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IN THE OREGON CIRCUIT COURT

_________________ COUNTY

IN RE:

_______________________,

Petitioner.

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Case No. ______________

ORDER SETTING ASIDE/SEALING
CONVICTION

This matter appears before the court on movants motion for to set aside the conviction and to
seal the record pursuant to ORS 137.225, the State of Oregon having no objection; and the court,
having confirmed the movants eligibility for expungement, makes the following FINDINGS OF
FACT AND CONCLUSIONS OF LAW:
1.

The original charge(s) against the defendant was/were ___________________________.

2.

The date of the movants arrest on this charge was ___________________________.

3.

The arresting agency was: ___________________________.

4.

The disposition of this case was: ______________________________.

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5.
Positive identification of the movant has been established by the Department of State
Police Bureau. Criminal Identification Number is: ____________________.

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6.

At lease one year has elapsed since the arrest date;

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7.

Movant is not now under the charge of commission of any crime;

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8.

The conviction charge(s) may be set aside;

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9.
The movant has not been arrested within the three-year period immediately preceding the
filing of this motion for any offense, excluding motor vehicle violations, and excluding arrests
for conduct associated with the same criminal episode that caused the arrests that is sought to be
expunged;

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10.
Excluding motor vehicle violations, the movant has not been convicted of any other
offense within the ten-year period immediately preceding the filing of the motion to seal the
arrest record;
11.
It appears to the court that the circumstances and the conduct of the movant from the date
of the arrest to the present warrant the relief requested;
IT IS ORDERED that the convictionfor the offense(s) of ___________________________
______________________________________, on (date)____________________________,
is/are hereby set aside and for the purposes of law, the movant is hereby deemed not to have been
previously convicted nor arrested for this alleged offense.
IT IS FURTHER ORDERED, that such arrest, conviction, and other proceedings are deemed not
to have occurred, and the movant may accordingly answer any questions relating to their
occurrence, as if they had never occurred.
IT IS FURTHER ORDERED, that the record of arrest and any other official records in this case
be sealed and any reference to them be removed from public view.
IT IS FURTHER ORDERED, that the clerk of the court forward a certified copy of this order to
the Director, Bureau of Identification and Investigation, Department of Oregon State Police,
Oregon Department of Corrections, Multnomah County Adult Community Justice; and all other
Agencies listed below:
________________________
Circuit Court Judge