Orange — Petition for Dismissal Sec 17 1203.4, 1203.4a, 1203.41 and 1203.49

Source: https://www.occourts.org/system/files/selfhelp/shc-crim-01.pdf

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIACALIFORNIA Self-HelpSelf-Help ServicesServices COUNTYCOUNTY OFOF ORANGEORANGE www.occourts.org/self-helpwww. occo u rts. org/se lf-help

PETITIONPETITION FORFOR DISMISSALDISMISSAL UNDERUNDER PENALPENAL CODECODE §§§§ 17(8);17(B); 17(0)(2);17(D)(2); 1203.4;1203.4; 1203.4A;1203.4A; 1203.41;1203.41; 1203.42;1203.42; 1203.431203.43 ANDAND 1203.491203.49

SELF-HELP FORM PACKETSELF-HELP FORM PACKET

SHC-CRIM-01SHC-CRIM-01 (Rev.(Rev. 01/12/2024)01/12/2024)

Self-HelpSelf-Help ServicesServices cancan reviewreview youryour completedcompleted formsforms beforebefore youyou filefile themthem withwith thethe Court.Court. ToTo requestrequest reviewreview ofof youryour completedcompleted forms:forms:

1.1. CompleteComplete thethe attachedattached formsforms inin blackblack ink.ink. 2.2. ScanScan youryour completedcompleted formsforms andand savesave asas aa singlesingle PDFPDF file.file. 3.3. GoGo toto www.occourts.org/self-helpwww.occourts.org/self-help (click(click thethe buttonbutton labeledlabeled ContactContact Self-Help),Self-Help), attachattach thethe PDF,PDF, andand completecomplete thethe ononlineline requestrequest form.form. MakeMake suresure toto selectselect CRIMINAL/TRAFFICCRIMINAL/TRAFFIC asas thethe casecase typetype onon thethe form.form.

wwwwww.occourts.org/self-help.occou rts.o rg/se lf-h el p

INSTRUCTIONSINSTRUCTIONS FORFOR FILLINGFILLING OUTOUT AA PETITIONPETITION FORFOR DISMISSALDISMISSAL (SHC-CRIM-01)(SHC-CRIM-01) STEPSTEP 1:1: HAVEHAVE YOURYOUR CASECASE INFORMATIONINFORMATION AVAILABLEAVAILABLE

ReviewReview youryour casecase filefile toto gathergather thethe informationinformation listedlisted below.below. IfIf youyou dodo notnot havehave youryour casecase file,file, youyou cancan printprint aa freefree summarysummary ofof youryour casecase at:at: https://www.occourts.org/online-services/case-access/.https://www.occourts.org/online-services/case-access/.

InformationInformation Needed:Needed:

1.1. DateDate ofof ConvictionConviction oror DispositionDisposition

2.2. TypeType ofofViolationViolation (Code(Code andand SectionSection number)number) e.g.,e.g., PCPC 487(a),487(a), VCVC 23152(a)23152(a) oror HSHS 1135711357

3.3. TypeType ofof OffenseOffense (felony,(felony, misdemeanormisdemeanor oror infraction)infraction)

4.4. WhetherWhether youryour casecase isis eligibleeligible forfor reductionreduction fromfrom felonyfelony toto misdemeanormisdemeanor oror fromfrom misdemeanormisdemeanor toto infraction.infraction.

STEPSTEP 2:2: DETERMINEDETERMINE IFIF YOUYOU AREARE ELIGIBLEELIGIBLE

TypeType ofof OffenseOffense RequirementsRequirements
— FulfilledFulfilled allall conditionsconditions ofof probationprobation oror dischargeddischarged fromfrom FelonyFelony oror misdemeanormisdemeanor withwith probationprobation e•
probationprobation beforebefore periodperiod endedended
e Not currentlycurrently servingserving aa sentencesentence forfor anyany offense,offense, onon probationprobation • Not
oror chargedcharged withwith commissioncommission ofof anyany crimecrime
«Can filefile anyany timetime afterafter terminationtermination ofof probationprobation • Can

Not grantedgranted probationprobation andand compliedcomplied withwith sentencesentence ofof thethe courtcourt MisdemeanorMisdemeanor oror infraction,infraction, notnot grantedgranted e• Not
Not servingserving sentencesentence forfor anyany offenseoffense oror chargedcharged withwith probationprobation e• Not
commissioncommission ofof anyany crimecrime
«Has lived anan honesthonest andand uprightupright lifelife sincesince judgmentjudgment andand • Has lived
obeyedobeyed lawslaws ofof thethe landland oror shouldshould bebe grantedgranted reliefrelief inin thethe
interestsinterests ofof justicejustice
«Can filefile afterafter oneone yearyear sincesince thethe datedate ofofjudgmentjudgment • Can

MisdemeanorMisdemeanor underunder PCPC 647(b)647(b) «• CompletedCompleted probationprobation forfor convictionconviction ofof solicitationsolicitation oror prostitutionprostitution «Can showshow byby clearclear andand convincingconvincing evidenceevidence thatthat convictionconviction • Can waswas becausebecause youyou werewereaa victimvictim ofof humanhuman traffickingtrafficking

Not underunder supervisionsupervision FelonyFelony countycounty jailjail sentencesentence underunder PCPC e• Not

1170(h)(5)1170(h)(5) Not• Not servingserving sentence,sentence, onon probationprobation oror chargedcharged withwith commissioncommission ofof anyany offenseoffense « >> 11 yearyear sincesince felonyfelony countycounty jailjail sentencesentence withwith mandatorymandatory • supervisionsupervision byby countycounty probationprobation officerofficer (split(split sentence)sentence) >> 22/yearsyears sincesince felonyfelony countycounty jailjail sentencesentence withoutwithout mandatorymandatory • supervisionsupervision (straight(straight sentencesentence inin custody)custody) FelonyFelony prisonprison sentencesentence thatthat wouldwould've’ve beenbeen e• NotNot underunder supervisionsupervision Not servingserving sentence,sentence, onon probationprobation oror chargedcharged withwith eligibleeligible forfor felonyfelony countycounty jailjail sentencesentence afterafter «• Not 20112011 commissioncommission ofof anyany offenseoffense « >> 22yearsyears sincesince felonyfelony prisonprison sentencesentence completedcompleted • DeferredDeferred entryentry ofof judgmentjudgment e• PerformedPerformed satisfactorilysatisfactorily duringduring periodperiod ofof deferreddeferred entryentry ofof judgmentjudgment « Criminal chargescharges werewere dismisseddismissed • Criminal

STEPSTEP 3:3: FILLFILL OUTOUT FORMSFORMS CR-180CR-180 ANDAND CR-181CR-181 CR-180CR-180 [ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEYATTORNEY STATESTATE BARBAR NUMBER:NUMBER: FORFOR COURTCOURT USEUSE ONLYONLY NAME:NAME: WriteWrite youryour fullfull namename asas shownshown inin thethe casecase file,file, youryour FIRMFIRMNAME:NAME: currentcurrent addressaddress andand contactcontact information.information. |STREETSTREET ADDRESS:ADDRESS ivy:CITY: STATE:STATE: ZIPZIP CODE:CODE: HTELEPHONETELEPHONE NO.:No. FAXFAX NO.:NO. EMAILEMAIL ADDRESS:ADDRESS: ATTORNEYATTORNEY FORFOR (name):(name):

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF
STREET‘STREET ADDRESS:ADDRESS:
MAILINGMAILING ADDRESS:ADDRESS:
[CITYCITY ANDAND ZIPZIP CODE:CODE:

PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA CASECASE NUMBER:NUMBER:
v.v. .
DEFENDANT:DEFENDANT: WriteWrite youryour namename asas shownshown inin youryour casecase WriteWrite youryour casecase numbernumber
FORFOR COURTCOURT USEUSE ONLYONLY
PETITIONPETITION FORFOR DISMISSALDISMISSAL DATE:DATE:
(Pen.(Pen. Code,Code, §§§§ 17(b),17(b), 17(d)(2),17(d)(2), 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, 1203.43,1203.43, 1203.49)1203.49) TIME:TIME:
DEPARTMENT:DEPARTMENT:

NoteNote toto petitioner:petitioner: YourYour convictionconviction maymay havehave alreadyalready beenbeen automaticallyautomatically dismisseddismissed byby thethe CaliforniaCalifornia DepartmentDepartment ofof JusticeJustice (DOJ)(DOJ)
underunder PenalPenal CodeCode sectionsection 1203.425.1203.425. IfIf so,so, thisthis petitionpetition maymay bebe unnecessary—butunnecessary —but therethere maymay bebe additionaladditional benefitsbenefits toto filingfiling itit withwith thethe
court,court, includingincluding felonyfelony reductionreduction underunder PenalPenal CodeCode sectionsection 17(b).17(b). IfIf youyou wantwant toto knowknow ifif youryour convictionconviction hashas alreadyalready beenbeen dismissed,dismissed,
youyou cancan requestrequest youryour RecordRecord ofof ArrestArrest andand ProsecutionProsecution (RAP)(RAP) sheetsheet fromfrom thethe DOJ,DOJ, butbut thisthis isis notnot required.required.

