IN THE CIRCUIT COURT OF THE STATE OF OREGON

IN THE OREGON CIRCUIT COURT

_________________ COUNTY

IN RE:

_______________________,

Petitioner.)

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Case No. ______________

MOTION TO SET ASIDE AND SEAL RECORDS OF ARREST

COMES NOW the petitioner and respectfully moves the court for an order to set aside and seal all record of arrest in the above matter pursuant to ORS 137.225. This motion is well founded in law and is made in good faith.

Full Name: __________________Date of birth: ___________Sex: ______ Race: ___________

Mailing address:

Arresting agency: ___________ Arrest charge(s): ______________________________

Arrest date: ___________________

___________________________________________

Name

Certificate of service

I have served a copy of this Declaration in Support of Motion to Set Aside and Seal Arrest Record on the _____________County District Attorney via US Mail on (date)_____________ , along with a copy of the movants fingerprints.

___________________________________________

Name:

Address:

Phone:

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