Motion And Order To Expunge Record/summons Form
Download a blank fillable Motion And Order To Expunge Record/summons Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Motion And Order To Expunge Record/summons Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1CITY OF BATON ROUGE
FILE/TICKET NO.____________________
VERSUS
BATON ROUGE CITY COURT
___________________________________
CITY OF BATON ROUGE
STATE OF LOUISIANA
DATE OF BIRTH_______________RACE_____SEX_____
DRIVER’S LICENSE NO.____________________
SOCIAL SECURITY NO._____________________
MOTION AND ORDER TO EXPUNGE RECORD/SUMMONS
------------------------- MOTION -------------------------
ON MOTION of ______________________________________________________, on producing due proof in support thereof, and
the law and evidence being in favor of Mover for expungement of the summons record;
MOVER prays that this Honorable Court issue an expungement order in accordance with the foregoing request.
Respectfully Submitted: _________________________________ Signature: __________________________________
Address:
_____________________________________________________________________________________
Phone:
___________________________________
------------------------- ORDER -------------------------
CONSIDERING the foregoing Motion, and in accordance with LSA – R.S. 44:9:
IT IS ORDERED that the Clerk of Baton Rouge City Court, the custodian of records for the Baton Rouge City Police Dept. (Traffic
Records and Criminal Records), the Office of the City Prosecutor, and the Parish Attorney’s Pretrial Diversion Division expunge and
destroy any and all records of the summons issued to ______________________________ on ________________________________
by the Baton Rouge City Police Dept. in the City of Baton Rouge, on the charge of _________________________________________
_______________________________________________________________________and that the Clerk of Baton Rouge City Court
and the custodian of records for each of the above mentioned agencies make due return to this Court certifying that they have
expunged and destroyed any and all records relative to said summons.
SIGNED this _________ day of ___________________________, 20_______, at Baton Rouge, Louisiana.
_____________________________________________
JUDGE, BATON ROUGE CITY COURT, DIV. _____
OBJECTION
NO OBJECTION
City Prosecutor
Date
------------ FOR OFFICIAL USE ONLY -----------
I CERTIFY that the above record have been expunged of all
Documents and evidence mentioned in the above and foregoing
Motion and Order to Expunge Record.
FILED_______________________________,20____
(SIGNED)___________________________________
SENIOR CHIEF DPY CLERK OF COURT
A TRUE COPY _______________________,20____
(SIGNED)__________________________________
______________________________________________________________________
Signature of Authorized Official
Agency
Date
SENIOR CHIEF DPY CLERK OF COURT
___________________________________________________
Senior Deputy Clerk of City Court/Custodian of Records
Date
SUMMONS
Records – Motion and Order to Expunge SUMMONS Record (8-23-12)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal