Fill and Sign the Texas Criminal Records Form

PE TIT IO N F O R N O NDIS C LO SU RE CAUSE NO. _____________________________ THE STATE OF TEXAS §IN THE _____________§ COURT§IN COUNTY CRIMINAL COURT§ AT LAW NUMBER _____________VS. § §OF _____________ COUNTY, TEXAS _____________________________ §DEFENDANT§  PE TIT IO N F O R N O NDIS C LO SU RE O F C RIM IN AL H IS T O RY R EC O RD I N FO RM ATIO N  TO T H E H O NORA BLE J U DGE O F S A ID C O URT: C O M ES N OW _____________________________ (h ere in afte r "d efe n dan t" ) a n d mo ves th e C ourt to is su e a n o rd er p ro hib itin g c rim in al ju stic e a g en cie s fro m d is c lo sin g to the pub lic crim in al his to ry re co rd in fo rm atio n re la te d to th e offe n se desc rib ed m ore partic u la rly b elo w . T he d efe n dan t w ould r e sp ectf u lly s h ow t h e C ourt t h e f o llo w in g: I. O n _____________________________, th e d efe n dan t e n te re d a p le a o f g uilty o r no lo c o nte n dere in th is c au se to th e o ffe n se o f _____________________________ . This offe n se w as n eith er a m is d em ean or u nder C hap te r 2 0, 2 1, 2 2, 2 5, 4 2, o r 4 6 o f th e T ex as Pe n al C ode, n or a fe lo ny . T his C ourt d efe rre d further proceedings in this cause without entering an adjudication of guilt and placed the defendant under the supervision of the court or an officer under the supervision of the court. 2II. On _____________________________, at the end of the period of supervision, the Court dismissed the proceedings in this cause and discharged the defendant from further deferred adjudication community supervision. III. Since the date that the Court dismissed the proceedings in this cause and discharged the defendant from further deferred adjudication community supervision, the defendant has not been convicted or placed on deferred adjudication community supervision under Section 5, Article 42.12, Code of Criminal Procedure, for any offense other than an offense under the Transportation Code punishable by fine only. IV. Defendant has not been previously convicted or placed on deferred adjudication community supervision for: (1) an offense requiring registration as a sex offender under Chapter 62, Code of Criminal Procedure;(2) an offense under Section 20.04, Penal Code, regardless of whether the offense is a reportable conviction or adjudication for purposes of Chapter 62, Code of Criminal Procedure;(3) an offense under Section 19.02, 19.03, 22.04, 22.041, 25.07, or 42.072, Penal Code; or(4) any other offense involving family violence, as defined by Section 71.004, Family Code. V. Issuance of an order pro hib itin g c rim in al ju stic e a g en cie s fro m d is c lo sin g to th e pu b lic crim in al his to ry re co rd in fo rm atio n re la te d to th e offe n se fo r w hic h defe n dan t su ccess fu lly c o m ple te d d efe rre d a d ju dic atio n c o m m unity s u perv is io n is in th e b est in te re st of j u stic e. 3VI. P urs u an t to S ectio n 4 11.0 81(g )(2 ) o f th e T ex as G overn m en t C ode, th e d efe n dan t au th oriz e s th at th e c le rk o f th e c o urt s e n d a c o py o f th e o rd er o f n ondis c lo su re to th e C rim e Reco rd s S erv ic e o f t h e D ep artm en t o f P ublic S afe ty b y s e cu re e le ctr o nic m ail. V II. In a cc o rd an ce w ith th e L ocal R ule s o f th is C ourt, th is m atte r h as b een se t fo r a he a rin g f o urte en d ay s a fte r t h e d ate t h at t h e p etitio n w as f ile d .T H ER EFO RE, it is r e sp ectf u lly r e q ueste d th at th e C ourt issue an order pro hib itin g crim in al ju sti c e a g en cie s fro m d is c lo sin g to th e p ublic c rim in al h is to ry re co rd in fo rm atio n rela te d to th e o ffe n se fo r w hic h d efe n dan t su cce ssfu lly co m ple te d d efe rre d ad ju dic atio n co m m un ity s u perv is io n. R esp ectf u lly s u bm itte d ,_______________________ ( d efe n dan t)_______________________ (a d dre ss)____________________________________________ (p hone n um ber)P etitio ner p ro s e .