PETITION TO EXPUNGE CRIMINAL RECORD

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OSCEOLA COUNTY CLERK OF CIRCUIT COURT 2 COURTHOUSE SQUARE SUITE 2000 KISSIMMEE, FLORIDA 34741 (407) 742-3650 PETITION TO EXPUNGE CRIMINAL RECORD NOTICE TO PARTIES WHO ARE NOT REPRESENTED BY AN ATTORNEY WHO IS A MEMBER IN GOOD STANDING OF THE FLORIDA BAR. This package is designed to help persons seeking to represent themselves in court without the assistance of an attorney. It is meant to serve as a guide only. We do not guarantee that either the instructions or the forms will achieve the result desired by the parties or ensure that any individual judge will follow the procedures exactly or accept each and every form drafted. Any person using these instructions and forms does so at his/her own risk. Please note that Florida law prevents our staff from providing legal advice. The Osceola County Clerk of the Circuit Court cannot assist you in the filing of your application for sealing or expungement of your criminal history records. You may wish to contact an attorney to assist you in this complex procedure. If you choose to represent yourself, you may want to research the Florida Statutes and Florida Rules of Civil Procedure which govern sealing or expungement of criminal records. You must receive a Certificate of Eligibility from FDLE prior to completing this packet. Note: The certificate is valid for one year from the date listed. Complete the following forms, make a copy for your records, and then file the originals with the Osceola County Clerk of the Circuit Court with the appropriate filing fee: Petition to Expunge Criminal Record (The FDLE Certificate of Eligibility must accompany this petition); Affidavit; and Proposed Order to Expunge Under Section 943.0585, Florida Statutes, and Florida Rules of Criminal Procedure 3.692 Originals: Clerk s Office Copies: State Attorney s Office, FDLE and Arresting Agency It is your responsibility to send these copies. The State must respond to your Petition prior to it going to a Judge for review. ****NO filing fees After approval by the Court of your petition, an invoice will be mailed or emailed to the address listed on your petition. Once payment is received, the certified copy of the signed Order to Expunge or Seal will be disseminated to you and any government agency that possesses your record. There is a $42.00 service charge plus the costs for the certified copies.

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR OSCEOLA COUNTY, FLORIDA Case Number: STATE OF FLORIDA, Plaintiff, vs., Defendant/Petitioner. PETITION TO EXPUNGE OR SEAL CRIMINAL RECORD The Petitioner,, petitions this Honorable Court, under Florida Rule of Criminal Procedure 3.692 and section 943.0585 or section 943.059, Florida Statutes, to (check one) expunge/ seal all criminal history record information in the custody of any criminal justice agency and the official records of the court concerning the Petitioner s arrest on (date of arrest) by (arresting agency), for (charges), and as grounds therefore shows: 1. On the Petitioner, _, a (race) (sex), whose date of birth is was arrested by (arresting agency) and charged with. 2. The Petitioner has not been adjudicated guilty of the acts stemming from this arrest or alleged criminal activity. 3. The Petitioner has not been previously adjudicated guilty of a criminal offense or a comparable ordinance violation nor adjudicated delinquent for committing a felony or misdemeanor specified in section 943.051(3)(b), Florida Statutes. 4. The Petitioner has not secured a prior records expunction or sealing under sections 943.0585 or 943.059, Florida Statutes, former section 943.058, 893.14, 901.33, Florida Statutes, or any other law, rule or authority. 5. (To be used only when requesting expunction.) The Petitioner s record has been sealed under section 943.059 Florida Statutes, (former section 943.058, Florida Statutes, former section 893.14 Florida Statutes), for at least 10 years; or there has not been an indictment, information, or other charging document filed against the Petitioner who is the subject of this criminal history information that was dismissed by the prosecutor or the court.

