Fill and Sign the Mack Lancasterdistrict Attorney of the Fifth Judicial Form

_____________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF ______, LOUISIANA _____________, In His Official Capacity as District Attorney for ______Parish, and _____________, In His Official : DOCKET NO. ______ Capacity as Sheriff for ______ Parish _____________________________________________________________________________ RULE TO SHOW CAUSE PURSUANT TO LSA 44:9 NOW INTO COURT comes _____________, Plaintiff herein, who respectfully represents the following: I. Made Defendants herein are: (1) _____________, in his official capacity as District Attorney of ______ Parish, Louisiana. (2) _____________, in his official capacity as Sheriff of ______ Parish, Louisiana. II. Your Plaintiff was arrested on ______ ___, 20___ , and charged with the crime of _____________. III. Subsequent to your Plaintiff =s arrest, this matter was brought before the ______ Parish Grand Jury, which after hearing the evidence produced, declined to indict your Plaintiff, returning a no true bill. (A certified copy of the minutes of Court is attached hereto and made a part hereof.) IV. That the District Attorney in and for ______ Parish declined to prosecute your Plaintiff by not filing a Bill of Information. V. That pursuant to LSA R.S. 44:9, your Plaintiff is requesting an expungement of his arrest record as it is prohibiting him from pursuing certain personal and work-related activities. WHEREFORE, your Plaintiff prays that this petition be granted, ordering any and all law enforcement agencies to expunge his record according to LSA R.S. 44:9. Respectfully Submitted, __________________________ _____________ Attorney for Plaintiff _____________ ______, LA ______ (___ )______ LA. Bar Roll No. ______ _____________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF ______, LOUISIANA _____________, In His Official Capacity as District Attorney of ______ Parish, and _____________, In His : DOCKET NO. ______ Official Capacity as Sheriff of ______ Parish. ______________________________________________________________________________ ORDER IT IS ORDERED that the Defendants in the above captioned matter show cause on the ________ day of _________________, 20 ___, at ________ o =clock ____.M., why the arrest record of the Plaintiff in the above captioned matter should not be expunged. SIGNED this _______ day of __________________, 20 ___, at _____________, Louisiana. _____________________________ DISTRICT JUDGE PLEASE SERVE DEFENDANTS AT: _____________ District Attorney Courthouse Building _____________ ______, LA ______ _____________, Sheriff ______ Parish Sheriff =s Office _____________ ______, LA ______ _____________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF ______, LOUISIANA _____________ , In His Official Capacity as District Attorney of ______ Parish, and _____________ , In His Official Capacity as : DOCKET NO. ______ Sheriff of ______ Parish _____________________________________________________________________________ AFFIDAVIT BEFORE ME, the undersigned Notary Public, duly commissioned and legally qualified in and for the Parish and State aforesaid, personally came and appeared _____________, who, being first duly sworn, did depose and say that: l. He is the Plaintiff in the above-captioned matter; 2. He has read Rule to Show Cause Pursuant to LSA 44:9 filed in these proceedings; and 3. All of the allegations of fact contained therein are true and correct, to the best of his knowledge, information and belief. _______________________________ _____________ SWORN TO AND SUBSCRIBED before me this ______ day of ______, 20___. _________________________________ NOTARY PUBLIC