in PF format on our websit1~: THE CLERK OF COURT IS PROHIBJTE FROM GIVING LEGAL AVICE AN CANNOT ASSIST IN TNE PREPARATION OF ANY EXPUNGEMEfirlENT FILING. ALL FEES ARE NON-REFUNABLE!EVEN IF THE EXPUNGEMENT IS ENIE (La. C.Cr.P. Art. 983) I. FEES REQUIRE AT THE TIME OJf FILING: 1. $ CHECK or MONEY ORER, MAE PAYABLE TO ESOTQ l~arish CLERK OF COURT: 2. $ MONEY ORER, MAE PAYABLE TO ESOTO PARISH ISTRICT ATTORNEY: 3. $ MONEY ORER, MAE PAYABLE TO ESOTO PARISH SHERIFF'S OFFICl~ 4. $250 - MONEY ORER OR CASHIER'S CHECK, PAYABLE TO THE BUREAU OF CRIMINAL IENTIFICATION AN INFORM.A.TIQ_Nf- LOUISIANA STATE POLICE; **WI CONVICTIONS ONLY - $50.0Q - MONEY ORER PAYABLE TO THE EPARTMENT OF PUBLIC SAl~ ETY AN CORRECTIONS/ OFFICE - ~- ' OF MOTOR VEHICLES (La. C.Cr.P. Avt. 984). Inclupe _Qocket Number(s) on all Money Orders II. FORMS REQUIRE AT THE TIMH OF EXPUNGEMENT FILING 1. Arrest/Summons that did not result in Conviction: Prepare Forms S(L), 7(L), 8(L) a. Time expired for prosecutioi);. b. Not prosecuted for any offen/l_ie arising out of the charge; c. Pre-trial diversion program; d. WI pre-trial diversion progr am and 5 years have elapsed since the date of arrest; e. Charge dismissed f. Found not guilty or judgmenl; of acquittal 2. Misdemeanor Conviction: Prepare fi?rms Exp. l(l), 3(L), S(L), 8(L) a. Conviction was set aside and dismissed pursuant to C.Cr.P.Art. 894(B) or b. More than 5 years have pass i~ d since completion of sentence. 3. Felony Convictions: Prepare forms l'!xp l(l), 3(L), S(L), 8(L) a. Conviction was set aside and dismissed pursuant to C.Cr.P.Art. 893(E) or b. More than 10 years have pas-,ed since completion of sentence.

2 A criminal background check may be obtained through the Louisiana Bureau of Criminal Identification and Information (225) or Only One individual may be included ir\ a Motion for Expungement Only one expungement can be filed pe!'arrest/summons. Be sure you include all charges from the arrest/summons. The istrict Attorney's office will provide the Affidavit of Response and Rule to Show Cause if required. Certification of Fee Waiver must be ob!'ained from the.a. and presented with the Motion of Expungement if the defendant is eligible pursuant to C.Cr.P. Art. 983(F). Additional information may be obtained through: PLEASE CONSULT WITH AN ATTORNEY IF YOU ARE UNSURE OF THE FILING PROCEJ'~URES. **Please Print completed form, Sign and eliver to the esoto Parish Clerk's Office.

3 STATE OF LOUISIANA NO. IV VERSUS JUICIAL ISTRICT COURT PARISH OF STATE OF LOUISIANA MOTION TO SET ASIE CONVICTION AN ISMISS PROSECUTION NOW INTO HONORABLE COURT, comes 0 efendant, OR 0 efendant through undersigned Counsel, who moves that the conviction pursuant to Louisiana Code ofcrimin;\l Procedure 894(B) Misdemeanors, OR 0 893(E) Felonies in the above numbered case be set aside and that the prosecution dismissed in accordance with the Code of Criminal Procedure in that the period of the deferred sentence has run and petitioner has suc :essfully completed the terms of his probation. The mover is further identi tied below: OCKET NUMBER: CHARGE: ATE OF ARREST: ARRESTING AGENCY: CITY/PARISH OF ARREST: The Mover prays that, after a contradictory hearing with the istrict Attorney's Office, the Court order the above numbered case be set aside and that the prosecution dismissed in accordance with thl~ Code of Criminal Procedure. Respectfii lly submitted, Signatu n' of Attorney for Mover/efendant Attorne); for Mover/efendant Name Attorne);'s Bar Roll No. Address City, Staie, ZIP Code If not rq1rcscntcd by counsel: Signatun: of Mover/efendant Mover/efendant Name Address City, State, ZIP Code Telephone Number FORM 2014 EXP I (L)

