IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

JUVENILE DIVISION

IN THE INTEREST OF:
JID #:	SID#:
CP-39-JV - JOTN:
DOB:
CP-39-JV - JOTN:
CP-39-JV - JOTN:
SS#:
CP-39-JV - JOTN:

MOTION TO EXPUNGE JUVENILE RECORDS

AND NOW, this DAY OF , 20 , the Petitioner avers the following, and requests that an expungement be granted for the following reason:

Incident Report #:	Arresting Agency:	Charges:	Arrest Date:	Disposition:

____________________________________________________________________

The reason and statutory authority for expungement to be granted (check all that apply):

A complaint was filed which was not substantiated pursuant to 18 Pa.C.S. §9123(a) (1)

(Allegation was withdrawn)

(The petition was Dismissed by the Court)

A complaint was filed pursuant to 18 Pa.C.S. §9123(a) (1)

(Successful completion of Diversionary Program or Counsel & Release)

(Completion of Informal Adjustment)

Six months have elapsed since the final discharge from supervision pursuant to a Consent Decree and no proceeding is pending seeking such conviction or adjudication (18 Pa.C.S. §9123(a) (2))

Five years have elapsed since discharge from commitment, placement, probation or other disposition under the terms in 18 Pa.C.S. §9123(a) (3) and no proceeding is pending seeking such conviction or adjudication;

Or

The individual is 18 years of age or older, the Commonwealth consents and the Court Orders expungement after consideration of the terms found in 18 Pa.C.S. §9123(a) (4)

____________________________________________________________________

The agencies upon which certified copies of the court order shall be served are as follows:

Arresting Police Agency	PSP Central Repository	AOPC
Collections	Juvenile or Counsel	District Attorney
Juvenile Probation Office	PennDot (21 & Older)

The expungement of the within juvenile record will not prejudice the position of the Commonwealth.

I VERIFY THAT THE STATEMENTS HEREIN ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE, INFORMATION AND BELIEF, AND ARE MADE SUBJECT TO THE PENALTIES OF 18 PA.C.S. SECTION 4904, RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES.

WHEREFORE, I respectfully request this Honorable Court to order the expungement of records pertaining to the aforementioned charges, wherever they may be located and by whom they may be retained.

Respectfully submitted,

Date:
Signature

Current Address:
Current Phone:

lccpa17

IN THE COURT OF COMMON PLEAS OF LEHIGH COUNTY, PENNSYLVANIA

Rachel A Wotring

2017-04-07

Lehigh County