Fillable AOC-497.3 Doc. Code: OAE VS. COMMONWEALTH OF KENTUCKY

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AOC-497.3 Doc. Code: OAE VS. COMMONWEALTH OF KENTUCKY

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AOC-497.3
Doc. Code: OAE
Rev. 7-20
Page 1 of 2
Commonwealth of Kentucky
Court of Justice
www.kycourts.gov
KRS 431.076
Case N
o. ____________________
Court ________________________
County ______________________
Division ______________________
COMMONWEALTH OF KENTUCKY PLAINTIFF
VS.
________________________________________________ NAME DEFENDANT
________________________________________________ ADDRESS
________________________________________________
_________________________________PHONE NUMBER Jail ID Number ________________ (optional)
Defendant's Birthdate: _______________________ Defendant's SSN: _______________________
( )
2. On or after July 15, 2020, Defendant was acquitted of the above-listed charge(s) OR the above-listed charge(s)
was/were dismissed with prejudice against the Defendant and the dismissal was NOT in exchange for a guilty plea to
another charge.
3. Thirty (30) days have expired since the entry of the order of acquittal or dismissal with prejudice.
4. Defendant has not objected to the expungement.
THEREFORE, IT IS HEREBY ORDERED:
1. The above-listed charge(s) is/are EXPUNGED from the court records. Upon entry of this Order, the proceedings shall
be deemed never to have occurred; the Court shall reply to any inquiry that no record exists; and Defendant shall not have
to disclose the fact of the record or any matter relating to it on an application for employment, credit, or other purpose.
2. With the exception of any records in the custody of the Department for Community Based Services, the Kentucky
State Police and other following agencies with custody of records relating to the arrest, charge or other matters arising
out of the arrest or charge, shall expunge the record, including but not limited to; arrest records, fingerprints, photographs,
index references, or other documentary or electronic data, and shall certify to the Court on this form within sixty (60)
The Court makes the following findings of fact:
ORDER FOR AUTOMATIC EXPUNGEMENT
OF RECORD UPON
ACQUITTAL
OR DISMISSAL WITH PREJUDICE
DO NOT , ,
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AGEN
CY CERTIFICATION
_________
________________________________________________, an above-named agency ordered to
expunge records in our custody, hereby certifies that
the
agency has no records in its custody relating to the
Defendant/matter OR
the agency has
completed the expungement as directed by this Court.
Date: ________________________, 2_____. Agency Records Custodian: ____________________________
Circ
uit Clerk: Refer to Clerks Manual for instructions on filing this certification.
Copies: Defendant/Attorney; Kentucky State Police, 1266 Louisville Road, Frankfort, KY 40601; Named Agencies
Distribution: Original - Court File
____________________________________________
Judge
_____________________________, 2______
Date
days of the entry of this order that the required expunging action has been completed:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. Inspection of the records included in this Order may hereafter be permitted by the Court only upon Petition by the
person who is the subject of such records, and only to those persons named in such Petition.
AOC-49
7.3
Rev. 7-20
Page 2 of 2
Case No. ______________________________
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AOC-497.3 Doc. Code: OAE VS. COMMONWEALTH OF KENTUCKY

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Completed 28 January 2022

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