4 STATE OF LOUISIANA VERSUS IV JUICIAL ISTRICT COURT STATE OF LOUISIANA ORER OF ISMISSAL Considering the Motion to Set Aside Conviction and ismiss Prosecution, the hearing conducted on the representation of the State of Lou i ~ iana of its consent hereto, and that there is no opposition for any good cause appearing herein ; I IT IS ORERE, AJUGE AN ECREE that this conviction is set aside and the prosecution dismissed for purposes of expungement. THUS ORERE AN SIGNE this day of 20 at, Louisiana JUGE PLEASE SERVE: Print Nanie 1. istrict Attorney: Attorney for efendant and/or efendant FORM 2014 EXP 3(L)

5 STATE OF LOUISIANA VERSUS NO IV JUICIAL ISTRICT COURT PARISH OF STATE OF LOUISIANA CERTIFICATION OF FEE WAIVER To be completed by defendant and submitted t1> the istrict Attorney's Office prior to filing. Append completed form to Motion of t::xpungement at filing only if eligible. EFENANT NAME A TE OF BIRTH SSN# ATE OF ARREST OCKET NUMBER CHARGE In accordance with Louisiana Code of Criminal Procedure Article 98\ the Office of the istrict Attorney has reviewed the available databases and determined that (Check all that apply. To be completed by authorized personnel from ihe istrict Attorney's Office and returned within 15 days to defendant.): The arrestee listed above has NO FELONY CONVICTIONS. AN The arrestee listed above has NO PENING FELONY CH \RGES UNER A BILL OF INICTMENT OR INFORMATION. AN The arrestee listed above WAS ACQUITTE after tri al 01' 1.dl charges derived from the arrest listed above, including any lesser and included offense. OR The arrestee listed above WAS NOT PROSECUTE WITJIIN THE TIME LIMITATIONS prescribed in Chapter 1 of Title XVII of the Code of Criminal Procedure and the arrestee did not participate in a pretrial diversion program for the arrest listed above. OR The case involving the arrestee listed above was dismissed 1Jr the district attorney declined to prosecute the case prior to the time limitations prescribed in Chapter 1 of Title XVll of the Code of Criminal Procedure, and the arrestee did not participate in a pretrial diversion program. OR The arrestee listccl above has been determined to be factually innocent and entitled to compensation for a wrongful conviction pursuant to the provisions of R.S. 15: istrict Attorney or his designee - Print Name istrict Attorney or his designee ~ 20 Signature ate FORM 2014 EXP 4(L)

6 STATE OF LOUISIANA VERSUS JUICIAL ISTRICT COURT IV PARISH OF STATE OF LOUISIANA MOTION FOR EXPl!NGEMENT request: NOW INTO COURT comes mover, who provides the courl with the following information in connection with this I. EFENANT INFORMATION NAME: -,-, (Last Name) (First Name) (Middle Initial) OB: --' (MM//YYYY) GENER Female Male SSN (last 4 digits): XXX-XX- RACE: RIVER UC.# ARRESTING AGENCY: SI# (if available): ARREST NUMBER: Mover is entitled to expunge the record of his arrest/conviction pursuant to Louisiana Code of Criminal Procedure 971 et seq. and states the following in support: II. ARREST INFORMATION I. Mover was arrested on! / (MM//YYYY) 2. YES No 3. Mover was: A supplemental sheet with arj ests and/or convictions is attached after page 2 of this Motion. Arrested, but it did not result Jl1 conviction Convicted of and seeks to ex1 unge a misdemeanor Convicted of and seeks to exjitmge a felony 4. Mover was booked and/or charged with the follo wing offenses: (List each offense booked and charged separately. (Attach a supplemental sheet, if necessary.) ARRESTS THAT I NOT RESULT IN CONVICTION ITEMN0.1 La. Rev. Stat. Ann. 0 Time expired for prosecution / / (MM//YYYY) Not prose~uted for any offc 11 se arising out of this charge. Pre-trial iversion Program. B WI Pre-Trial iversion Pn)gram and 5 years have elapsed since the date of arrest. 0 Charge dismissed Found not guilty/judgment o f acquittal ITEM NO. 2 La. Rev. Stat. Ann. : Time expired for prosecutioji (MM//YYYY) 0 Not prosecuted for any offense arising out of this charge. 0 Pre-trial iversion Program 0 WI Pre-Trial iversion Pn1gram and 5 years have elapsed since the date of arrest. 0 Charge dismissed 0 Found not: guilty/judgment of acquittal ITEM N0.3 : Time expired for prosecution (MM//YYYY) 0 Not prosecuted for any offehse arising out of this charge. Pre-trial iversion Program. WI Pre-Trial iversion Program and 5 years have elapsed since the date of arrest. Charge dismissed 0 Found not guilty/judgment 1)f acquittal FORM 2014 EXP 5-l{L)

