Fill and Sign the Louisiana Expungement Form

STATE OF LOUISIANA __________ JUDICIAL DISTRICT COURT VS. NO PARISH OF ____________________________ NAME ____________________________ STATE OF LOUISIANA FILED __________________________________ DEPUTY CLERK OF COURT MOTION OF J U D G MENT O F ACQUI TT AL AND FOR EXPU N GEMENT NOW INTO COURT, COM E S ____________________________ , who respectfu l ly inf o rms th i s Ho n orab l e Cou r t th at : 1. He / S h e is a re s i d e n t of the St a te o f L oui s i a n a a nd desires to avail himself/herself of the provisions Code of C riminal Pro c edure 8 9 3/894 of L SA R.S. 44:9. 2. He/She w a s arrested ____________________________ by the ____________________________ for the offense ____________________________ , a violation of LSA R.S. ____________________________ which is a felony / m i s deme a nor. This charge occurred in ____________________________ P arish and is w i th i n t h e j u risd i ction of this Ho n orab l e Cou r t. 3. This case w as disposed of ____________________________ by w a y of guilty plea to the ch a rge of ____________________________ . Wher e in the imposition of s e nt e n c e was deferred pursu a nt to Co d e of Criminal Procedure Article 89 3 /894 and the defend a nt was sentenced to ____________________________ for the period of ____________________________ as refer e nce with the a tta c hed co p y of this dates sentencing minutes. 4. Defendant has successfully completed said probation and is entitled to an or d er of the Court setting aside the conviction and dismissing the p r o s ecut i on, w ith said dismissal having the s a me effect as an a c quitt a l, and with all law enforc em ent a gen c i e s having a record ther e of to e nt e r sa i d acqu i ttal on the i r re c ords, wh e ther on microfilm, com p uter c ard or tape or any other photographic, electronic or m echanical m et h od of s toring d a te to expunge and seal an y record of s a id arrest, photograph, fingerprint, or any other information of a ny an d all k i nds of descript i on; f urther, to order a ll custodi a ns of such records to f i le a sworn a f fi d avit w i th this Ho n or a ble Co u rt to the e ffect t hat su c h re c ords have b een expunged and sealed, and th a t no r e fer e n c es or not a tions have b e en r e tained in the a gen c y’s central depository which w ill indicate th a t any record was ever on file with s a id agency, with a copy of said affidavit held by said agency under lock and k e y for i nt e rnal record ke ep ing pur p oses only to preserve the int e gr i ty of said agen cy ’s files and not for a ny investigati v e purpose a nd whi c h s hall not constitute a public re co rd except as provided b y law for the Department of Pu b lic Safety State of Louisiana. Res p ectful l y sub m i t te d , (Signature) ____________________________ ____________________________ Address D a t e of B i r t h ____________________________ ____________________________ City, State, Zip Social Security Number ____________________________ ____________________________ Phone Race/Gender ____________________________ Driver’s License Number (required for DWI) CERTI F IC A TE OF SE R VICE I he r eby c er tify th a t a c opy of this m o ti o n has been personally served on the Office of the ____________________________ Parish District Attorney on this __________ d a y of ____________________________ , 2 0 _________ . SERVICE INSTRUCTIONS: Please ser v e the follo w ing a gen c i e s: Louisi a na State Poli c e (Fee of $125 . 00, money order or ca s hiers check only) Federal B u r eau of Inv e stig a tion ____________________________ Parish District Attorney ____________________________ P arish She r i f f Depa rt m e nt ____________________________ Police D e partment Department of Motor Vehi c les (if applicable, include $50 . 00 money order/cashiers check) STATE OF LOUISIANA __________ JUDICIAL DISTRICT COURT VS. NO PARISH OF ____________________________ NAME ____________________________ STATE OF LOUISIANA FILED __________________________________ DEPUTY CLERK OF COURT STATE’S ANSWER TO MOTION FOR J U DGMENT OF ACQUITTAL AND EXPUNG E MENT NOW INTO COURT COM E S THE State of L ouisi a na, through ____________________________ , ____________________________ PARISH DISTRICT A TTO R N E Y, represented herein b y the undersigned Assistant Dist r ict A ttorn e y, who respectfu l ly informs th i s Ho n orab l e Cou r t th a t the f or e go i ng M o ti o n f or Acquitt a l a nd Expungem e nt has b een ex a m ined a n d t hat the mov e r i s ent i tled to the reli e f prayed for and the State has no objection to the same. ____________________________ , Louisi an a this ___________ day of ____________________________ , 20 ________ . Assistant D istrict A t t o r ney STATE OF LOUISIANA __________ JUDICIAL DISTRICT COURT VS. NO PARISH OF ____________________________ NAME ____________________________ STATE OF LOUISIANA FILED __________________________________ DEPUTY CLERK OF COURT JUDGEM E NT F O R A CQUI T T A L AND E X PUNGEM E NT Conside r ing the foregoing M o ti o n for Acqu i t t al and Exp u ng e m e n t, t h e law a nd t he evidence b e ing in favor of the r e lief prayed f or; IT I S O R D E RED, A D JUDG E D A N D DECRE E D t hat a ju d gm e nt b e e nte r ed se t t i ng aside the conviction and dismissing the prosecution and entering a Ju d g ment of Acquittal a nd that all law en f orc e m ent a gen c ies be ord e red to ex p unge and se a l any a nd all records of a rrests, photogra p h s, fingerprints, or any other i nfo r m ati o n of a ny k ind o r descriptions whatsoe v er, and including all m a nner or form of d ata record a tion, whether microfilm, c omputer ca rd or tape, or any other p hotographic, electronic or mech an ical method of storing d ata, of ____________________________ f or the offense of ____________________________ occurring on or about ____________________________ . IT I S FU RT HER O R DERED, A D JUDG E D A N D DECRE E D t hat t h e c ustodi a n of records of each and every l a w en f orc e m ent o f fice be ord e red to file a sworn a f fi d avit w i th t h e H o nora bl e C ou r t d e pos ing a nd v erify i ng th a t any a nd all re c ords ha v e been ex p u nged a nd sealed, that nor not a tions or refer e nces have been retained wha t soever, including any ret e ntion in the agen c y’s ce nt ra l re pos ito r y w hi c h w o u ld or could indi c ate or infer th a t any re c ord ever e x isted in a ny way refer r ing to the a rrest herein wh a tsoever and that a c opy of the affid a vit being retained by the agen c y or office is not maint a ined as a public record a nd is kept un d er lo c k and key for preservat i on of the int e grity of its f iles and f or int e rnal re c ord keep in g pur p oses only and that it shall not be used for an y investig at ive purpose of any manner, type or description whatsoev e r. TH U S D O N E AN D S I GN E D IN C h a m b ers a t ____________________________ , Louisi a na this _________ day of ____________________________ , 20 ____________________________ . D I S TR I CT J U DG E