6. A Certificate of Eligibility for expunction sealing of no judicial criminal history records issued by the Florida Department of Law Enforcement accompanies this Petition. WHEREFORE, the Petitioner moves to expunge seal any criminal history record information and any official court records regarding his/her arrest by (arresting agency), for (charges), on (arrest date). I HEREBY CERTIFY that a true and correct copy of the foregoing pleading has been delivered by U.S. Mail to the following: (check all that apply) State Attorney for the Ninth Judicial Circuit Kissimmee Police Department 2 Courthouse Square 8 North Stewart Avenue Suite 3500 Kissimmee, Florida 34741 Kissimmee, Florida 34741 Florida Department of Law Enforcement St. Cloud Police Department Attn: User Services Bureau Specials Desk 4700 Neptune Road 2331 Phillips Road St. Cloud, Florida 34769 P.O. Box 1489 Tallahassee, Florida 32302 Osceola County Sheriff s Office Attention: Records 2601 E. Irlo Bronson Memorial Hwy Sheriff of County in which Kissimmee, Florida 34744 defendant was arrested if not Osceola County or arresting Police Department Dated: Name Address: Printed *Phone No: *Email Address: *By providing a phone number and email address, you authorize the Clerk s Office and/or deputy clerks to contact you by mail, email, telephone, text, automated contact or other means of communication. Signature:

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR OSCEOLA COUNTY, FLORIDA Case Number: STATE OF FLORIDA, Plaintiff, vs., Defendant/Petitioner. State of Florida County of Osceola AFFIDAVIT I,, am the Defendant/Petitioner in the above-styled cause and I do herby swear or affirm that: 1. I fully understand the meaning of all of the terms of this affidavit. 2. I have never been adjudicated guilty of a criminal offense or comparable ordinance violation nor adjudicated delinquent for committing a felony or a misdemeanor specified in section 943.051(3)(b), Florida Statutes. 3. I was arrested on ; by (arresting agency) and I have not been adjudicated guilty of, nor adjudicated delinquent for committing, any of the acts stemming from that arrest or the alleged criminal activity surrounding my arrest. 4. I am eligible for the relief requested, to the best of my knowledge and belief, and do not have any other petition to expunge or seal pending before any court. 5. I have never secured a prior records expunction or sealing under any law. 6. (For use in expunction petitions only.) My record of arrest for this date has been sealed for at least 10 years; or an indictment, information, or other charging document was not filed against me for the above criminal transaction; or an indictment, information, or other charging document filed against me was dismissed by the Prosecutor or the Court. Defendant/Petitioner Signature Sworn to and subscribed before me on this day of, 20. Defendant/Petitioner Printed Name NOTARY PUBLIC or DEPUTY CLERK [Print, type, or stamp commissioned name of notary or clerk.] Personally Known Produced identification/type of Identification produced.

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR OSCEOLA COUNTY, FLORIDA Case Number: STATE OF FLORIDA, Plaintiff, vs., Defendant/Petitioner. ORDER TO EXPUNGE UNDER SECTION 943.0585, FLORIDA STATUTES, AND FLORIDA RULE OF CRIMINAL PROCEDURE 3.692 THIS MATTER is before the Court on the Petitioner s Petition to Expunge in the above captioned matter. Having reviewed said Petition, court file/records and being fully advised in the premises, the Court hereby finds the following: 1. The Petitioner has never previously been adjudicated guilty of a criminal offense or comparable ordinance violation nor adjudicated delinquent for committing a felony or a misdemeanor specified in section 943.051(3)(b), Florida Statutes. 2. The Petitioner was not adjudicated guilty of nor adjudicated delinquent for committing any of the acts stemming from the arrest or criminal activity to which this expunction petition pertains. 3. The Petitioner has not secured a prior records expunction or sealing. 4. The Petitioners record has either been sealed for at least ten (10) years; or no indictment, information, or other charging document was ever filed in this case against the Petitioner; or any indictment, information, or other charging document filed against the Petitioner was dismissed by the prosecutor or the court. 5. A Certificate of Eligibility issued by the Florida Department of Law Enforcement accompanied the Petition for expunction which indicated no judicial criminal history records. It is therefore ORDERED AND ADJUDGED that the Petition to Expunge is: (check one) GRANTED DENIED. All court records pertaining to the above-styled case shall be sealed in accordance with the procedures set forth in Florida Rule of Criminal Procedure 3.692; and it is further