1.1. OnOn (date):(date): ,, thethe petitionerpetitioner (the(the defendantdefendant inin thethe above-entitledabove-entitled criminalcriminal action)action) waswas convictedconvicted ofof aa violationviolation ofof thethe
followingfollowing offensesoffenses oror waswas grantedgranted deferreddeferred entryentry ofof judgmentjudgment forfor thethe followingfollowing offenses:offenses:
CodeCode SectionSection _| TypeType ofof offenseoffense (felony,(felony, EligibleEligible forfor reductionreduction toto EligibleEligible forfor reductionreduction toto
(Penal,(Penal, misdemeanor,misdemeanor, oror infraction)infraction) misdemeanormisdemeanor underunder PenalPenal | infractioninfraction underunder PenalPenal
Vehicle,Vehicle, etc.)etc.) Code,Code, §§ 17(b)17(b) (yes(yes oror no)no) Code,Code, §§ 17(d)(2)17(d)(2) (yes(yes oror no)no)

E.g.Eg. PCPC E.g.E.g. 484(a)484(a) MisdemeanorMisdemeanor Y/NY/N YINY/N

WriteWrite thethe convictionconviction datedate oror deferreddeferred datedate ofof
—Jentryentry ofof judgmentjudgment foundfound inin youryour casecase summarysummary

IfIf additionaladditional spacespace isis neededneeded forfor listinglisting offenses,offenses, useuse AttachmentAttachment toto JudicialJudicial CouncilCouncil FormForm (form(form MC-025).MC-025). 2.. 2) FelonyFelony oror misdemeanormisdemeanor withwith probationprobation grantedgranted (Pen.(Pen. Code,Code, §§ 1203.4)1203.4) ProbationProbation waswas grantedgranted onon thethe termsterms andand conditionsconditions statedstated inin thethe docketdocket ofof thethe above-entitledabove-entitled court;court; thethe petitionerpetitioner isis notnot servingserving aa sentencesentence forfor anyany offense,offense, onon probationprobation forfor anyany offense,offense, oror currentlycurrently chargedcharged withwith committingcommitting anyany crime,crime, andand thethe petitionerpetitioner (check(check allall thatthat apply)apply) a.a. hashas fulfilledfulfilled thethe conditionsconditions ofof probationprobation forfor thethe entireentire periodperiod thereof.thereof. b.b. hashas beenbeen dischargeddischarged fromfrom probationprobation priorprior toto thethe terminationtermination ofof thethe periodperiod thereof.thereof. c.c. shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofof justice.justice. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace below,below, oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.) ReadRead sectionssections 22 throughthrough 77 andand onlyonly checkcheck thethe boxesboxes thatthat applyapply toto youryour situation.situation. Likely,Likely, youyou willwill checkcheck oneone boxbox andand leaveleave thethe restrest blank.blank. ReviewReview()asas possiblepossible applicableapplicable sections.sections.

CheckCheck boxbox #2#2 ifif youyou werewere convictedconvicted ofof aa felonyfelony oror misdemeanormisdemeanor andand grantedgranted probation.probation. CheckCheck a,a, bb oror c,c, asas applicable.applicable. IfIf youyou diddid notnot completecomplete probationprobation successfullysuccessfully oror werewere notnot dischargeddischarged earlyearly fromfrom probation,probation, thenthen checkcheck boxbox '"c.'""'c." YouYou maymay writewrite aa declarationdeclaration (form(form MC-031)MC-031) explainingexplaining whywhy aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. PleasePlease seesee attachedattached SampleSample Declaration.Declaration. YouYou maymay alsoalso includeinclude lettersletters ofof reference,reference, certificatescertificates ofof completioncompletion oror anyany otherother relevantrelevant documentsdocuments thatthat supportsupport youryour requestrequest forfor aa dismissal.dismissal. PagePage11 ofof33 Form‘orm ApprovedApproved forfor OptionalOptional UseUse PenalPenal Code,Code, §§§§ 17(b),17(b), 17(d)(2),17(d)2), 1203.4,1203.4, 1203.4a,1203.4a, SiaJudicial CouncilGounel ofof CaliforniaCaora PETITIONPETITION FORFOR DISMISSALDISMISSAL "Fatah1203.41, 1203.42,12084 1203.43,fa 4, andan 1208481203.49 CR-180‘CR-180 [Rev.(Rev. JanuaryJanuary 1,1, 2024]2024] www.courts.ca.govwww.courts.ca.gov

CR-180CR-180 PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: CASECASE NUMBER:NUMBER: WriteWrite youryour fullfull namename asas shownshown inin thethe casecase filefile WriteWrite youryour CaseCase NumberNumber

3.3. [{_)] MisdemeanorMisdemeanor oror infractioninfraction withwith sentencesentence otherother thanthan probationprobation (Pen.(Pen. Code,Code, §§ 1203.4a)1203.4a)
ProbationProbation waswas notnot granted;granted; moremore thanthan oneone yearyear hashas elapsedelapsed sincesince judgmentjudgment waswas pronounced.pronounced. PetitionerPetitioner hashas compliedcomplied withwith
thethe sentencesentence ofof thethe courtcourt andand isis notnot servingserving aa sentencesentence forfor anyany offenseoffense oror currentlycurrently chargedcharged withwith committingcommitting anyany crime;crime; andand
thethe petitionerpetitioner (check(check one)one)
a.a. hashas livedlived anan honesthonest andand uprightupright lifelife sincesince pronouncementpronouncement ofof judgmentjudgment andand conformedconformed toto andand obeyedobeyed thethe lawslaws ofof thethe land;land;
oror
b.b. shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofof justice.justice. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin
thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother
relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached
DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

CheckCheck boxbox #3#3 onlyonly ifif youyou werewere convictedconvicted ofof aa misdemeanormisdemeanor oror infractioninfraction andand notnot grantedgranted probationprobation
andand checkcheck aa oror b,b, asas applicable.applicable.

4.4. MisdemeanorMisdemeanor convictionconviction underunder PenalPenal CodeCode sectionsection 647(b)647(b) (Pen.(Pen. Code,Code, §§ 1203.49)1203.49) PetitionerPetitioner hashas completedcompleted aa termterm ofof probationprobation forfor aa convictionconviction underunder PenalPenal CodeCode sectionsection 647(b)647(b) andand shouldshould bebe grantedgranted reliefrelief becausebecause thethe convictionconviction waswas thethe resultresult ofof petitioner'spetitioner's statusstatus asas aa victimvictim ofof humanhuman trafficking.trafficking. (Please(Please provideprovide evidenceevidence thatthat thethe convictionconviction waswas thethe resultresult ofof youryour statusstatus asas aa victimvictim ofof humanhuman trafficking.trafficking. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

CheckCheck boxbox #4#4 onlyonly ifif youyou havehave clearclear andand convincingconvincing evidenceevidence thatthat youryour convictionconviction forfor solicitationsolicitation oror prostitutionprostitution waswas thethe resultresult ofof youryour statusstatus asas aa victimvictim ofof humanhuman trafficking.trafficking.

5.5. oO FelonyFelony countycounty jailjail sentencesentence underunder PenalPenal CodeCode sectionsection 1170(h)(5)1170(h)(5) oror felonyfelony statestate prisonprison sentencesentence (Pen.(Pen. Code,Code, §§ 1203.41)1203.41) PetitionerPetitioner isis notnot onon paroleparole oror underunder supervisionsupervision underunder PenalPenal CodeCode sectionsection 1170(h)(5)(B);1170(h)(5)(B); isis notnot servingserving aa sentencesentence for,for, onon probationprobation for,for, oror currentlycurrently chargedcharged withwith committingcommitting anyany crime;crime; andand shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofofjustice,justice, andand (check(check one)one) a.a. moremore thanthan oneone yearyear hashas elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony countycounty jailjail sentencesentence withwith aa periodperiod ofof mandatorymandatory supervisionsupervision imposedimposed underunder PenalPenal CodeCode sectionsection 1170(h)(5)(B).1170(h)(5)(B). b.b. moremore thanthan twotwo yearsyears havehave elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony countycounty jailjail sentencesentence withoutwithout aa periodperiod ofof mandatorymandatory supervisionsupervision imposedimposed underunder PenalPenal CodeCode sectionsection 1170(h)(5)(A).1170(h)(5)(A). c.c. moremore thanthan twotwo yearsyears havehave elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony statestate prisonprison sentence,sentence, andand thethe convictionconviction diddid notnot resultresult inin aa requirementrequirement toto registerregister asas aa sexsex offenderoffender underunder ChapterChapter 5.55.5 (starting(starting withwith sectionsection 290)290) ofof TitleTitle 99 ofof PartPart 11 ofof thethe PenalPenal Code.Code. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.) CheckCheck boxbox #5#5 onlyonly ifif youyou servedserved aa felonyfelony countycounty jailjail sentencesentence underunder PCPC 1170(h)(5).1170(h)(5). IfIf youyou werewere sentencedsentenced toto countycounty jailjail withwith mandatorymandatory supervisionsupervision andand moremore thanthan aa yearyear hashas elapsedelapsed sincesince youyou completedcompleted youryour sentence,sentence, thenthen checkcheck "a.""a." If you were sentenced to county jail without mandatory supervision and more than two years have elapsed since you completed your sentence, then checkIf you were sentenced to county jail without mandatory supervision and more than two years have elapsed since you completed your sentence, then check "b."“b." YouYou maymay completecomplete aa declarationdeclaration (form(form MC-031)MC-031) wherewhere youyou explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. PleasePlease seesee attachedattached SampleSample Declaration.Declaration. YouYou maymay alsoalso includeinclude lettersletters ofof reference,reference, certificatescertificates ofof completioncompletion oror anyany otherother relevantrelevant documentsdocuments thatthat supportsupport youryour requestrequest forfor aa dismissal.dismissal. PagePage 220f3of 3 CR-180CR-180 [Rew[Rev. Januarydanary1,1, 2024]2024 PETITIONPETITION FORFOR DISMISSALDISMISSAL

CR-180CR-180 PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: (CASECASE NUMBER:NUMBER: WriteWrite youryour fullfull namename asas shownshown inin thethe casecase filefile WriteWrite youryour CaseCase NumberNumber

6.6. [[_)] FelonyFelony prisonprison sentencesentence thatthat wouldwould havehave beenbeen eligibleeligible forfor aa felonyfelony countycounty jailjail sentencesentence afterafter 20112011 underunder J PenalPenal CodeCode sectionsection 1170(h)(5)1170(h)(5) (Pen.(Pen. Code,Code, §§ 1203.42)1203.42) PetitionerPetitioner isis notnot underunder supervisionsupervision andand isis notnot servingserving aa sentencesentence for,for, onon probationprobation for,for, oror currentlycurrently chargedcharged withwith committingcommitting anyany crime;crime; moremore thanthan twotwo yearsyears havehave elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony prisonprison sentence;sentence; andand petitionerpetitioner shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofofjustice.justice. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

CheckCheck boxbox #6#6 onlyonly ifif youyou werewere sentencedsentenced toto statestate prison,prison, butbut youyou wouldwould havehave beenbeen eligibleeligible forfor aa felonyfelony countycounty jailjail sentencesentence afterafter 2011.2011. YouYou cancan explainexplain whywhy youryour petitionpetition shouldshould bebe grantedgranted inin thethe interestsinterests ofof justice.justice. PleasePlease seesee attachedattached SampleSample Declaration.Declaration. YouYou maymay alsoalso includeinclude lettersletters ofof reference,reference, certificatescertificates ofof completioncompletion oror anyany otherother relevantrelevant documentsdocuments thatthat supportsupport youryour requestrequest forfor aa dismissal.dismissal.