7 ITEMNO. l MISEMEANOR CONY~CTIONS : Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 894(8) (MM//YYYY) 0 More than 5 years 1 have passed since completion of sentence. ITEMN0.2 : Oconviction set aside/dismissed / / --- pursuant to C.Cr.P. Art. 894(3) (MM//YY 0More than 5 years have passed since completion of sentence. FELONY CONVICTIONS ITEMNO. l ITEMN0.2 Conviction set aside/dismissed!! pursuant to C.Cr.P. Art. 893(E) (MM//YYYY) More than I 0 years have passed since completion of sentence. Conviction set asi'de/dismissed pursuant to C.Cr.P. Art. 893(E) MM//YYYY 0 More than I 0 years have passed since completion of sentence. Ycs No OPERATING A MOTOR VEHICLE WHILE INTOXICATE CONVICTIONS Mover has attached the following: A co.py of the ~roof from the epartment of Pub_h,c S_afety and Corrections, office of motor vehicles, that 1t has received from the clerk of court a cert1bed copy of the record of the plea, fingerprints of the defendant, and proof of the requirements sn forth in C.Cr.P.Art. 556, which shall include the defendant's date of birth, last four digits of social security number, and driver's license number 5. Mover has attached to this Motion the following pertinent documents: Criminal Background Check from the La. State PolicelParish Sheriff dated within the past 30 days (required). Bill(s) of Information (if any). Minute entry showing final disposition of case (if any\. Certification Letter from the istrict. Attorney for fee waiver (if eligible). Certification Letter from the istrict Attorney verifyi11g that the applicant has no convictions or pending applicable criminal charge in the requisite time period:;. Certification Letter from the istrict Attorney verifoying that the charges were refused. Certification Letter from the istric<t Attorney verifying that the applicant did not participate in a pretrial diversion program. A copy of the order waiving the sex offender registration and notification requirements. The Mover prays that if there is no objection timely filed by the arresting law enforcement agency, the district attorney's office, or the Louisiana Bureau of Criminal Investigation and Information, that an order be issued herein ordering the expungement of the record of arrest and/or conviction set forth above, including all photographs, fingerprints, disposition, or any other such information, which record shall be confidential and no longer consid :red a public record, nor be made available to other persons, except a prosecutor, member of a law enforcement agency, or ajudg(: who may request such infonnation in writing, certifying that such request is for the purpose of prosecuting, investigating, or r nforcing the criminal law, for the purpose of any other statutorily defined law enforcement or administrative duties, or for the purpose of the requirements of sex offender registration and notification pursuant to the provisions ofr.s. 15 :541, et seq. or tis an order of this Court to any other person for good cause shown, or as otherwise authorized by law. FORM 2014 EXP 5-2 (L)

8 If an "Affidavit of No Opposition" by each agency named herein is att ;1ched hereto and made a part hereof, efendant requests that no contradictory hearing be required and the Motion be granted e:'i parte. Respectfully submitted, Signature 0f Attorney for Mover/efendant Attorney for Mover/efendant Name Attorney'i Bar Roll No. Address City, Stat<;, Zip Code Telephon ~ Number If not represented by counsel: Signature of Mover/efendant Mover/l:fendant Name Address City, Stat ~, ZIP Code Telephon :: Number FORM 2014 EXP 5-3 (L)

