Texas Court Forms For Juveniles Page 4

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ORDER FOR EXPUNCTION OF RECORDS: ALCOHOLIC BEVERAGE CODE OFFENSES (Sec. 106.12, A.B.C.) (Page 1 of 2)
CAUSE NUMBER: _______________
STATE OF TEXAS
§
IN THE MUNICIPAL COURT
VS.
§
CITY OF __________________
_____________________
§
__________COUNTY, TEXAS
(Petitioner)
ORDER OF EXPUNGEMENT
On this date came to be heard the application and motion for expunction filed in the above captioned cause. Having
considered the pleadings and other documents on file herein, the Court finds that it has jurisdiction over the cause and the parties;
and that all procedural and substantive requirements for expunction of the specified criminal records have been met pursuant to
Section 106.12, Alcoholic Beverage Code.
Therefore, it is hereby Ordered, Adjudged, and Decreed that:
(1) the application and motion for expunction filed in the above-captioned cause is GRANTED, and all records of the
petitioner's arrest and conviction, including the records in the Municipal Court of the City of _____________________________,
Texas, are to be expunged;
The following information is provided to identify the Defendant:
Name:
Sex:
Race:
Date of Birth:
Driver’s License Number:
Identification Card Number:
Social Security Number:
The following information is provided to identify the records pertaining to this cause:
Offense:
Date of Offense:
Date of Arrest:
County Where Arrested:
Municipality Where Arrested:
Arresting Agency:
Case Number:
Court:
Cause Number:
Date of Conviction:
(2) the respondents listed herein shall return all records and files concerning the above specified arrest to this Court, or if
removal is impracticable, obliterate all portions of the record or file that identify the petitioner, including all computer entries, and
notify this Court of its action not later than _____________________________, 20____;
(3) the respondents shall delete from their records all index references to the records and files that are subject to this
expunction order;
(4) the respondent, the Municipal Court of the City of _________________________, Texas, shall not permit inspection of
the Court records concerning this expunction proceeding by any person other than the petitioner or petitioner's attorney herein, and
shall obliterate all public references to this proceeding;
(5) pursuant to Section 106.12, Alcoholic Beverage Code, after entry of this Order, the applicant shall be released from all
disabilities resulting from the conviction, and the conviction may not be shown or made known for any purpose; further, the
petitioner may deny the occurrence of the expunged arrest, prosecution, conviction, and this expunction order;
(6) the Department of Public Safety shall send a copy of this Order by certified mail, return receipt requested, to any central
federal depository of criminal records that there is reason to believe has any of the records subject to this Order, together with an
explanation to the effect of the order and a request that the records in possession of the depository, including any information with
respect to this proceeding, be destroyed, deleted, or returned to the Court on or before __________________, 20____;
JUVENILES 08/13
TMCEC 2013 FORMS BOOK
196

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