Application To Set Aside Judgement Form - City Of Yuma Municipal Court Page 2
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2YUMA MUNICIPAL COURT 1515 S. SECOND AVE, YUMA AZ 85364
STATE OF ARIZONA
CASE NO.
VS.
APPLICATION TO SET
ASIDE JUDGMENT
ORDER
Defendant
APPLICATION
This Application is made in conformance with the Arizona Revised Statutes and is addressed to the judge who pronounced sentence or
imposed probation or to said judge’s successor in office.
Applicant:
__
Address:
Tel No. ______________
Applicant is:
Defendant
Offense[s]:
Date of Conviction:
Attorney for Defendant
Probation Officer
Sentence Imposed:
Place of Conviction:
YUMA MUNICIPAL COURT
The undersigned states that Defendant has fulfilled the conditions of probation or sentence and was discharged by this Court. If the
Application is sworn to by Defendant’s attorney or probation officer, either was authorized to do so as indicated by Defendant’s signature below.
Defendant, in connection with the above-captioned case, prays as follows, THAT:
1.
The judgment of guilt be set aside.
2.
The accusation or citation be dismissed.
3.
Defendant be released from all penalties resulting from the conviction, EXCEPT that the conviction may be pleaded and proved in
any subsequent prosecution of Defendant for any offense as if the judgment of guilt had not been set aside.
DATED________________________________
_____________________________________________________________
Defendant/Attorney for Defendant/Probation Officer
AUTHORIZED: _______________________________________________
Defendant
STATE OF ARIZONA
)
County of _____________ )
Being duly sworn, I depose and say: that I have read this Application and know and understand the contents therein; that the
statements made in this Application are true and correct to the best of my knowledge, information, and belief.
____________________________________
Affiant
SUBSCRIBED AND SWORN to before me this date: _______________________________
My Commission Expires: ____________________________________
___________________________________________
Notary Public
This Application is SET FOR HEARING in the above-named court as follows:
Date: __________________
Time: _____________
COPY SENT to the Defendant, County Attorney, Attorney General
Date: __________________ Time: _____________
ORDER
The Court, having read the foregoing Application, and in conformance with the statutes, being fully apprised of the premises, IT IS ORDERED
Granting the Application and further ordering:
That the judgment of Defendant’s guilt be, and the same is, set aside.
1.
That Defendant’s accusation, citation, or complaint be, and the same is, dismissed.
2.
3.
That defendant be released from all penalties and disabilities resulting from the conviction or plea other than those imposed by
the Department of Transportation pursuant to A.R.S. §28-445 or §28-446, EXCEPT that the conviction may be pleaded and
proved in any subsequent prosecution of Defendant for any offense as if the judgment of guilt had not been set aside.
Denying the Application for the following reasons:
DATED _____________________________________
________________________________________________
Judge
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