9 STATE OF LOUISIANA IV ---- VERSUS JUICIAL ISTRICT COURT PARISH OF STATE OF LOUISIANA i 1 AFFIAVIT OF IU:SPONSE Pursuant to Louisiana Code of Criminal Procedure Article 980, the istrict Attorney for the Parish of acknowledges the following: No Opposition. Respondent respectfully consents to waiver of the contradictory hearing. Opposition to the Motion ofexpungcment with Reasons. Respondent respectfully requests a contradictory hearing. { Pursuant to Louisiana Code ofcri1ninal Procedure Article 980, the Louisiana Bureau ofcrirninal Identification and Information acknowledges the following: OR No Opposition. Respondent respectfully consent~ ; to waiver of the contradictory hearing. Opposition to the Motion of Expungement with Reasons. Respondent respectfully requests a contradictory hearing. OR Pursuant to Louisiana Code of Criminal Procedure Article 980, the artesting law enforcement agency acknowledges the following: No Opposition. Respondent respectfully consent:; to waiver of the contradictory hearing. Opposition to the Motion of Expungement with Reasons. Respondent respectfully requests a contradictory hearing. Signature of istrict Attorney Print Name Signature of Louisiana Bureau of Criminal Identification and Information Print Name Signature of the Arresting Law Enforcement Agency Print Name PLEASE SERVE: I. istrict Attorney: Louisiana Bureau of Criminal Identification and Informati m, 3. The Arresting Law Enforcement Agency ~ FORM 2014 EXP 6 (L)

10 STATE OF LOUISIANA VERSUS IV ---JUICIAL ISTRICT COURT STATE OF LOUISIANA IT IS HEREBY ORERE, ORER If there is an objection to the Motion fo r Expungement, the district attorney and the arresting law enforcement agtmcy shall file a motion to object within sixty days of the service of thi ~ Order. If the Louisiana Bureau of Criminal Identification and Information objects to the Motion for Expungement, they shall file a motion within I 20 days of the service of this order (prior to August 1, 2015) and within 60 days of service of this order (after August 1, 2015). NO CONTRAICTORY HEARING SHALL BE REQUIRE as evidenced by the "Affidavit of No Opposition" executed by each agency named herein and attached to the Molion for Expungement. 20 at THUS ORERE AN SIGNE this day of, Louisiana JUGE Printed Name PLEASE SERVE: I. istrict Attorney:, 2. Louisiana Bureau of Criminal Identification and Information Arresting Agency: FORM 2014 EXP 7 (L)

11 STATE OF LOUISIANA NO. IV VERSUS PARISH OF JUICIAL ISTRICT COURT STATE OF LOUISIANA ORER OF EXPUNGEMENT OF ARREST/CONVICTION RECOR Considering the Motion for Expungement The hearing conducted and evidence adduced herein, OR Affidavits of No Opposition filed, IT IS ORERE, AJUGE AN ECREE THE MOTION IS ENIE for ltem(s) No. the following reasons (check all that apply): More than five years have not elapsed since Mover completed the misdemeanor conviction sentence.. More than ten years have not elapsed since l\fover completed the felony conviction sentence. Mover was convicted of one. of the following; ineligible felony offenses: A violation of the Uniform Controlled angerous Substances Law which is ineligible io be expunged. An offense currently listed as a sex offense that requires registration pursuant to La. Rev. SW. Ann. 15 :540 et seq., at the time the Motion was filed, regardless of whether the duty to register was ever imposed. An offense defined or enumerated as a "crime of violence" pursuant to 14:2.(B) at the time the motion was filed. The arrest and conviction being sought to have expunged is for operating a motor vehicle while intoxicated and a COPY, of the proof from the epartment of Public Safety and Corrections, office of motor vehicles, is not attached as required by C.Cr.P. Art. 984(A). Mover has had another record of misdemeanor conviction expunged during the previous five-year period.. The record of arrest and conviction which Mover seeks to have expunged is for operating a motor vehicle while intoxicated and Mover has had another record of arrest and misdemeanor conviction expunged during.the previous te11-year period. Mover has had another record of felony con\'iction expunged during the previous fifteen-year period. Mover was convicted of a misdemeanor whi ch arose from circumstances involving a sex offense as defined in R.S. 15 :541. Mover was convicted of misdemeanor offense of domestic abuse battery which was not dismissed pursuant to Code of Criminal Procedure Article 894(B). Mover did not complete pretrial diversion. The charges against the mover were not dis111issed or refused. Mover's felony conviction was not set aside and dismissed pursuant to Code of Criminal Procedure Article 893(E). Mover's felony conviction was not set aside and dismissed pursuant to Code of Criminal Procedure Article 894(B). Mover completed a WI pretrial diversion program, but five years have not elapsed since the mover's date of arrest. Mover's conviction for felony carnal knowkdge of a juvenile is not defined as misdemeanor carnal knowledge ofajuvenile had the mover been convicted on or after August 15, enial for any other reason provided by Jaw with attached reasons for_ denial. FORM EXP 8-l (L)

