Case No.: Citation No.: MOTION TO SEAL CRIMINAL JUSTICE ...

Municipal Court, City of Greeley, Weld County, Colorado 1001 11th Avenue, Greeley, CO 80631 City Center South Phone 970-350-9230 Fax 970-350-9231 People of the City of Greeley

v.

COURT USE ONLY Case Number: CR

Defendant

MOTION TO SEAL CRIMINAL JUSTICE RECORDS PURSUANT TO ?24-72-705, C.R.S.

I, _________________________________________________ (defendant's name), am the defendant in the above captioned case.

Defendant's Name: Current Mailing Address: City:__________________State:

_____________ Zip Code:

Date of Birth:_____________________ Phone: __________________________

I was acquitted of all charges on ______________________________________________________.

The case was completely dismissed on ________________________________________________, and

the dismissal was not part of a plea agreement in a separate case.

I completed a deferred judgment and sentence on _______________________________________, and

the deferred judgment and sentence does not pertain to any of the following offenses:

- A felony offense concerning the holder of a commercial driver's license or the operator of a commercial motor vehicle pursuant to ? 42-2-402, C.R.S.

- An offense for which the factual basis involved unlawful sexual behavior pursuant to ? 16-22-102(9), C.R.S.

I have paid any and all restitution, fines, court costs, late fees or other fees ordered by the Court, or the Court has vacated such order(s).

The records in this case do not pertain to underage ethyl alcohol, marijuana, and paraphernalia offenses that are subject to the procedure set forth in ? 18-13-122, C.R.S., and this case contains at least one charge that is not a class 1 misdemeanor traffic offense, class 2 misdemeanor traffic offense, class A traffic infraction, or class B traffic infraction. Charges in this case were not dismissed pursuant to ? 16-8.5-116, C.R.S.

Agencies having records related to this case are:

Weld County Sheriff's Department Greeley Police Department City Attorney Probation Department Colorado Bureau of Investigation (Statute authorizes this agency to assess an additional fee to seal its

records)

Law Enforcement Agency (identify): Greeley Police Department or UNC Police Department

GMC 12/19 MOTION AND ORDER TO SEAL CRIMINAL JUSTICE RECORDS, PURSUANT TO ?24-72-705, C.R.S.

Other: _____________________

_____________________

Arrest number (from fingerprint card):

Date:

I respectfully request that any criminal justice records, except identifying information, related to this case be sealed promptly pursuant to ? 24-72-705, C.R.S.

By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the

form.

By checking this box, I am acknowledging that I have made a change to the original content of this form.

VERIFICATION

I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.

Executed on the ______ day of ________________, _______, at ______________________________________

(date)

(month)

(year)

(city or other location, and state OR country

___________________________________ (Printed name of Defendant)

______________________________________ Signature of Defendant

CERTIFICATE OF MAILING

I certify that on __________________ (date) a true and accurate copy of this Motion to Seal Criminal Justice

Records Pursuant to ?24-72-705, C.R.S. was served on the Prosecuting Attorney by:

Hand Delivery E-filed Faxed to this number ____________________ or by placing it in the United States

mail, postage pre-paid, and addressed to the following:

________________________________

________________________________

________________________________

____________________________________ Signature of Defendant

GMC 12/19 MOTION AND ORDER TO SEAL CRIMINAL JUSTICE RECORDS, PURSUANT TO ?24-72-705, C.R.S.

Municipal Court, City of Greeley, Weld County, Colorado 1001 11th Avenue, Greeley, CO 80631 City Center South Phone 970-350-9230 Fax 970-350-9231 People of the City of Greeley

v.

COURT USE ONLY Case Number: CR

Defendant

ORDER TO SEAL CRIMINAL JUSTICE RECORDS PURSUANT TO ?24-72-705, C.R.S.

The Court has considered Defendant's motion to seal criminal justice records pursuant to ? 24-72-705, C.R.S. and has examined the record. The Court finds Defendant is eligible for relief under ? 24-72-705, C.R.S.

Defendant's Name:

Current Mailing Address:

City:

_________

______ State:

Date of Birth: Zip Code:

The Court ORDERS that the criminal records information specifically relating to and contained in:

Municipal case number:

________

Probation case number:

_______

Law Enforcement Agency case number:

Arrest number (from fingerprint card):

Date:

Colorado Bureau of Investigation (Statute authorizes this agency to assess an additional fee to seal its records.)

shall be sealed immediately, except for basic identifying information, and that upon inquiry in the matter, the Person in Interest and criminal justice agencies to which this Order is directed may properly reply that no such records exist with respect to such person.

The Court directs the above Order to the Clerk of Court to seal the criminal case listed above. Defendant/Petitioner shall provide a copy of this Order to the Colorado Bureau of Investigation and every custodian of the records sealed by this Order. (The Colorado Bureau of Investigation assesses a fee to seal its records)

Date:

Judge

GMC 12/19 ORDER TO SEAL CRIMINAL JUSTICE RECORDS, PURSUANT TO ?24-72-705, C.R.S. Page 1 of 2

CERTIFICATE OF SERVICE I certify that on __________________ (date), I delivered a copy of this Order to the following: Defendant and/or Defendant's Attorney: Hand-Delivered, E-filed, or Mailed to: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Weld County Sheriff's Office City Attorney Greeley PD/UNC PD Colorado Bureau of Investigation 690 Kipling St., Suite 3000, Attn: Identification- Seals. Lakewood, CO 80215 Other____________________: Hand-Delivered, E-filed, or Mailed to: __________________________________________________________________________________ __________________________________________________________________________________

Clerk signature:______________________________________

GMC 12/19 ORDER TO SEAL CRIMINAL JUSTICE RECORDS, PURSUANT TO ?24-72-705, C.R.S. Page 2 of 2

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