CheckCheck boxbox #7#7 onlyonly ifif youyou successfullysuccessfully completedcompleted aa deferreddeferred entryentry ofof judgmentjudgment programprogram andand checkcheck aa oror b,b, asas applicable.applicable.

7.7. [{_)] DeferredDeferred entryentry ofof judgmentjudgment (Pen.(Pen. Code,Code, §§ 1203.43)1203.43) ‘7 PetitionerPetitioner performedperformed satisfactorilysatisfactorily duringduring thethe periodperiod inin whichwhich deferreddeferred entryentry ofof judgmentjudgment waswas granted.granted. TheThe criminalcriminal charge(s)charge(s) werewere dismisseddismissed underunder formerformer PenalPenal CodeCode sectionsection 1000.31000.3 onon (date):(date): .. FurthermoreFurthermore (check(check one),one),

a.a. courtcourt recordsrecords areare availableavailable showingshowing thethe casecase resolution;resolution; oror

b.b. petitionerpetitioner declaresdeclares underunder penaltypenalty ofof perjuryperjury thatthat thethe chargescharges werewere dismisseddismissed afterafter petitionerpetitioner completedcompleted thethe requirementsrequirements
forfor deferreddeferred entryentry ofof judgment.judgment. PetitionerPetitioner (check(check one)one)
(1)(1) hashas
(2)(2) hashas notnot
attachedattached aa copycopy ofof petitioner'spetitioner's statestate summarysummary criminalcriminal historyhistory information.information.

8.8. PetitionerPetitioner requestsrequests thatthat thethe eligibleeligible felonyfelony offensesoffenses listedlisted aboveabove bebe reducedreduced toto misdemeanorsmisdemeanors underunder PenalPenal CodeCode sectionsection 17(b)17(b) andand eligibleeligible misdemeanormisdemeanor offensesoffenses bebe reducedreduced toto infractionsinfractions underunder PenalPenal CodeCode sectionsection 17(d)(2).17(d)(2).

9.9. PetitionerPetitioner requestsrequests thatthat petitionerpetitioner bebe permittedpermitted toto withdrawwithdraw thethe pleaplea ofof guilty,guilty, oror thatthat thethe verdictverdict oror findingfinding ofof guiltguilt bebe setset asideaside andand aa pleaplea ofof notnot guiltyguilty bebe enteredentered andand thethe courtcourt dismissdismiss thisthis actionaction underunder thethe PenalPenal CodeCode section(s)section(s) notednoted above.above.

Date: WriteWrite today'stoday's datedateDate:

(TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE(SIGNATURE OFOF PETITIONERPETITIONER OROR ATTORNEY)ATTORNEY)

CR-180CR-180 [Rev.[Rev. JanuaryJanuary1,1, 2024]2024] PETITION FOR DISMISSAL PagePage33 ofof 33 PETITION FOR DISMISSAL

MC-031MC-031 PLAINTIFF/PETITIONERPLAINTIFF/PETITIONER:: PeoplePeople ofof thethe StateState ofof CaliforniaCalifornia v.v. CASECASE NUMBER:NUMBER:

DEFENDANT/RESPONDENT:DEFENDANT/RESPONDENT:

THINGSTHINGS TOTO CONSIDERCONSIDER BEFOREBEFORE WRITINGWRITING YOURYOUR DECLARATIONDECLARATION (This(This formform mustmust bebe attachedattached toto anotheranother formform oror courtcourt paperpaper beforebefore itit cancan bebe filedfiled inin court.)court.)

TheThe declarationdeclaration isis youryour chancechance toto presentpresent youryour statementstatement andand evidenceevidence toto convinceconvince thethe judgejudge thatthat youyou deservedeserve aa dismissal.dismissal. HereHere areare somesome ideasideas thatthat youyou cancan includeinclude inin youryour declaration:declaration: 1.1. ExplainExplain thethe basicbasic informationinformation aboutabout youryour convictionconviction andand sentence.sentence. TellTell thethe judgejudge whywhy youryour convictionconviction meetsmeets thethe requirementsrequirements forfor dismissal.dismissal. 2.2. ExplainExplain whywhy grantinggranting youryour dismissaldismissal wouldwould bebe "in“in thethe interestsinterests ofof justice"justice"- meaningmeaning whywhy youyou deservedeserve toto havehave youryour convictionconviction dismissed,dismissed, andand howhow thethe dismissaldismissal willwill helphelp youyou succeedsucceed inin thethe future.future. a.a. HereHere areare somesome examplesexamples ofof thingsthings youyou maymay wantwant toto talktalk aboutabout (but(but onlyonly ifif theythey areare truetrue forfor youryour situation):situation): i.i. IfIftherethere werewere circumstancescircumstances thatthat mademade youryour lifelife especiallyespecially difficultdifficult atat timetime ofof youryour conviction;conviction; ii.ji, HowHow youyou areare turningturning youryour lifelife around;around; iii.ili, YourYour workwork and/orand/or schoolschool historyhistory (including(including anyany vocationalvocational training,training, GEDGED oror otherother classes,classes, andand otherother programsprograms you'veyou've participatedparticipated in);in); iv.iv. CurrentCurrent opportunitiesopportunities forfor work,work, school,school, andand otherother activitiesactivities toto enrichenrich youryour life,life, andand howhow dismissaldismissal willwill helphelp youyou taketake advantageadvantage ofof thesethese opportunities;opportunities; v.v. YourYour familyfamily situationsituation andand needs,needs, andand howhow aa dismissaldismissal willwill helphelp youyou reconnectreconnect with,with, support,support, oror otherwiseotherwise benefitbenefit youryour family;family; andand vi.vi. AnyAny problemsproblems youyou havehave hadhad completingcompleting probation,probation, andand whatwhat youyou areare doingdoing toto addressaddress thosethose problems.problems.

YouYou shouldshould bebe specificspecific andand honest,honest, andand includeinclude asas manymany detailsdetails asas possiblepossible toto givegive thethe judgejudge aa clearclear picturepicture ofof whatwhat happened.happened. ButBut youyou shouldshould notnot includeinclude irrelevantirrelevant oror unnecessaryunnecessary informationinformation thatthat mightmight distractdistract thethe judge.judge. YouYou maymay alsoalso includeinclude lettersletters ofof reference,reference, certificatescertificates ofof completioncompletion oror anyany otherother relevantrelevant documents.documents.

|I declaredeclare underunder penaltypenalty ofof perjuryperjury underunder thethe lawslaws ofof thethe StateState ofof CaliforniaCalifornia thatthat thethe foregoingforegoing isis truetrue andand correct.correct.

Date:Date:

SAMPLESAMPLE ONLY:ONLY: DODO NOTNOT FILEFILE THISTHIS PAGEPAGE

(TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE(SIGNATURE OFOF DECLARANT)DECLARANT)

PetitionerPetitioner DefendantDefendant D Attorney Attorney forfor D PlaintiffPlaintiff D I✓ I
OtherOther (Specify):(Specify): D RespondentRespondent D

Formparece JudicialJudicialApprovedCouncilCouncilCanaleforofofCoomeraOptionalCaliforniaCaliforniaUse ATTACHEDATTACHED DECLARATIONDECLARATION MC-031'MC-031 IRev.[Rev. JulyJuly 1,1, 2005]2005] PagePage 11 ofof11

Next,Next, onon formform CR-181,CR-181, fillfill outout thethe informationinformation inin thethe toptop boxesboxes ofof pagepage 11 andand pagepage 2.2. WriteWrite youryour fullfull namename asas shownshown inin youryour casecase file,file, youryour currentcurrent addressaddress andand contactcontact information,information, DateDate ofof BirthBirth andand CaseCase Number.Number. DoDo notnot fillfill outout thethe informationinformation belowbelow thethe boxes,boxes, asas thethe courtcourt willwill fillfill outout thethe restrest ofof thethe formform toto makemake orders.orders. CR-181CR-18 ATTORNEY‘ATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEYATTORNEY STATE‘STATE BARBAR NUMBER:NUMBER: FORFOR COURTCOURT USEUSE ONLYONLY NAME:NAME: WriteWrite youryour fullfull namename asas shownshown inin thethe casecase file,file, youryour FIRMFIRM NAME:NAME: currentcurrent addressaddress andand contactcontact information.information. STREETSTREET ADDRESS:ADDRESS: CITY:cry: STATE:STATE: ZIPZIP CODE:CODE: TELEPHONETELEPHONE NO.:NO. FAXFAX NO.:NO. EMAILEMAIL ADDRESS.ADDRESS: ATTORNEYATTORNEY FORFOR (name):(name):

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF ‘STREETSTREET ADDRESS:ADDRESS: MAILINGMAILING ADDRESS:ADDRESS: CITYICITY ANDAND ZIPZIP CODE:CODE:

PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: WriteWrite youryour namename asas shownshown inin thethe casecase

ORDERORDER FORFOR DISMISSALDISMISSAL CASECASE NUMBER:NUMBER:

(Pen.(Pen. Code,Code, §§§§ 17(b),17(b), 17(d)(2),17(d)(2), 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, 1203.43,1203.43, 1203.49)1203.49)| WriteWrite youryour casecase numbernumber