12 THE MOTION IS HEREBY GRANTE for Item(s) No. and all agencies are ordered to expunge the record of arre~t/conviction and any photographs, fingerprints, or any other such information of any kind maintained in connection with the Arrest(s)/Conviction(s) in the above captioned matter, which record shall be confidential and no longer considered a public record, nor be available to other persons except a prosecutor, mep1ber of a law enforcement agency, or a judge who may request such information in writing certifying that such request is for the purpose of prosecuting, investigating, or enforcing the criminal law, for the pu ~pose of any otlwr statutorily defined law enforcement or administrative duties, or for the purpose of the requirements of sex offender registration and notification pursuant to the provisions of R.S. 15 :541, et seq. or UJ)On an order of this Court to any other person for good cause shown, or as otherwise authorized by law. (Last Name) (First Name) (MI) OB:!! (MM//YY) GENER: Female Male SSN (last 4 digits): XXX-XX- RACE: RIVER LIC.# ARRESTING AGENCY: SI# (if available): ARREST NUMBER: ARREST ATE: / / (MM/NY) THUS ORERE AN SIGNE this day of, 20 at ' Louisiana. JUGE PRINT N.A.ME PLEASE SERVE: I. istrict Attorney: Arresting Agency: Parish Sheriff: Louisiana Bureau of Criminal Identification and lnformatiot1 5. Attorney for efendant (or defendant) FORM 2014 EXP 8-2 (L)

13 STATE OF LOUISIANA NO. IV VERSUS JUICIAL ISTRICT COURT STATE OF LOUISIANA MOTION for INTERIM l~xpungement request: NOW INTO COURT comes mover, who provides the court wi th the following information in connection with this I. EFENANT INFORMATION (Last Name) (First Name) (Ml) OB: /! (MM/NYYY) GENER Female Male SSN (last 4 digits): XXX-XX- RACE: RIVER LIC.# ARRESTING AGENCY: SI# (ii available): ARREST NUMBER: Mover is entitled to an interim expungement of the entry of the felony charge(s) of his arrest pursuant to Louisiana Code of Criminal Procedure Article 985.l and states the following in support: II. ARREST INFORMATION I. Mover was arrested on / (MMJ[ IYYYY) '.. \; t : Ovcs YES 0No A supplemental sheet with arrests and/or convictions is attached after page 2 of this Motion. Mover was: YES YES Arrested for a felony offense. Convicted ofa misdemeanor nrising out of that felony offense. Mover was booked and/or charged with the following offe11>es: (List each offense booked and charged separately. Attach a supplemental sheet, if necessary:) ITEM NO. I, Felony charge dismissed. FELONY ARREST THAT RESULTE IN A MISEMEANOR CONVICTION :!! (MM//YYYY) oconvicted of misdemeanor offense arising out of felony arrest. 5. Mover has attached to his Motion a crim.inal background c)leck from the Louisiana State Police/Parish Sheriff dated within the past thirty days (required). The mover prays that if there is no objection timely' filed by the arresting law enforcement agency, the istrict Attorney's Office, or the Louisiana Bureau of Criminal Identification and Information, lliat an order be issued herein ordering the Louisiana Bureau of Identification and Investigation to expunge the entry of the felony charge(s) listed contained in the criminal history; and further that the Clerk of Court, istrict Attorney. and arresting law c11forcement agency expunge the entry of those felony chargc(s} from any public indices. Ir an "Affidavit of No Opposition" by each agency named herein is attached hereto and made a part hereof, efendant requests that no contradictory hearing be required and the Motion be granted ex parte. Respectfully submitted, Signature of Attorney for Mover/efendant Attorney for Mover/efendant Name Attorney's Bar Roll No. Address City, State, ZIP Code Telephone Number FORM 2014 EXP 9-1 (L)

14 [fnot represented by counsel: Signature of Mover/efendant Mover/efendant Name Address City, State, ZIP Code Telephone Number PLEASE SERVE: I. istrict Attorney Louisiana Bureau of Criminal Identification and Information Arresting Agency ~ FORM 2014 EXP 9-2 (L)