ORDERED AND ADJUDGED that the Clerk of this Court shall forward a certified copy of this order to the (check all that apply) State Attorney Special Prosecutor Statewide Prosecutor FDLE Osceola County Sheriff s Office Kissimmee Police Department St. Cloud Police Department who will comply with the procedures set forth in section 943.0585, Florida Statutes, and appropriate regulations of the Florida Department of Law Enforcement, and who will further forward a copy of this order to any agency that their records reflect has received the instant history record information; and it is further ORDERED AND ADJUDGED that (arresting agency) shall expunge all information concerning indicia of arrest or criminal history record information regarding the arrest or alleged criminal activity to which this Petition pertains in accordance with the procedures set forth in section 943.0585, Florida Statutes, and Florida Rule of Criminal Procedure 3.692. All costs of certified copies involved herein are to be borne by the Defendant/Petitioner. DONE AND ORDERED in Chambers in Osceola County, Florida on this day of, 20. Circuit Court Judge CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by U. S. Mail or hand delivery to (name & address of defendant), and by office delivery to the Office of the State Attorney, Osceola County, Florida, this day of, 20. Judicial Assistant/Deputy Clerk

IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT IN AND FOR OSCEOLA COUNTY, FLORIDA Case Number: STATE OF FLORIDA, Plaintiff, vs., Defendant/Petitioner. ORDER TO SEAL UNDER SECTION 943.059, FLORIDA STATUTES, AND FLORIDA RULE OF CRIMINAL PROCEDURE 3.692 THIS MATTER is before the Court on the Petitioner s Petition to Seal records concerning the Petitioner s arrest on, by the (arresting agency), and the Court having reviewed the court file/records and being advised in the premises, hereby finds the following: 1. The Petitioner has never previously been adjudicated guilty of a criminal offense or comparable ordinance violation nor adjudicated delinquent for committing a felony or a misdemeanor specified in section 943.051(3)(b), Florida Statutes. 2. The Petitioner was not adjudicated guilty of nor adjudicated delinquent for committing any of the acts stemming from the arrest or criminal activity to which the instant Petition pertains. 3. The Petitioner has not secured a prior records expunction or sealing. 4. A Certificate of Eligibility issued by the Florida Department of Law Enforcement accompanied the Petition for sealing non-judicial criminal history records. Whereupon it is: ORDERED AND ADJUDGED that the Petition to Seal is: (check one) GRANTED DENIED. All court records pertaining to the above-styled case shall be sealed in accordance with the procedures set forth in Florida Rule of Criminal Procedure 3.692; and it is further

ORDERED AND ADJUDGED that the Clerk of this Court shall forward a certified copy of this order to the (check all that apply) State Attorney Special Prosecutor Statewide Prosecutor FDLE Osceola County Sheriff s Office Kissimmee Police Department St. Cloud Police Department who will comply with the procedures set forth in section 943.059, Florida Statutes, and appropriate regulations of the Florida Department of Law Enforcement, and who will further forward a copy of this order to any agency that their records reflect has received the instant history record information; and it is further ORDERED AND ADJUDGED that (arresting agency) shall seal all information concerning indicia of arrest or criminal history record information regarding the arrest or alleged criminal activity to which this Petition pertains in accordance with the procedures set forth in section 943.059, Florida Statutes, and Florida Rule of Criminal Procedure 3.692. All costs of certified copies involved herein are to be borne by the Defendant/Petitioner. DONE AND ORDERED in Chambers in Osceola County, Florida on this day of, 20. Circuit Court Judge CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by U. S. Mail or hand delivery to (name & address of defendant), and by office delivery to the Office of the State Attorney, Osceola County, Florida, this day of, 20. Judicial Assistant/Deputy Clerk