FromFrom thethe petitionpetition filedfiled inin thisthis matter,matter, thethe recordsrecords ofof thethe court,court, andand anyany otherother evidenceevidence presentedpresented inin thisthis matter,matter, thethe courtcourt ordersorders asas follows:follows: LeaveLeave thethe restrest ofof thisthis pagepage blankblank 1.1. TheThe courtcourt GRANTSGRANTS thethe petitionpetition forfor reductionreduction ofof aa felonyfelony toto aa misdemeanormisdemeanor (maximum(maximum punishmentpunishment ofof 364364 daysdays perper Pen.Pen. Code,Code, §§ 18.5)18.5) underunder PenalPenal CodeCode sectionsection 17(b)17(b) and/orand/or forfor reductionreduction ofof aa misdemeanormisdemeanor toto anan infractioninfraction underunder PenalPenal CodeCode sectionsection 17(d)(2)17(d)(2) andand reducesreduces a.a. ALLALL FELONYFELONY CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. b.b. ALLALL MISDEMEANORMISDEMEANOR CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. c.c. onlyonly thethe followingfollowing convictionsconvictions inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate ofof conviction):conviction):

2.2. TheThe courtcourt DENIESDENIES thethe petitionpetition forfor reductionreduction ofof aa felonyfelony toto aa misdemeanormisdemeanor underunder PenalPenal CodeCode sectionsection 17(b)17(b) and/orand/or forfor reductionreduction ofof aa misdemeanormisdemeanor toto anan infractioninfraction underunder PenalPenal CodeCode sectionsection 17(d)(2)17(d)(2) forfor a.a. ALLALL FELONYFELONY CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. b.b. ALLALL MISDEMEANORMISDEMEANOR CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. c.c. onlyonly thethe followingfollowing convictionsconvictions inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate ofof conviction):conviction):

3.3. TheThe courtcourt GRANTSGRANTS thethe petitionpetition forfor dismissaldismissal regardingregarding thethe followingfollowing convictionsconvictions underunder PenalPenal CodeCode (check(check allall thatthat apply)apply) §§ 1203.41203.4 §§ 1203.4a1203.4a §§ 1203.411203.41 §§ 1203.421203.42 §§ 1203.431203.43 §§ 1203.491203.49 andand itit isis orderedordered thatthat thethe pleaspleas ofof guiltyguilty oror nolonolo contenderecontendere oror verdictsverdicts oror findingsfindings ofof guiltguilt bebe setset asideaside andand vacatedvacated andand aa pleaplea ofof notnot guiltyguilty bebe enteredentered andand thatthat thethe complaintcomplaint oror informationinformation be,be, andand isis hereby,hereby, dismisseddismissed forfor (check(check one)one)

a.a. ALLALL CONVICTIONSCONVICTIONS OROR PLEASPLEAS FORFOR DEFERREDDEFERRED ENTRYENTRY OFOF JUDGMENTJUDGMENT inin thethe above-entitledabove-entitled action.action.
b.b. onlyonly thethe followingfollowing convictionsconvictions oror pleaspleas forfor deferreddeferred entryentry ofof judgmentjudgment inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate
ofof convictionconviction oror pleaplea forfor deferreddeferred entryentry ofof judgment):judgment):

Pagepage 1 oftof 22

FormForm ApprovedApproved forfor Judicial OptionalOptional UseUse ORDERORDER FORFOR DISMISSALDISMISSAL PenalPenal Code,Code,1203.41,1203.41,§§§§ 17(b),17(b),1203.42,1203.42,17(d)(2),17(d)(2),1203.43,1203.43,1203.4,1203.4,andand 1203.4a,1203.4a,1203.491203.49Judicial CouncilCouncil ofof CaliforniaCalifornia CR-181CR-181 [Rev.(Rev. JanuaryJanuary 1,1, 2024]2024] www.courts.ca.govwwnw.courts.ca.gov

CR-181CR-181 PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: (CASECASE NUMBER:NUMBER: WriteWrite youryour fullfull namename asas shownshown inin thethe casecase filefile WriteWrite youryour casecase numbernumber 4.4. TheThe courtcourt DENIESDENIES thethe petitionpetition forfor dismissaldismissal underunder PenalPenal CodeCode (check(check allall thatthat apply)apply) Leave~ Leave thethe restrest ofof thisthis pagepage blankblank §§ 1203.41203.4 §§ 1203.4a1203.4a §§ 1203.411203.41 §§ 1203.421203.42 §§ 1203.431203.43 §§ 1203.491203.49 forfor (check(check one)one) a.a. ALLALL CONVICTIONSCONVICTIONS OROR PLEASPLEAS FORFOR DEFERREDDEFERRED ENTRYENTRY OFOF JUDGMENTJUDGMENT inin thethe above-entitledabove-entitled action.action. b.b. onlyonly thethe followingfollowing convictionsconvictions oror pleaspleas forfor deferreddeferred entryentry ofof judgmentjudgment inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate ofof convictionconviction oror pleaplea forfor deferreddeferred entryentry ofof judgment):judgment):

5.5. InIn grantinggranting thisthis orderorder underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.49,1203.49, thethe courtcourt findsfinds thatthat thethe petitionerpetitioner waswas aa victimvictim ofof humanhuman traffickingtrafficking whenwhen petitionerpetitioner committedcommitted thethe crime.crime. a.a. TheThe courtcourt ordersorders (check(check one):one):

(1)(1) thethe reliefrelief describeddescribed inin sectionsection 1203.4.1203.4.

(2)(2) thethe reliefrelief describeddescribed inin sectionsection 1203.4,1203.4, withwith thethe followingfollowing exceptionsexceptions (specify):(specify):

b.b. TheThe DepartmentDepartment ofof JusticeJustice isis herebyhereby notifiednotified thatthat petitionerpetitioner waswas aa victimvictim ofof humanhuman traffickingtrafficking whenwhen petitionerpetitioner committedcommitted thethe crime,crime, andand notifiednotified ofof thethe reliefrelief ordered.ordered. 6.6. IfIf thisthis orderorder isis grantedgranted underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.4,1203.4, 1203.41,1203.41, oror 1203.42,1203.42, a.a. thethe petitionerpetitioner isis requiredrequired toto disclosedisclose thethe aboveabove convictionconviction inin responseresponse toto anyany directdirect questionquestion containedcontained inin anyany questionnairequestionnaire oror applicationapplication forfor publicpublic office,office, oror forfor licensurelicensure byby anyany statestate oror locallocal agencyagency (or,(or, underunder PenalPenal CodeCode sectionsection 1203.41,1203.41, forfor licensurelicensure byby aa federallyfederally recognizedrecognized tribetribe oror forfor enrollmentenrollment asas aa providerprovider ofof in-homein-home supportivesupportive servicesservices andand "waiver"waiver personalpersonal carecare services"services" (see(see Welf.Welf. && Inst.Inst. Code,Code, §§§§ 12300–12318,12300-12318, 14132.95,14132.95, 14132.952,14132.952, 14132.956,14132.956, 14132.97)),14132.97)), oror forfor contractingcontracting withwith thethe CaliforniaCalifornia StateState LotteryLottery Commission;Commission; andand b.b. dismissaldismissal ofof thethe convictionconviction doesdoes notnot automaticallyautomatically relieverelieve petitionerpetitioner fromfrom thethe requirementrequirement toto registerregister asas aa sexsex offender.offender. (See,(See, e.g.,e.g., Pen.Pen. Code,Code, §§ 290.5.)290.5.) 7.7. IfIf thisthis orderorder isis grantedgranted underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, oror 1203.49,1203.49, thethe petitionerpetitioner isis releasedreleased fromfrom allall penaltiespenalties andand disabilitiesdisabilities resultingresulting fromfrom thethe offenseoffense exceptexcept asas providedprovided inin PenalPenal CodeCode sectionssections 2980029800 andand 2990029900 (formerly(formerly sectionssections 1202112021 andand 12021.1)12021.1) andand VehicleVehicle CodeCode sectionsection 13555.13555. InIn anyany subsequentsubsequent prosecutionprosecution ofof thethe petitionerpetitioner forfor anyany otherother offense,offense, thethe priorprior convictionconviction maymay bebe pleadedpleaded andand provedproved andand shallshall havehave thethe samesame effecteffect asas ifif probationprobation hadhad notnot beenbeen grantedgranted oror thethe accusationaccusation oror informationinformation dismissed.dismissed. TheThe dismissaldismissal doesdoes notnot permitpermit aa personperson toto own,own, possess,possess, oror havehave inin theirtheir controlcontrol aa firearmfirearm ifif preventedprevented byby PenalPenal CodeCode sectionsection 2980029800 oror 2990029900 (formerly(formerly sectionssections 1202112021 andand 12021.1).12021.1). DismissalDismissal ofof aa convictionconviction doesdoes notnot permitpermit aa personperson prohibitedprohibited fromfrom holdingholding publicpublic officeoffice asas aa resultresult ofof thatthat convictionconviction toto holdhold publicpublic office.office.

8.8. DismissalDismissal underunder PenalPenal CodeCode sectionsection 1203.41203.4 oror 1203.4a1203.4a doesdoes notnot releaserelease petitionerpetitioner fromfrom thethe termsterms andand conditionsconditions ofof anyany unexpiredunexpired criminalcriminal protectiveprotective orderorder issuedissued underunder PenalPenal CodeCode sectionsection 136.2(i)(1),136.2(i)(1), 273.5(j),273.5(j), 368(l),368(/), oror 646.9(k).646.9(k). FORFOR COURTCOURT USEUSE ONLYONLY 9.9. InIn addition,addition, asas requiredrequired byby PenalPenal CodeCode sectionsection 299(f),299(f), reliefrelief underunder PenalPenal CodeCode sectionsection 17(b),17(b), 17(d)(2),17(d)(2), 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, oror 1203.491203.49 doesdoes notnot releaserelease petitionerpetitioner fromfrom thethe separateseparate administrativeadministrative dutyduty toto provideprovide specimens,specimens, samples,samples, oror printprint impressionsimpressions underunder thethe DNADNA andand ForensicForensic IdentificationIdentification DatabaseDatabase andand DataData BankBank ActAct (Pen.(Pen. Code,Code, §§ 295295 etet seq.)seq.) ifif petitionerpetitioner waswas foundfound guiltyguilty byby aa triertrier ofof fact,fact, notnot guiltyguilty byby reasonreason ofof insanity,insanity, oror pledpled nono contestcontest toto aa qualifyingqualifying offenseoffense asas defineddefined inin PenalPenal CodeCode sectionsection 296(a).296(a). 10.10. TheThe basisbasis forfor anan orderorder ofof dismissaldismissal grantedgranted underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.431203.43 isis thethe invalidityinvalidity ofof petitioner'spetitioner's priorprior pleaplea duedue toto misinformationmisinformation inin formerformer PenalPenal CodeCode sectionsection 1000.41000.4 regardingregarding thethe actualactual consequencesconsequences ofof makingmaking aa pleaplea andand successfulsuccessful completioncompletion ofof aa deferreddeferred entryentry ofof judgmentjudgment program.program.

11.. Notice:Notice: ExceptExcept asas providedprovided inin PenalPenal CodeCode sectionsection 1203.425(a)(4),1203.425(a)(4), ifif thisthis orderorder isis grantedgranted underunder PenalPenal CodeCode sectionsection 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, oror 1203.42,1203.42, thethe courtcourt mustmust notnot disclosedisclose informationinformation concerningconcerning aa convictionconviction grantedgranted reliefrelief toto anyany personperson oror entity,entity, inin anyany format,format, exceptexcept toto thethe personperson whosewhose convictionconviction waswas grantedgranted reliefrelief oror toto aa criminalcriminal justicejustice agency.agency.

Date:Date: > (JUDICIAL(JUDIGIAL OFFICER)OFFICER) ‘CR-181CR-181 [Rev.(Rev. JanuaryJanuary 1,1, 2024]2024) ORDERORDER FORFOR DISMISSALDISMISSAL PagePage22 ofof 22

STEPSTEP 4:4: SERVESERVE THETHE DISTRICTDISTRICTATTORNEY'SATTORNEY ’ S OFFICEOFFICE

MakeMake twotwo copiescopies ofof youryour completedcompleted CR-180CR-180 andand attachments.attachments. YouYou maymay bringbring youryour completedcompleted formsforms inin personperson toto thethe DistrictDistrict Attorney'sAttorney's OfficeOffice andand havehave themthem stamp-receivestamp-receive aa serviceservice copy.copy. Alternatively,Alternatively, havehave someonesomeone else,else, otherother thanthan you,you, whowho isis overover thethe ageage ofof 18,18, serveserve 11 copycopy toto thethe DistrictDistrict Attorney'sAttorney's OfficeOffice byby mail.mail. TheThe adultadult thatthat servedserved thethe DistrictDistrict Attorney'sAttorney's OfficeOffice mustmust completecomplete aa ProofProof ofof ServiceService formform (form(form CR-106).CR-106).

STEPSTEP 5:5: FILEFILE YOURYOUR DOCUMENTSDOCUMENTS YouYou shouldshould havehave anan originaloriginal andand aa copycopy ofof thethe completedcompleted CR-180CR-180 (with(with attachments)attachments) andand CR-181.CR-181. MakeMake aa copycopy ofof thethe completedcompleted ProofProof ofof ServiceService (form(form CR-106),CR-106), whichwhich waswas signedsigned byby thethe personperson whowho servedserved thethe copiescopies toto thethe DA'sDA ’s office,office, andand gathergather allall thethe formsforms toto filefile withwith thethe court.court.

ToTo filefile inin person,person, gogo toto CriminalCriminal Clerk'sClerk's officeoffice atat thethe JusticeJustice CenterCenter wherewhere youryour casecase waswas filed.filed. PresentPresent thethe originaloriginal andand thethe copies.copies. TheThe clerkclerk willwill stampstamp bothboth setssets ofof documents.documents. TheThe originaloriginal willwill remainremain withwith thethe courtcourt andand aa conformedconformed copycopy willwill bebe returnedreturned toto youyou forfor youryour ownown records.records.

Or,Or, youyou couldcould filefile byby mail,mail, byby sendingsending youryour documentsdocuments toto thethe court,court, addressingaddressing thethe envelopeenvelope toto thethe JusticeJustice CenterCenter asas thethe recipient.recipient. ToTo ensureensure thatthat thethe conformedconformed copiescopies willwill bebe returnedreturned toto you,you, includeinclude aa self-addressedself-addressed stampedstamped envelopeenvelope inin youryour package,package, soso thatthat thethe clerkclerk cancan sendsend youryour copiescopies afterafter filingfiling youryour originaloriginal documents.documents.

STEPSTEP 6:6: WAITWAIT FORAFORA RULINGRULING OROR FORAFORA HEARINGHEARING DATEDATE TOTO BEBE SETSET

OnceOnce youyou filefile youryour documents,documents, aa judgejudge willwill reviewreview youryour request.request. DependingDepending onon thethe factsfacts ofof youryour case,case, aa judgejudge cancan approveapprove oror denydeny youryour requestrequest withoutwithout aa hearing.hearing. TheThe judgejudge alsoalso hashas thethe abilityability toto setset aa hearing.hearing. IfIf aa hearinghearing isis scheduled,scheduled, itit isis crucialcrucial thatthat youyou appearappear onon thethe dayday ofof thethe hearinghearing oror thethe courtcourt willwill likelylikely denydeny youryour petition.petition. IfIf youryour petitionpetition isis granted,granted, youyou needneed toto verifyverify thatthat youyou havehave paidpaid anyany feesfees imposedimposed byby thethe courtcourt oror youyou willwill notnot receivereceive youryour certificate.certificate.

SHC-CRIM-01 Information Sheet SHC-CRIM-01 Information Sheet

YourYour FullFull Name:Name: _______________________________________________________________________

YourYour StreetStreet Address:Address: ____________________________________________________________________

City:City: _______________________________, State:State: _________ ZipZip Code:Code: ___________

YourYour PhonePhone Number:Number: _______________________________

YourYour E-mailE-mail Address:Address: ____________________________________________________________

YourYour DateDate ofof BirthBirth (MM/DD/YYYY):(MM/DD/YYYY): ____________________

YourYour CourtCourt CaseCase Number:Number: ____________________________

YourYour ViolationViolation (Code/Section):(Code/Section): _________________________________________________________

ConvictionConviction DateDate (MM/DD/YYYY):(MM/DD/YYYY): ______________________

TodayToday’s’s DateDate (MM/DD/YYYY):(MM/DD/YYYY): _________________________

CR-180CR-180 [ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEYATTORNEY STATESTATE BARBAR NUMBER:NUMBER: FORFOR COURTCOURT USEUSE ONLYONLY NAME:NAME: FIRMFIRM NAME:NAME: STREETSTREET ADDRESS:ADDRESS: city:CITY: STATE:STATE: ZIPZIP CODE:CODE: TELEPHONETELEPHONE NO.:NO. FAXFAX NO.:NO. EMAILEMAIL ADDRESS:ADDRESS: ATTORNEYATTORNEY FORFOR (name):(name):

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF STREET‘STREET ADDRESS:ADDRESS: MAILINGMAILING ADDRESS:ADDRESS: [CITYCITY ANDAND ZIPZIP CODE:CODE:

PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA CASECASE NUMBER:NUMBER v.Vv. DEFENDANT:DEFENDANT: FORFOR COURTCOURT USEUSE ONLYONLY PETITIONPETITION FORFOR DISMISSALDISMISSAL DATE:DATE: (Pen.(Pen. Code,Code, §§§§ 17(b),17(b), 17(d)(2),17(d)(2), 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, 1203.43,1203.43, 1203.49)1203.49)| TIME:TIME: DEPARTMENT:DEPARTMENT:

NoteNote toto petitioner:petitioner: YourYour convictionconviction maymay havehave alreadyalready beenbeen automaticallyautomatically dismisseddismissed byby thethe CaliforniaCalifornia DepartmentDepartment ofof JusticeJustice (DOJ)(DOJ) underunder PenalPenal CodeCode sectionsection 1203.425.1203.425. IfIf so,so, thisthis petitionpetition maymay bebe unnecessary—butunnecessary —but therethere maymay bebe additionaladditional benefitsbenefits toto filingfiling itit withwith thethe court,court, includingincluding felonyfelony reductionreduction underunder PenalPenal CodeCode sectionsection 17(b).17(b). IfIf youyou wantwant toto knowknow ifif youryour convictionconviction hashas alreadyalready beenbeen dismissed,dismissed, youyou cancan requestrequest youryour RecordRecord ofof ArrestArrest andand ProsecutionProsecution (RAP)(RAP) sheetsheet fromfrom thethe DOJ,DOJ, butbut thisthis isis notnot required.required.

1.1. OnOn (date):(date): ,, thethe petitionerpetitioner (the(the defendantdefendant inin thethe above-entitledabove-entitled criminalcriminal action)action) waswas convictedconvicted ofof aa violationviolation ofof thethe followingfollowing offensesoffenses oror waswas grantedgranted deferreddeferred entryentry ofof judgmentjudgment forfor thethe followingfollowing offenses:offenses: CodeCode SectionSection _| TypeType ofof offenseoffense (felony,(felony, EligibleEligible forfor reductionreduction toto EligibleEligible forfor reductionreduction toto (Penal,(Penal, misdemeanor,misdemeanor, oror infraction)infraction) misdemeanormisdemeanor underunder PenalPenal | infractioninfraction underunder PenalPenal Vehicle,Vehicle, etc.)etc.) Code,Code, §§ 17(b)17(b) (yes(yes oror no)no) Code,Code, §§ 17(d)(2)17(d)(2) (yes(yes oror no)no)

IfIf additionaladditional spacespace isis neededneeded forfor listinglisting offenses,offenses, useuse AttachmentAttachment toto JudicialJudicial CouncilCouncil FormForm (form(form MC-025).MC-025).

2.2. FelonyFelony oror misdemeanormisdemeanor withwith probationprobation grantedgranted (Pen.(Pen. Code,Code, §§ 1203.4)1203.4) ProbationProbation waswas grantedgranted onon thethe termsterms andand conditionsconditions statedstated inin thethe docketdocket ofof thethe above-entitledabove-entitled court;court; thethe petitionerpetitioner isis notnot servingserving aa sentencesentence forfor anyany offense,offense, onon probationprobation forfor anyany offense,offense, oror currentlycurrently chargedcharged withwith committingcommitting anyany crime,crime, andand thethe petitionerpetitioner (check(check allall thatthat apply)apply) a.a. hashas fulfilledfulfilled thethe conditionsconditions ofof probationprobation forfor thethe entireentire periodperiod thereof.thereof. b.b. hashas beenbeen dischargeddischarged fromfrom probationprobation priorprior toto thethe terminationtermination ofof thethe periodperiod thereof.thereof. c.c. shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofof justice.justice. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace below,below, oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC- or AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petitpetition.)

PagePage 11 ofof 33

FormForm ApprovedApproved forfor OptionalOptional UseUse PenalPenal Gode,Code, 66§§ 170),17(b), 17(d)(2),TTD, 1203.4,12004, 1203.4a,120845JudicialJudicial CouncilCouncil ofof CaliforniaCalifornia PETITIONPETITION FORFOR DISMISSALDISMISSAL 1203.41,1203.41, 1203.42,1203.42, 1203.43,1203.43, andand 1203.491203.49GeoCR-180 (Ren.[Rev. JancaryJanuary 1, 120242024] wonwww.courts.ca.govcourts 2 907

CR-180CR-180 PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: CASECASE NUMBER:NUMBER:

3.3. MisdemeanorMisdemeanor oror infractioninfraction withwith sentencesentence otherother thanthan probationprobation (Pen.(Pen. Code,Code, §§ 1203.4a)1203.4a) ProbationProbation waswas notnot granted;granted; moremore thanthan oneone yearyear hashas elapsedelapsed sincesince judgmentjudgment waswas pronounced.pronounced. PetitionerPetitioner hashas compliedcomplied withwith thethe sentencesentence ofof thethe courtcourt andand isis notnot servingserving aa sentencesentence forfor anyany offenseoffense oror currentlycurrently chargedcharged withwith committingcommitting anyany crime;crime; andand thethe petitionerpetitioner (check(check one)one) a.a. hashas livedlived anan honesthonest andand uprightupright lifelife sincesince pronouncementpronouncement ofof judgmentjudgment andand conformedconformed toto andand obeyedobeyed thethe lawslaws ofof thethe land;land; oror b.b. shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofof justice.justice. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

4.4. MisdemeanorMisdemeanor convictionconviction underunder PenalPenal CodeCode sectionsection 647(b)647(b) (Pen.(Pen. Code,Code, §§ 1203.49)1203.49) PetitionerPetitioner hashas completedcompleted aa termterm ofof probationprobation forfor aa convictionconviction underunder PenalPenal CodeCode sectionsection 647(b)647(b) andand shouldshould bebe grantedgranted reliefrelief becausebecause thethe convictionconviction waswas thethe resultresult ofof petitioner'spetitioner's statusstatus asas aa victimvictim ofof humanhuman trafficking.trafficking. (Please(Please provideprovide evidenceevidence thatthat thethe convictionconviction waswas thethe resultresult ofof youryour statusstatus asas aa victimvictim ofof humanhuman trafficking.trafficking. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

5.5. FelonyFelony countycounty jailjail sentencesentence underunder PenalPenal CodeCode sectionsection 1170(h)(5)1170(h)(5) oror felonyfelony statestate prisonprison sentencesentence (Pen.(Pen. Code,Code, §§ 1203.41)1203.41) PetitionerPetitioner isis notnot onon paroleparole oror underunder supervisionsupervision underunder PenalPenal CodeCode sectionsection 1170(h)(5)(B);1170(h)(5)(B); isis notnot servingserving aa sentencesentence for,for, onon probationprobation for,for, oror currentlycurrently chargedcharged withwith committingcommitting anyany crime;crime; andand shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofofjustice,justice, andand (check(check one)one) a.a. moremore thanthan oneone yearyear hashas elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony countycounty jailjail sentencesentence withwith aa periodperiod ofof mandatorymandatory supervisionsupervision imposedimposed underunder PenalPenal CodeCode sectionsection 1170(h)(5)(B).1170(h)(5)(B). b.b. moremore thanthan twotwo yearsyears havehave elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony countycounty jailjail sentencesentence withoutwithout aa periodperiod ofof mandatorymandatory supervisionsupervision imposedimposed underunder PenalPenal CodeCode sectionsection 1170(h)(5)(A).1170(h)(5)(A). c.c. moremore thanthan twotwo yearsyears havehave elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony statestate prisonprison sentence,sentence, andand thethe convictionconviction diddid notnot resultresult inin aa requirementrequirement toto registerregister asas aa sexsex offenderoffender underunder ChapterChapter 5.55.5 (starting(starting withwith sectionsection 290)290) ofof TitleTitle 99 ofof PartPart 11 ofof thethe PenalPenal Code.Code. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

PagePage 220f3of 3CR-180CR-180 [Rev[Rev. JanuaryJanary1,1, 2024]2024 PETITIONPETITION FORFOR DISMISSALDISMISSAL

CR-180CR-180 PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: ‘CASECASE NUMBER:NUMBER:

6. FelonyFelony prisonprison sentencesentence thatthat wouldwould havehave beenbeen eligibleeligible forfor aa felonyfelony countycounty jailjail sentencesentence afterafter 20112011 underunder PenalPenal CodeCode sectionsection 1170(h)(5)1170(h)(5) (Pen.(Pen. Code,Code, §§ 1203.42)1203.42) PetitionerPetitioner isis notnot underunder supervisionsupervision andand isis notnot servingserving aa sentencesentence for,for, onon probationprobation for,for, oror currentlycurrently chargedcharged withwith committingcommitting anyany crime;crime; moremore thanthan twotwo yearsyears havehave elapsedelapsed sincesince petitionerpetitioner completedcompleted thethe felonyfelony prisonprison sentence;sentence; andand petitionerpetitioner shouldshould bebe grantedgranted reliefrelief inin thethe interestsinterests ofofjustice.justice. (Please(Please note:note: YouYou maymay explainexplain whywhy grantinggranting aa dismissaldismissal wouldwould bebe inin thethe interestsinterests ofof justice.justice. YouYou cancan provideprovide thatthat informationinformation byby writingwriting inin thethe spacespace belowbelow oror byby attachingattaching aa letterletter oror otherother relevantrelevant documents.documents. IfIf youyou needneed moremore spacespace forfor youryour writing,writing, youyou cancan useuse AttachmentAttachment (form(form MC-025)MC-025) oror AttachedAttached DeclarationDeclaration (form(form MC-031)MC-031) (which(which isis signedsigned underunder penaltypenalty ofof perjury)perjury) andand attachattach itit toto thisthis petition.)petition.)

7.7. DeferredDeferred entryentry ofof judgmentjudgment (Pen.(Pen. Code,Code, §§ 1203.43)1203.43) PetitionerPetitioner performedperformed satisfactorilysatisfactorily duringduring thethe periodperiod inin whichwhich deferreddeferred entryentry ofof judgmentjudgment waswas granted.granted. TheThe criminalcriminal charge(s)charge(s) werewere dismisseddismissed underunder formerformer PenalPenal CodeCode sectionsection 1000.31000.3 onon (date):(date): .. FurthermoreFurthermore (check(check one),one),

a.a. courtcourt recordsrecords areare availableavailable showingshowing thethe casecase resolution;resolution; oror

b.b. petitionerpetitioner declaresdeclares underunder penaltypenalty ofof perjuryperjury thatthat thethe chargescharges werewere dismisseddismissed afterafter petitionerpetitioner completedcompleted thethe requirementsrequirements
forfor deferreddeferred entryentry ofof judgment.judgment. PetitionerPetitioner (check(check one)one)
(1)(1) hashas
(2)(2) hashas notnot
attachedattached aa copycopy ofof petitioner'spetitioner's statestate summarysummary criminalcriminal historyhistory information.information.

8.8. PetitionerPetitioner requestsrequests thatthat thethe eligibleeligible felonyfelony offensesoffenses listedlisted aboveabove bebe reducedreduced toto misdemeanorsmisdemeanors underunder PenalPenal CodeCode sectionsection 17(b)17(b) andand eligibleeligible misdemeanormisdemeanor offensesoffenses bebe reducedreduced toto infractionsinfractions underunder PenalPenal CodeCode sectionsection 17(d)(2).17(d)(2).

9.9. PetitionerPetitioner requestsrequests thatthat petitionerpetitioner bebe permittedpermitted toto withdrawwithdraw thethe pleaplea ofof guilty,guilty, oror thatthat thethe verdictverdict oror findingfinding ofof guiltguilt bebe setset asideaside andand aa pleaplea ofof notnot guiltyguilty bebe enteredentered andand thethe courtcourt dismissdismiss thisthis actionaction underunder thethe PenalPenal CodeCode section(s)section(s) notednoted above.above.

Date:Date:

(TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE(SIGNATURE OFOF PETITIONERPETITIONER OROR ATTORNEY)ATTORNEY)

CR-180CR-180 [Rev.[Rev. JanuaryJanuary1,1, 2024]2024] PETITION FOR DISMISSAL PagePage33 ofof 33 PETITION FOR DISMISSAL

0&MC-031 PLAINTIFF/PETITIONER: 3/$,17,)) 3(7,7,21(5 PeoplePeople ofof thethe StateState ofof CaliforniaCalifornia &$6(CASE 180%(5NUMBER:

'()(1'$17DEFENDANT/RESPONDENT:5(6321'(17

SAMPLESAMPLE '(&/$5$7,21DECLARATION

(This(This formform mustmust bebe attachedattached toto anotheranother formform oror courtcourt paperpaper beforebefore itit cancan bebe filedfiled inin court.)court.)

