Texas Court Forms For Juveniles (Page 10 of 39) in pdf

Texas Court Forms For Juveniles Page 10

APPLICATION FOR EXPUNCTION: TOBACCO OFFENSES (Sec. 161.255, H.S.C.)

IN THE MATTER OF

IN THE MUNICIPAL COURT

CITY OF __________________

_____________________

__________COUNTY, TEXAS

DEFENDANT’S APPLICATION FOR EXPUNCTION

Now, comes ______________________________________ convicted of the offense of

_____________________________________________ on the ____________ day of ______________________, 20___ in the

_______________________ Municipal Court in Cause Number _____________________________.

Petitioner, being duly sworn, states under oath that he/she has completed the tobacco awareness course and/or tobacco-related

community service for the above violation.

Petitioner requests that all records of said conviction be expunged pursuant to Section 161.255, Health and Safety Code, and

the

Court

order

expungement

all

documents,

records,

and

references

thereof

and

release

_____________________________________ from all disabilities resulting from said conviction. Petitioner further requests that

said conviction may not be shown or made known in any manner for any purpose. Attached to this petition is a list of agencies,

officials, and others who may have records or files regarding this conviction.

___________________________________

Defendant-Petitioner

Sworn and subscribed before me on this the __________ day of _____________________, 20___.

______________________________________________________

(Deputy Clerk)(Clerk)(Notary Public in and for the State of Texas)

(municipal court seal or

notary public seal if sworn

before a notary public)

Editor’s Note: The Court shall require an individual who files an application under this

article to pay a fee in the amount of $30 to defray the cost of notifying state agencies.

JUVENILES 08/13

TMCEC 2013 FORMS BOOK

202

Texas Court Forms For Juveniles Page 10