Fill and Sign the Utah Reply Form

Name Address City, State, Zip Phone Email I am the [ ] Petitioner [ ] Attorney for the Petitioner and my Utah Bar number is _________ In the [ ] District [ ] Justice Court of Utah __________ Judicial District ________________ County Court Address ______________________________________________________ In Re Petition to Expunge the Records of ____________________________________ _ Petitioner Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response _______________________________ Case Number _______________________________ Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 1 of 4 Judge Instructions: You may file a Reply only if the victim or the prosecutor has filed a statement or if Adult Probation and Parole has filed a response. This form is optional. You may file it, but you do not have to. If you file this form, you must do so within 14 days after the victim’s statement or the prosecutor’s statement or the AP&P response was served on you. I say as follows: (1) Statement made by the prosecutor, victim or Adult Probation and Parole that I disagree with: (2) I disagree because: Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 2 of 4 I have not included any non-public information in this document. I declare under penalty of Utah Code Section 78B-5-705 that everything stated in this document is true. Sign here ► Date Typed or Printed Name Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 3 of 4 Certificate of Service I certify that I served a copy of this Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response on the following people. Person’s Name Method of Service Served at this Address Served on this Date (Prosecutor) [ ] Mail [ ] Hand Delivery [ ] E-filed [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) (Victim) (if victim has filed statement) [ ] Mail [ ] Hand Delivery [ ] E-filed [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) (AP&P) (if AP&P has filed response) [ ] Mail [ ] Hand Delivery [ ] E-filed [ ] Email (Person agreed to service by email.) [ ] Left at business (With person in charge or in receptacle for deliveries.) [ ] Left at home (With person of suitable age and discretion residing there.) Date Sign here ► Typed or printed name Reply to Victim’s Statement or Prosecutor’s Statement or AP&P Response Approved Board of District Court Judges July 16, 2010 Revised May 9, 2017 Page 4 of 4