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STATE OF LOUISIANA : _______ JUDICIAL DISTRICT COURT

VS : PARISH OF _______, LOUISIANA

________________ : DOCKET NO. _______

_________________________________________________________________________________

MOTION AND ORDER TO EXPUNGE ARREST RECORDPURSUANT TO LSA 44:9

NOW INTO COURT comes ________________, Defendant herein, who respectfully

represents the following:

I.

Your Defendant was arrested on _______ ___, 20___, and charged with the crime of

________________.

II.

Subsequent to your Defendant=s arrest, the charges of ________________ were dismissed

by the District Attorney on _______ ___, 20___. A certified copy of the minutes is attached as

ExhibitAA@.

III.

That pursuant to LSA R.S. 44:9, your Defendant is requesting an expungement of his arrest

record as it relates to the charge of ________________ as it is prohibiting him from pursuing certain

personal and work-related activities.

WHEREFORE, your Defendant prays that the _______ Parish Sheriff and the State of

Louisiana, through the Office of the District Attorney for the Parish of _______ show cause on the

____ day of ____________ 20___, at _____ o=clock ___.M. why this Motion should not be granted,

ordering any and all law enforcement agencies to expunge his record according to LSA R.S. 44:9.

Respectfully Submitted,

__________________________________________Attorney for Defendant_______________________, LA _______(___)_______LA. Bar Roll No. _______

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STATE OF LOUISIANA : _______ JUDICIAL DISTRICT COURT

VS : PARISH OF _______, LOUISIANA

________________ : DOCKET NO. _______

_________________________________________________________________________________

ORDER

When, after reviewing the pleadings filed herein, the testimony and evidence offered, the

Court finds the law and evidence are in favor of Defendant, ________________.

IT IS HEREBY ORDERED, ADJUDGED AND DECREED that the _______ Parish Sheriff

and the State of Louisiana, through the Office of the District Attorney for the Parish of _______

show cause on the _____ day of ______________ 20___, at ______ o=clock ___.M. why the

aforesaid Motion should not be granted ordering all law enforcement agencies, including the

Louisiana State Police to expunge the arrest record of ________________, date of birth, _______

___, _____, Social Security No. ________________, pursuant to LSA 44:9, et seq.

IT IS FURTHER ORDERED, ADJUDGED AND DECREED that Defendant,

________________, pay all costs of Court.

SIGNED in __________, _______ Parish, Louisiana, on this ______ day of

__________________ 20___.

_____________________________DISTRICT JUDGE

PLEASE SERVE:

_______ Parish Sheriff__________, LA _______

_______ Parish District Attorney

_______ Parish Courthouse

__________, LA _______

_______ Parish Clerk of Court

_______ Parish Courthouse

__________, LA _______