15 STATE OF LOUISIANA VERSUS IV. JUICIAL ISTRICT COURT PARISH OF STATE OF LOUISIANA ORER OF EXPUNGEMENT OF INTERIM ARREST RECOR Considering the Motion for Expungement The hearing conducted and evidence adduced herein, OR Affidavits of No Opposition tiled, IT IS ORERE, AJUGE AN ECREE THE MOTION IS ENIE for the following reaso11s (check all that apply): Mover was not arrested for a felony. Mover was not convicted of a misdemeanor offense. THE MOTION IS HEREBY GRANTE and the Louisiana Bureau of Criminal Identification and Information is hereby ordered to expunge the.entry of the felcny charge(s) contained in the criminal history of the above-named for the following felony charge(s): La. R.S. Name of Offense La. R.S. Name of Offense IT IS FURTHER ORERE that the Clerk ofcm\rt, istrict Attorney and arresting agency expunge the entry of the felony charge(s) from any public indices of the above-named on the above enumerated charge(s). THUS ORERE AN SIGNE this day ~ >f.: ' 20 at, Louisiana. JUGE Print Name PLEASE SERVE: I. istrict Attorney Louisiana Bureau of Criminal Identification and Inforn)ation Arresting Agency FORM 2014 EXP 10 (L}

16 SUPPLEMENTAL SHEET OvEs NO ARRESTS THAT I NOT RESULT IN CONVICTION ITEM NO. --- ITEM NO. --- Time expired for prosecution I_ I (MM//YYYY) Charge refused by A - not prosecuted. Pre-trial iversion Program. Charge dismissed Found not guilty/judgmen1: of acquittal Time expired for prosecution / / (MM//YYYY) Charge refused by A - not prosecuted. Pre-trial iversion Program. Charge dismissed 0Found not guilty/judgment of acquittal ITEM NO. ITEM NO. --- Time expired for prosecution I I (MM//YYYY) Charge refused by A - Jh>t prosecuted. Pre-trial iversion Progra\11. O Charge dismissed Found not gyilty/judgmem of acquittal Time expired for prosecut i o~ I I (MM//YYYY) Charge refused by A - not prosecuted. Pre-trial iversion Program. Charge dismissed Found not guilty/judgment of acquittal FORM 2014 EXP SUPPLEMENTAL 1

17 SUPPLEMENTAL SHEET YES 0No MISEMEANOR conv1ct10ns ITEM NO. --- Conviction set aside/dismissed / / pursuant to C.Cr.P. A1t. 894(B) (MM//YYYY) More than 5 years have passed since completion of sentence. ITEM NO. --- Conviction set aside/dismi3sed / / pursuant to C.Cr.P. Art. 894(B) (MM//YYYY) More than 5 years have passed since completion of sentence. ITEM NO. --- Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 894(B) (MM//YYYY) More than 5 years have passed since completion of sentence. ITEM NO. --- Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 894(8) (MM//YYYY) More than 5 years have passed since completion of sentence.. ; '\> '. ITEM NO. --- ITEM NO. --- Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 894(B) (MM//YYYY) 0More than 5 years have passed since completion of sentence. Conviction set as ide/dism issed / / pursuant to C.Cr.P. Art. 8~J4(B) (MM//YYYY) 0 More than 5 years have passed since completion of sentence. FORM 2014 EXP SUPPLEMENT AL 2

18 SUPPLEMENTAL SHEET YES NO FELONY CONVICTIONS ITEM NO Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 893(E) (MM//YYYY) More than 10 years have passed since completion of sentence ITEM NO. --- Conviction set aside/dismissed I I pursuant to C.Cr.P. Art. 893(E) (MM//YYYY) More than I 0 years have passed since completion of sentence ITEM NO Conviction set aside/dismi :;sed / / pursuant to C.Cr.P. Art. 893(E) (MM//YYYY) More than 10 years have passed since completion of sentence ITEM NO. --- Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 8~13(E) (MM//YYYY) More than I 0 years have passed since completion of sentence ITEM NO. --- Conviction set aside/dismissed / / pursuant to C.Cr.P. Art. 893(E) (MM//YYYY) More than 10 years have passed since completion of sentence ITEM NO. --- Oconviction set aside/dismissed / / pursuant to C.Cr.P. Art. 8.J3(E) (MM//YYYY) 0 More than I 0 years have passed since completion of sentence FORM 2014 EXP SUPPLEMENTAL 3

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