Motion And Order For Expungement Of Juvenile Records Page 2

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DJJ verifies the offense listed above is eligible for expungement:
Yes
No DJJ______
Date
SLED verifies the offense listed above is eligible for expungement:
Yes
No SLED______
Date
IT APPEARING pursuant to the signature of the Circuit Solicitor that the above-named person meets these conditions;
IT IS HEREBY ORDERED that all records relating to this person being taken into custody for or charged with, the above-
referenced status or criminal offenses as a juvenile, and all records relating to this person being adjudicated delinquent for having
committed such status offenses or non-violent crimes as a juvenile be expunged and destroyed or retained by any law enforcement,
municipal, county or state agency or department pursuant to the provisions of Section 17-1-40.
AND IT IS SO ORDERED.
Date: ___________________________, 20___
FAMILY COURT JUDGE
___________________________, S.C.
Expunged by SLED by:
Date:
(For SLED internal use only)
SCCA 492 (7/2015)

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