TheThe declarationdeclaration isis youryour chancechance toto presentpresent evidenceevidence toto convinceconvince thethe judgejudge thatthat youyou deservedeserve aa dismissal.dismissal.
HereHere areare somesome ideasideas thatthat youyou cancan includeinclude inin youryour declaration:declaration:
1.1. ExplainExplain thethe basicbasic informationinformation aboutabout youryour convictionconviction andand sentence.sentence. TellTell thethe judgejudge whywhy youryour convictionconviction meetsmeets thethe requirementsrequirements forfor dismissal.dismissal.
2.2. ExplainExplain whywhy grantinggranting youryour dismissaldismissal wouldwould bebe “in“in thethe interestinterest ofof justice"—justice”— meaningmeaning whywhy youyou deservedeserve toto havehave youryour convictionconviction dismissed,dismissed, andand howhow thethe
dismissaldismissal willwill helphelp youyou succeedsucceed inin thethe future.future.
a.a. HereHere areare somesome examplesexamples ofof thingsthings youyou maymay wantwant toto talktalk aboutabout (but(but onlyonly ifif theythey areare truetrue forfor youryour situation):situation):
i.i. IfIf therethere werewere circumstancescircumstances thatthat mademade youryour lifelife especiallyespecially difficultdifficult atat timetime ofof youryour conviction;conviction;
ii.ii. HowHow youyou areare turningturning youryour lifelife around;around;
iii.ili, YourYour workwork and/orand/or schoolschool historyhistory (including(including anyany vocationalvocational training,training, GEDGED oror otherother classes,classes, andand otherother programsprograms you’veyou've participatedparticipated
in);in);
iv.iv. CurrentCurrent opportunitiesopportunities forfor work,work, school,school, andand otherother activitiesactivities toto enrichenrich youryour life,life, andand howhow dismissaldismissal willwill helphelp youyou taketake advantageadvantage ofof
thesethese opportunities;opportunities;
v.v. YourYour familyfamily situationsituation andand needs,needs, andand howhow anan dismissaldismissal willwill helphelp youyou reconnectreconnect with,with, support,support, oror otherwiseotherwise benefitbenefit youryour family;family; andand
vi.vi. AnyAny problemsproblems youyou havehave hadhad completingcompleting probation,probation, andand whatwhat youyou areare doingdoing toto addressaddress thosethose problems.problems.

YouYou shouldshould bebe specificspecific andand honest,honest, andand includeinclude asas manymany detailsdetails asas possiblepossible toto givegive thethe judgejudge aa clearclear picturepicture ofof whatwhat happened.happened. ButBut youyou shouldshould
notnot includeinclude irrelevantirrelevant oror unnecessaryunnecessary informationinformation thatthat mightmight distractdistract thethe judge.judge.

YouYou maymay alsoalso includeinclude lettersletters ofof reference,reference, certificatescertificates ofof completioncompletion oror anyany otherother relevantrelevant documents.documents.

,| declareGHFODUH XQGHUunder SHQDOW\penalty RIof SHUMXU\perjury XQGHUunder WKHthe ODZVlaws ofRI theWKH 6WDWHState RIof &DOLIRUQLDCalifornia WKDWthat WKHthe foregoingIRUHJRLQJ LVis trueWUXH andDQG FRUUHFWcorrect.

'DWHDate:

(TYPE7<3( 25OR 35,17PRINT 1$0(NAME) (SIGNATURE6,*1$785( 2)OF '(&/$5$17DECLARANT)

$WWRUQH\Attorney IRUfor ] 3ODLQWLIIPlaintiff Petitioner3HWLWLRQHU ✔ 'HIHQGDQWDefendant
5HVSRQGHQWRespondent [_] 2WKHUOther (Specify):(Specify):

)RUPForm $SSURYHGApproved IRUfor 2SWLRQDOOptional 8VHUse ATTACHED DECLARATION -XGLFLDOJudicial &RXQFLOCouncil RIof California&DOLIRUQLD $77$&+(' '(&/$5$7,21 0&MC-031 >5HY(Rev. -XO\July 1, 2005]@ 3DJHPage 1 ofRI t

MC-031MC-031 PLAINTIFF/PETITIONER: PeoplePeople ofof thethe StateState ofof CaliforniaCalifornia CASECASE NUMBER:NUMBER: PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:DEFENDANT/RESPONDENT:

DECLARATIONDECLARATION

(This(This formform mustmust bebe attachedattached toto anotheranother formform oror courtcourt paperpaper beforebefore itit cancan bebe filedfiled inin court.)court.)

I| declaredeclare underunder penaltypenalty ofof perjuryperjury underunder thethe lawslaws ofof thethe StateState ofof CaliforniaCalifornia thatthat thethe foregoingforegoing isis truetrue andand correct.correct.

Date:Date:

(TYPE(TYPE OROR PRINTPRINT NAME)NAME) (SIGNATURE(SIGNATURE OFOF DECLARANT)DECLARANT)

AttorneyAttorney forfor ] PlaintiffPlaintiff PetitionerPetitioner LC] DefendantDefendant
RespondentRespondent [_] OtherOther (Specify):(Specify):

FormjloJudicialApprovedCouncilGounclforofofOptionalCaliforniaCalorieUse ATTACHEDATTACHED DECLARATIONDECLARATION MC-031MC-031 [Rev.(Rev. JulyJuly 1,1, 2005]2005] PagePage 11 ofof t1

CR-181CR-18: [ATTORNEYATTORNEY OROR PARTYPARTY WITHOUTWITHOUT ATTORNEYATTORNEY STATE‘STATE BARBAR NUMBER:NUMBER: FORFOR COURTCOURT USEUSE ONLYONLY NAME:NAME: FIRMFIRM NAME:NAME: STREETSTREET ADDRESS:ADDRESS: CITY:city: STATE:STATE: ZIPZIP CODE:CODE: TELEPHONETELEPHONE NO.:NO. FAXFAX NO.:NO. EMAILEMAIL ADDRESS:ADDRESS: ATTORNEYATTORNEY FORFOR (name):(name):

SUPERIORSUPERIOR COURTCOURT OFOF CALIFORNIA,CALIFORNIA, COUNTYCOUNTY OFOF ‘STREETSTREET ADDRESS:ADDRESS: MAILINGMAILING ADDRESS:ADDRESS: CITYICITY ANDAND ZIPZIP CODE:CODE:

PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT:

NUMBER:NUMBER: ORDERORDER FORFOR DISMISSALDISMISSAL CASECASE

(Pen.(Pen. Code,Code, §§§§ 17(b),17(b), 17(d)(2),17(d)(2), 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, 1203.43,1203.43, 1203.49)1203.49)|

FromFrom thethe petitionpetition filedfiled inin thisthis matter,matter, thethe recordsrecords ofof thethe court,court, andand anyany otherother evidenceevidence presentedpresented inin thisthis matter,matter, thethe courtcourt ordersorders asas follows:follows: 1.1. TheThe courtcourt GRANTSGRANTS thethe petitionpetition forfor reductionreduction ofof aa felonyfelony toto aa misdemeanormisdemeanor (maximum(maximum punishmentpunishment ofof 364364 daysdays perper Pen.Pen. Code,Code, §§ 18.5)18.5) underunder PenalPenal CodeCode sectionsection 17(b)17(b) and/orand/or forfor reductionreduction ofof aa misdemeanormisdemeanor toto anan infractioninfraction underunder PenalPenal CodeCode sectionsection 17(d)(2)17(d)(2) andand reducesreduces a.a. ALLALL FELONYFELONY CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. b.b. ALLALL MISDEMEANORMISDEMEANOR CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. c.c. [-_] onlyonly thethe followingfollowing convictionsconvictions inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate ofof conviction):conviction):

2.2. TheThe courtcourt DENIESDENIES thethe petitionpetition forfor reductionreduction ofof aa felonyfelony toto aa misdemeanormisdemeanor underunder PenalPenal CodeCode sectionsection 17(b)17(b) and/orand/or forfor reductionreduction ofof aa misdemeanormisdemeanor toto anan infractioninfraction underunder PenalPenal CodeCode sectionsection 17(d)(2)17(d)(2) forfor a.a. ALLALL FELONYFELONY CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. b.b. ALLALL MISDEMEANORMISDEMEANOR CONVICTIONSCONVICTIONS inin thethe above-entitledabove-entitled action.action. c.c. onlyonly thethe followingfollowing convictionsconvictions inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate ofof conviction):conviction):

3.3. TheThe courtcourt GRANTSGRANTS thethe petitionpetition forfor dismissaldismissal regardingregarding thethe followingfollowing convictionsconvictions underunder PenalPenal CodeCode (check(check allall thatthat apply)apply) §§ 1203.41203.4 §§ 1203.4a1203.4a §§ 1203.411203.41 §§ 1203.421203.42 §§ 1203.431203.43 §§ 1203.491203.49 andand itit isis orderedordered thatthat thethe pleaspleas ofof guiltyguilty oror nolonolo contenderecontendere oror verdictsverdicts oror findingsfindings ofof guiltguilt bebe setset asideaside andand vacatedvacated andand aa pleaplea ofof notnot guiltyguilty bebe enteredentered andand thatthat thethe complaintcomplaint oror informationinformation be,be, andand isis hereby,hereby, dismisseddismissed forfor (check(check one)one)

a.a. ALLALL CONVICTIONSCONVICTIONS OROR PLEASPLEAS FORFOR DEFERREDDEFERRED ENTRYENTRY OFOF JUDGMENTJUDGMENT inin thethe above-entitledabove-entitled action.action.
b.b. onlyonly thethe followingfollowing convictionsconvictions oror pleaspleas forfor deferreddeferred entryentry ofof judgmentjudgment inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate
ofof convictionconviction oror pleaplea forfor deferreddeferred entryentry ofof judgment):judgment):

Pagepage 1 oftof 22

FormForm ApprovedApproved forfor Judicial OptionalOptional UseUse ORDERORDER FORFOR DISMISSALDISMISSAL PenalPenal Code,Code,1203.41,1203.41,§§§§ 17(b),17(b),1203.42,1203.42,17(d)(2),17(d)(2),1203.43,1203.43,1203.4,1203.4,andand 1203.4a,1203.4a,1203.491203.49Judicial CouncilCouncil ofof CaliforniaCalifornia CR-181CR-181 [Rev.(Rev. JanuaryJanuary 1,1, 2024]2024] www.courts.ca.govwwnw.courts.ca.gov

CR-181CR-181 PEOPLEPEOPLE OFOF THETHE STATESTATE OFOF CALIFORNIACALIFORNIA v.v. DEFENDANT:DEFENDANT: (CASECASE NUMBER:NUMBER:

4.4. TheThe courtcourt DENIESDENIES thethe petitionpetition forfor dismissaldismissal underunder PenalPenal CodeCode (check(check allall thatthat apply)apply) §§ 1203.41203.4 §§ 1203.4a1203.4a §§ 1203.411203.41 §§ 1203.421203.42 §§ 1203.431203.43 §§ 1203.491203.49 forfor (check(check one)one) a.a. ALLALL CONVICTIONSCONVICTIONS OROR PLEASPLEAS FORFOR DEFERREDDEFERRED ENTRYENTRY OFOF JUDGMENTJUDGMENT inin thethe above-entitledabove-entitled action.action. b.b. onlyonly thethe followingfollowing convictionsconvictions oror pleaspleas forfor deferreddeferred entryentry ofof judgmentjudgment inin thethe above-entitledabove-entitled actionaction (specify(specify chargescharges andand datedate ofof convictionconviction oror pleaplea forfor deferreddeferred entryentry ofof judgment):judgment):

5.5. InIn grantinggranting thisthis orderorder underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.49,1203.49, thethe courtcourt findsfinds thatthat thethe petitionerpetitioner waswas aa victimvictim ofof humanhuman traffickingtrafficking whenwhen petitionerpetitioner committedcommitted thethe crime.crime. a.a. TheThe courtcourt ordersorders (check(check one):one):

(1)(1) thethe reliefrelief describeddescribed inin sectionsection 1203.4.1203.4.

