Fillable AOC-496 Page 1 of 2 VS. COMMONWEALTH OF (Administrative Office of the Courts)

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AOC-496 Page 1 of 2 VS. COMMONWEALTH OF (Administrative Office of the Courts)

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AOC-496
Rev. 7-16
Page 1 of 2
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 431.078; 218A.275(8);
218A.276(8)
EXPUNGEMENT ORDER
(FOR MISDEMEANOR, VIOLATION, OR
TRAFFIC INFRACTION CONVICTION)
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COMMONWEALTH OF KENTUCKY PLAINTIFF
VS.
________________________________________________ NAME DEFENDANT
________________________________________________ ADDRESS
________________________________________________
________________________________ PHONE NUMBER Jail ID Number________________(optional)
Defendant’s Birthdate: ________________ Defendant’s SSN: ___________________ Arrest Date: _______________
FINDINGS OF FACT
The Court, having held a hearing on Defendant’s Petition for Expungement and being sufciently advised, FINDS:
1. Defendant has moved this Court to expunge the above-styled case wherein Defendant was convicted of the following
misdemeanor(s), violation(s), or trafc infraction(s):
CHARGE: _________________________________ CHARGE: __________________________________
CHARGE: _________________________________ CHARGE: __________________________________
CHARGE: _________________________________ CHARGE: __________________________________
2. q The above-stated offense(s) is/are not a sex offense(s) or an offense(s) committed against a child;
3. q Defendant has not been convicted of a felony or misdemeanor in the ve (5) years prior to the ling of this Petition;
4. q No proceeding concerning a felony or misdemeanor is pending or being instituted against Defendant;
5. q The offense(s) is/are not subject to enhancement for a second or subsequent offense or the time for such enhancement
has expired; AND
6. The petition q is led no sooner than ve (5) years after completion of Defendant’s sentence or ve (5) years after
successful completion of the defendant’s probation, whichever is later; OR q involves Defendant's 1st conviction for
possession of controlled substances voided under KRS 218A.275(8); OR q involves a conviction for possession of
marijuana or synthetic drugs or salvia voided under KRS 218A.276(8).
7. Other:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
( )
Case No. ____________________
Court ____________________
County ____________________
Division ____________________
AGENCY CERTIFICATION
_________________________________________________________, an above-named agency ordered to
expunge records in our custody, hereby certies that q the agency has no records in its custody relating to the
Defendant/matter OR q the agency has completed the expungement as directed by this Court.
Date: ________________________, 2_____. Agency Records Custodian: ____________________________
THEREFORE, IT IS HEREBY ORDERED:
1. q The petition is DENIED. (Doc Code: OEXD) The clerk shall refund $50.00 of the fee(s) paid for expungement.
2. q The petition is GRANTED. (Doc Code: OEXG)
a. The above offense(s) is/are expunged from the court’s records. Upon entry of this order, the proceedings in the
case(s) shall be deemed never to have occurred. Defendant and the Court may properly reply no record exists
with respect to Defendant upon any inquiry and Defendant shall not have to disclose the fact of the record or any
matter relating thereto on any application for employment, credit, or other purpose.
b. The Kentucky State Police and other following agencies are hereby ordered to expunge any records in their
custody regarding the above-named Defendant and offense(s):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Date: _____________________________, 2_______. _________________________________________ Judge
Distribution: Original - Court File
Copies: Defendant/Attorney; Kentucky State Police 1266 Louisville Road, Frankfort, KY 40601; Named Agencies
AOC-496
Rev. 7-16 Case No. __________________________
Page 2 of 2
County
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AOC-496 Page 1 of 2 VS. COMMONWEALTH OF (Administrative Office of the Courts)

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Completed 9 February 2022

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