Fill and Sign the Petitoin and Orders of Expunction under Gs 15a 146a and Form

In The General Court Of Justice District Superior Court Division PETITION AND ORDER OF EXPUNCTIONUNDER G.S. 15A-145.2 (DRUGS/DRUG PARAPHERNALIA) G.S. 15A-145.2, 15A-150 Name And Address Of Petitioner (type or print full name) STATE VERSUS Full Social Security No. Age At Time Of Offense Drivers License No. StateRace Sex Date Of Birth Name And Address Of Petitioner’s Attorney For Expunction Petition STATE OF NORTH CAROLINA County File No. Scan No.(s) (Official Use Only) PETITION TO EXPUNGE I hereby petition for an expunction pursuant to G.S. 15A-145.2(a) and \ certify as follows: (1) I was charged in the county named above, I have been discharged and the charge has been dismissed under G.S. 90-96(a) \ or (a1). (2) I was not over 21 years of age at the time of the offen\ se(s) listed above. (3) I have attached to this petition the affidavits required by G.S. 15A-145.2(a). I hereby petition for an expunction pursuant to G.S. 15A-145.2(b) and \ certify as follows: 1. I was charged with (i) the misdemeanor shown above under Article 5 of \ Chapter 90 of the General Statutes by possessing a controlled substance \ or (ii) the felony shown above under G.S. 90-95(a)(3) by possessing (check only one) (for dispositions before Jan. 1, 2012) less than 1 gram of cocaine. (for dispositions on or after Jan. 1, 2012) a controlled substance. (NOTE: For expunction of dismissed/acquitted charges of possession of drug para\ phernalia under G.S. 90-113.22, use form AOC-CR-268. ) 2. The State dismissed the charge or entered a nolle prosequi, or I was found not guilty or otherwise adjudicated innocent. 3. I was not over 21 years of age at the time the offense for which I was c\ harged occurred. I hereby petition for an expunction pursuant to G.S. 15A-145.2(c) and \ certify as follows: 1. I pled guilty to or was found guilty of (i) the misdemeanor shown abov\ e under Article 5 of Chapter 90 of the General Statutes by possessing a controlled substance or under G.S. 90-113.22 by possessing drug parapher\ nalia or (ii) the felony shown above under G.S. 90-95(a)(3) by possessing (check only one) (for convictions before Jan. 1, 2012) less than 1 gram of cocaine. (for convictions on or after Jan. 1, 2012) a controlled substance. 2. At least twelve months have passed since the date of conviction. 3. I have not received a previous expunction under G.S. 15A-145.2(c). 4. I was not over 21 years of age at the time of the offense(s) listed ab\ ove. 5. I have been of good behavior since my conviction. 6. I have successfully completed an approved drug education program. request the Court waive such program (attach explanation) . 7. I have not been convicted of a felony or misdemeanor other than a traffic violation under the laws of this State at any time prior to or since the conviction for the offense in question, nor of any offense under any statute of the United States or any state relating to controlled substances included in any schedule (or in Article 5, if my conviction was before \ January 1, 2012), or drug paraphernalia included in Article 5B, of Chap\ ter 90 of the General Statutes. (required for convictions on or after Jan. 1, 2012) nor of any felony offense under any state or federal laws. I certify that this petition under the statute identified above and all affidavits required under that statute have been filed in this case and that the information set forth above is a complete and accurate statement of the information \ on file in the office of the clerk of superior court. For any petition u\ nder subsection (a) or (c), I hereby request and authorize a name-based State and national criminal record check by the NC Department of Public Safety and a search of the confidential record of expunctions maintained by the NC Administrative Office of the Courts. Date Name Of Presiding Judge (type or print) Signature Of Presiding Judge NOTE TO JUDGE AND CLERK: For a petition under G.S. 15A-145.2(b), do not complete this section. \ Such petitions do not require an SBI record check or a search of the NCAOC’s file of prior expunctions and should be scheduled for hearing and disp\ osition upon filing of the petition and payment of the fee required by G.S. 15A-145.2(d). To The State Bureau Of Investigation, Attn: CIIS Expungement Unit, PO Box 29500, Raleigh, NC 27626:Please prepare, certify on the reverse side, and attach to this Request any Criminal History Record Information (CHRI) for the petitioner, then forward this Request with CHRI attached, confidentially to: Records Officer, Administrative Office of the Courts. To The Records Officer, Administrative Office Of The Courts, PO Box 2448, Raleigh, NC 27602:Complete the report on the reverse side and return it, along with the in\ formation attached by the SBI, to the clerk of superior court. Date Name (type or print) Signature REQUEST BY JUDGE Petitioner Petitioner’s Attorney NOTE TO PETITIONER: List the arresting agency and any State or local government agency that \ has a record of your case. You must provide complete information for each agency. The clerk of superior court will send a copy of this order, if granted, to t\ he agency name(s) and address(es) provided below. The clerk will not provide addresses for you. Do not list the courts, the State Bureau of Investigation, the Department of Public Safety, or the D\ ivision of Motor Vehicles; if the order is granted, those agencies will be notified automatically. Do not list any private entity, like a company that provides criminal background checks. The cle\ rk will not send a copy of this order to any entity that is not an agency of the State of North Carolina or one of its local governments. A private entity required to expunge records will be notifi\ ed directly by the State or local agencies that distribute criminal justice information to that entity. Name And Address Of Arresting Agency Name And Address Of Other Agency (if any)Name And Address Of Other Agency (if any) Check here to indicate that additional agencies are identified on an att\ achment to this petition. NOTE: The attachment must include the county, file number(s), the name of the petitioner, and a statement that it is a list of additio\ nal agencies with a record of the case(s) to be expunged. (Over) File No.(s) Date Of Arrest Date Of Offense Offense Description DispositionDate Of Disposition/Conviction AOCCR, Rev. ,