Petition For Purpose Of Expungement Form - Court Of Lenexa, Kansas Page 2

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IN THE MUNICIPAL COURT OF LENEXA, KANSAS
CITY
OF
LENEXA,
Plaintiff
v.
Case No. ______________
____________________________,
Defendant
ORDER OF EXPUNGEMENT
NOW ON THIS _______ day of _____________________, _________, the above captioned matter comes on
for hearing on Defendant’s Petition for Expungement pursuant to K.S.A. 12-4516.
AFTER REVIEWING THE MATTER, the Court finds as follows:
1.
Petitioner’s full name at the time of arrest was _________________________________________________________.
2.
The sex, race and birth date of the Petitioner are as follows: ______, ______, _____________________________.
Sex
Race
Date of Birth
3.
Petitioner was arrested or charged on the _______ day of ____________, _______ by Lenexa Police Department for
the violation of: _________________________________________________________________________________.
4.
Petitioner’s date of conviction or dismissal in this Court on the _______ day of _____________________, _________,
of the violation of Ordinance No. _________, to-wit: ____________________________________________________.
THEREFORE, IT IS THE ORDER OF THIS COURT that the arrest, conviction and/or dismissal of the Petitioner, as
described herein should be and the same is hereby ordered expunged for one or more of the following reasons:
More than three/five years have elapsed since Petitioner satisfied the sentence imposed or was discharged from
probation, parole or a suspended sentence.
Petitioner has not been convicted of a felony in the past two years, and no proceedings involving any such crime is
presently pending or being instituted against Petitioner.
The arrest occurred because of a mistaken identify, or a court found there was no probable cause for the arrest, or
Petitioner was found Not Guilty in court proceedings.
The circumstances and behavior of Petitioner warrant the expungement.
The expungement is consistent with the public welfare.
IT IS THE FURTHER ORDER OF THE COURT that except as may be provided by statute, Petitioner shall be treated
as not having been charged of the offense described herein. The Court finds that in the interest of public welfare, the
Petitioner’s arrest, conviction and/or dismissal should be available as provided by Kansas statute.
The Clerk of the Court is directed to send a certified copy of the expungement to the Kansas Bureau of Investigation,
and any other criminal justice agency which may have a record of said conviction or arrest.
________________________________________________
Judge of the Municipal Court of Lenexa, Kansas

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