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STATE OF LOUISIANA : _______ JUDICIAL DISTRICT COURT
IN THE INTEREST OF
_______________ : PARISH OF _______
DOCKET NO. _______ : STATE OF LOUISIANA
_______________________________________________________________
MOTION TO EXPUNGE
NOW INTO COURT, through undersigned counsel, comes
_______________ , who respectfully represents the following:
I.
Your Defendant, _______________ , is _______ years old, being
born on the ___ day of _______ , _____ .
II.
That your Defendant was adjudicated a delinquent juvenile on
the ___ day of _______ , 20 ___ , pursuant to Article 894, for the
offense of _______________ . (An extract copy of the minutes of
Court is attached hereto and made a part hereof.)
III.
That pursuant to La. Ch.C. Art. 9l7, et seq., your Defendant
is respectfully requesting that all records concerning his
juvenile conduct be expunged from the records of the District
Attorney, Clerk of Court, and the Louisiana Department of Public
Safety and Corrections.
WHEREFORE, your Defendant prays that a copy of this Motion
to Expunge be served upon the District Attorney, _______ Judicial
District, Parish of _______ ; Clerk of Court, _______ Parish; and,
the Department of Public Safety and Corrections, and after due
proceedings, there be Judgment in favor of _______________ ,
ordering the above-listed agencies to expunge from their records
all evidence of the defendant's juvenile conduct or condition.
Respectfully Submitted,
_____________________________
_______________
_______________
_______ , LA _______
( ___ ) _______
ATTORNEY FOR DEFENDANT
O R D E R
Considering the foregoing,
IT IS ORDERED that the District Attorney for the _______
Judicial District, Parish of _______ ; the Clerk of Court, _______
Parish; and, the Department of Public Safety and Corrections show
cause on the ____ day of _____________, 20 ___ , at _____ o’clock
____.M., why the juvenile conduct record of _______________
should not be expunged.
Signed this _____ day of ___________, in _______________ ,
Louisiana.
______________________________
__
DISTRICT JUDGE
Please serve:
_______________
District Attorney
Courthouse Building
_______ , LA
_______________
Clerk of Court, _______ Parish
Courthouse Building
_______ , LA
State of Louisiana
Department of Public Safety & Corrections
Baton Rouge, LA
and
State of Louisiana
through the Attorney General
Baton Rouge, LA
A F F I D A V I T
BEFORE ME, the undersigned Notary Public, personally came
and appeared _______________ , who, after being duly sworn, did
depose and state the following:
(l) He is _______ years old, being born on the
___ day of _______ , _____ ; and
(2) That he is the petitioner in the above
captioned matter, and that all facts and
allegations contained therein are true and
correct.
______________________________
_______________
SWORN TO AND SUBSCRIBED before me this _____ day of
_________, 20 ___ , at _______________ , Louisiana.
______________________________
__
NOTARY PUBLIC
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