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SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE (The Superior Court of California - County of Orange)

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_________________________________________________________________________________________________________________________________________________________
L-500 PETITION TO SEAL COURT / ARREST RECORDS Penal Code
851.90 and
851.91
Revised 01/24/2019 Page 1 of 2
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address.)
Telephone No.: Bar No.
Facsimile No.: E-Mail address:
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
JUSTICE CENTER:
Central - 700
Civic Center Drive West, Santa Ana, CA 92701
Harbor - 4601
Jamboree Road, Newport Beach, CA 92660
North - 1275
N. Berkeley Avenue, Fullerton, CA 92838
West - 8141
13th Street, Westminster, CA 92683
PEOPLE OF THE STATE OF CALIFORNIA
vs.
DEFENDANT:
PETITION TO SEAL COURT / ARREST RECORDS
CASE NUMB
ER
The petition must be completed in its entirety and served upon the Prosecuting Attorney and Arresting Agency prior to
filing with the court. Hearing date and department must be set in accordance with court guidelines.
1. The petition will be heard on ______________ at ________ in Department __________ at the address listed above.
2.
Infor
mation relating to the arrest / filing:
Last First Middle
Name:
Date of Birth:
Driver’s License No:
Date of Arrest:
Arresting Agency:
City and County of Arrest
City: County:
Booking Number:
Police Report Number:
Charge(s):
3. I am entitled to have my arrest sealed as a matter of right:
a. No complaint was filed. The statute of limitations has run on every offense upon which the arrest was
based and the prosecutor has not filed an accusatory pleading based on the arrest.
b. A complaint was filed. The charge(s) have been dismissed and charges may not be refiled.
c. A complaint was filed. No conviction occurred and I have been acquitted of all charges.
d. Pursuant to Penal Code §
1000.4 & 1001.9.
4. I am requesting that my arrest be sealed in the interest of justice for the reasons noted below:
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
DATE TYPE OR PRINT NAME SIGNATURE OF PETITIONER
DATE TYPE OR PRINT NAME OF ATTORNEY SIGNATURE OF ATTORNEY
_________________________________________________________________________________________________________________________________________________________
L-500 PETITION TO SEAL COURT / ARREST RECORDS Penal Code
851.90 and
851.91
Revised 01/24/2019 Page 2 of 2
Case Name:
Case Number:
PROOF OF
SERVICE
P
ersonal Service Service by
Mail
1. Person serving: I am over the age of 18 and not a party to this action.
Name:
Address:
Telephone:
2. I served a copy of the Petition and Order to Seal and Destroy Arrest Records as follows (check one):
a.
Personal Service: I personally delivered the Petition and Order to Seal and Destroy Arrest Rec
ords to
the person at the address listed below:
b.
(1) Law Enforcement Agency:
(2) Address where served:
(3) Date served:
(4) Time served
Service by Mail: I deposited the Petition and Order to Seal and Destroy A
rrest Records in the United
States mail, in a sealed envelope with first class postage fully prepaid. The envelope was addressed
as follows:
(1) Law Enforcement Agency:
(2) Address:
(3) Date of Mailing:
(4) Place of Mailing (city and state):
3. I served a copy of the Petition and Order to Seal and Destroy Arrest Records as follows (check one):
a.
Personal Service: I personally delivered the Petition and Order to Seal and Destroy Arrest Records to
the person at the address listed below:
(1) Name of person served:
Office of the District Attorney
Office o
f the City Attorney
b.
(2) Address where served:
(3) Date served:
(4) Time served:
Service by Mail: I deposited the Petition and Order to S
eal and Destroy Arrest Records in the United
States mail, in a sealed envelope with first class postage fully prepaid. The envelope was addressed
as follows:
(1) Name of person served:
Office of the District Attorney
Office of the City Attorney
(2) Address:
(3) Date of Mailing:
(4) Place of Mailing (city and state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
TYPE OR PRINT NAME SIGNATURE OF DECLARANT
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE (The Superior Court of California - County of Orange)

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Completed 8 February 2021

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