Application For Identity Theft Expunction In Collin County (Page 4 of 4) in pdf

Application For Identity Theft Expunction In Collin County Page 4

employment) and how you became aware your identity was stolen. Include any other

instances in which your identity was misused. Please provide as much information as

possible. Attach additional pages if necessary.

________________________________________________________________________

IV. Sworn Statement

“I hereby swear that the information I have provided is true and correct to the best

of my knowledge. I verify that I was not the person arrested for the above arrest(s) or for

whom the arrest records were created. I further verify that I did not give the person

arrested consent to falsely identify himself or herself as me.”

___________________________

(signature)

___________________________

(printed name)

APPLICANT

Sworn to and subscribed before me on this the

day of

, 20____.

Notary Public in and for Collin County, TX

My Commission Expires

This form must be notarized and submitted to the Collin County District

Attorney’s Office. You must attach your authenticated fingerprint records and any

additional documentation you have to support your claim.

Application For Identity Theft Expunction In Collin County Page 4