(2)(2) thethe reliefrelief describeddescribed inin sectionsection 1203.4,1203.4, withwith thethe followingfollowing exceptionsexceptions (specify):(specify):

b.b. TheThe DepartmentDepartment ofof JusticeJustice isis herebyhereby notifiednotified thatthat petitionerpetitioner waswas aa victimvictim ofof humanhuman traffickingtrafficking whenwhen petitionerpetitioner committedcommitted thethe crime,crime, andand notifiednotified ofof thethe reliefrelief ordered.ordered. 6.6. IfIf thisthis orderorder isis grantedgranted underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.4,1203.4, 1203.41,1203.41, oror 1203.42,1203.42, a.a. thethe petitionerpetitioner isis requiredrequired toto disclosedisclose thethe aboveabove convictionconviction inin responseresponse toto anyany directdirect questionquestion containedcontained inin anyany questionnairequestionnaire oror applicationapplication forfor publicpublic office,office, oror forfor licensurelicensure byby anyany statestate oror locallocal agencyagency (or,(or, underunder PenalPenal CodeCode sectionsection 1203.41,1203.41, forfor licensurelicensure byby aa federallyfederally recognizedrecognized tribetribe oror forfor enrollmentenrollment asas aa providerprovider ofof in-homein-home supportivesupportive servicesservices andand "waiver"waiver personalpersonal carecare services"services" (see(see Welf.Welf. && Inst.Inst. Code,Code, §§§§ 12300–12318,12300-12318, 14132.95,14132.95, 14132.952,14132.952, 14132.956,14132.956, 14132.97)),14132.97)), oror forfor contractingcontracting withwith thethe CaliforniaCalifornia StateState LotteryLottery Commission;Commission; andand b.b. dismissaldismissal ofof thethe convictionconviction doesdoes notnot automaticallyautomatically relieverelieve petitionerpetitioner fromfrom thethe requirementrequirement toto registerregister asas aa sexsex offender.offender. (See,(See, e.g.,e.g., Pen.Pen. Code,Code, §§ 290.5.)290.5.) 7.7. IfIf thisthis orderorder isis grantedgranted underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, oror 1203.49,1203.49, thethe petitionerpetitioner isis releasedreleased fromfrom allall penaltiespenalties andand disabilitiesdisabilities resultingresulting fromfrom thethe offenseoffense exceptexcept asas providedprovided inin PenalPenal CodeCode sectionssections 2980029800 andand 2990029900 (formerly(formerly sectionssections 1202112021 andand 12021.1)12021.1) andand VehicleVehicle CodeCode sectionsection 13555.13555. InIn anyany subsequentsubsequent prosecutionprosecution ofof thethe petitionerpetitioner forfor anyany otherother offense,offense, thethe priorprior convictionconviction maymay bebe pleadedpleaded andand provedproved andand shallshall havehave thethe samesame effecteffect asas ifif probationprobation hadhad notnot beenbeen grantedgranted oror thethe accusationaccusation oror informationinformation dismissed.dismissed. TheThe dismissaldismissal doesdoes notnot permitpermit aa personperson toto own,own, possess,possess, oror havehave inin theirtheir controlcontrol aa firearmfirearm ifif preventedprevented byby PenalPenal CodeCode sectionsection 2980029800 oror 2990029900 (formerly(formerly sectionssections 1202112021 andand 12021.1).12021.1). DismissalDismissal ofof aa convictionconviction doesdoes notnot permitpermit aa personperson prohibitedprohibited fromfrom holdingholding publicpublic officeoffice asas aa resultresult ofof thatthat convictionconviction toto holdhold publicpublic office.office.

8.8. DismissalDismissal underunder PenalPenal CodeCode sectionsection 1203.41203.4 oror 1203.4a1203.4a doesdoes notnot releaserelease petitionerpetitioner fromfrom thethe termsterms andand conditionsconditions ofof anyany unexpiredunexpired criminalcriminal protectiveprotective orderorder issuedissued underunder PenalPenal CodeCode sectionsection 136.2(i)(1),136.2(i)(1), 273.5(j),273.5(j), 368(l),368(/), oror 646.9(k).646.9(k). FORFOR COURTCOURT USEUSE ONLYONLY 9.9. InIn addition,addition, asas requiredrequired byby PenalPenal CodeCode sectionsection 299(f),299(f), reliefrelief underunder PenalPenal CodeCode sectionsection 17(b),17(b), 17(d)(2),17(d)(2), 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, oror 1203.491203.49 doesdoes notnot releaserelease petitionerpetitioner fromfrom thethe separateseparate administrativeadministrative dutyduty toto provideprovide specimens,specimens, samples,samples, oror printprint impressionsimpressions underunder thethe DNADNA andand ForensicForensic IdentificationIdentification DatabaseDatabase andand DataData BankBank ActAct (Pen.(Pen. Code,Code, §§ 295295 etet seq.)seq.) ifif petitionerpetitioner waswas foundfound guiltyguilty byby aa triertrier ofof fact,fact, notnot guiltyguilty byby reasonreason ofof insanity,insanity, oror pledpled nono contestcontest toto aa qualifyingqualifying offenseoffense asas defineddefined inin PenalPenal CodeCode sectionsection 296(a).296(a). 10.10. TheThe basisbasis forfor anan orderorder ofof dismissaldismissal grantedgranted underunder thethe provisionsprovisions ofof PenalPenal CodeCode sectionsection 1203.431203.43 isis thethe invalidityinvalidity ofof petitioner'spetitioner's priorprior pleaplea duedue toto misinformationmisinformation inin formerformer PenalPenal CodeCode sectionsection 1000.41000.4 regardingregarding thethe actualactual consequencesconsequences ofof makingmaking aa pleaplea andand successfulsuccessful completioncompletion ofof aa deferreddeferred entryentry ofof judgmentjudgment program.program.

11.. Notice:Notice: ExceptExcept asas providedprovided inin PenalPenal CodeCode sectionsection 1203.425(a)(4),1203.425(a)(4), ifif thisthis orderorder isis grantedgranted underunder PenalPenal CodeCode sectionsection 1203.4,1203.4, 1203.4a,1203.4a, 1203.41,1203.41, oror 1203.42,1203.42, thethe courtcourt mustmust notnot disclosedisclose informationinformation concerningconcerning aa convictionconviction grantedgranted reliefrelief toto anyany personperson oror entity,entity, inin anyany format,format, exceptexcept toto thethe personperson whosewhose convictionconviction waswas grantedgranted reliefrelief oror toto aa criminalcriminal justicejustice agency.agency.

Date:Date: > (JUDICIAL(JUDIGIAL OFFICER)OFFICER) ‘CR-181CR-181 [Rev.(Rev. JanuaryJanuary 1,1, 2024]2024) ORDERORDER FORFOR DISMISSALDISMISSAL PagePage22 ofof 22

InformationInformation onon HowHow toto FileFile aa ProofProof ofof ServiceService inin CriminalCriminal CR-106-INFO RecordRecord ClearingClearing RequestsRequests

@)1 WhatWhat doesdoes thisthis informationinformation sheetsheet cover?cover? 6)5 WhyWhy dodo |I needneed toto filefile aa proofproof ofof service?service? ThisThis informationinformation sheetsheet tellstells youyou howhow toto useuse andand fillfill outout FilingFiling aa proofproof ofof serviceservice showsshows thethe courtcourt thatthat youyou havehave letlet ProofProof ofof Service—Service —CriminalCriminal RecordRecord ClearingClearing formform thethe otherother partiesparties knowknow aboutabout thethe recordrecord clearingclearing requestrequest byby CR-106.CR-106. ThisThis informationinformation sheetsheet doesdoes notnot needneed toto bebe copied,copied, givinggiving themthem aa copycopy ofof thethe documentdocument oror formform youyou areare usingusing servedserved (delivered),(delivered), oror filed.filed. toto makemake aa recordrecord clearingclearing requestrequest toto thethe court.court. @)2 WhatWhat isis proofproof ofof service?service? 6 WhenWhen cancan |I useuse ProofProof ofof ServiceService—— * AA “proof“proof ofof service”service ” isis aa formform usedused inin legallegal cases.cases. CriminalCriminal RecordRecord ClearingClearing (form(form CR-106)?CR-106)? * IfIfyouyou wantwant aa judgejudge toto looklook atat youryour case,case, youyou oror ProofProof ofof ServiceService——CriminalCriminal RecordRecord ClearingClearing (form(form someonesomeone whowho isis helpinghelping youyou hashas toto filefile certaincertain CR-106)CR-106) isis intendedintended toto bebe widelywidely usedused withwith anyany recordrecord documentsdocuments inin court.court. clearingclearing requestrequest thatthat requiresrequires notificationnotification oror serviceservice ofof thethe * YouYou alsoalso havehave toto givegive oror mailmail copiescopies ofof thosethose requestrequest toto thethe prosecutingprosecuting agencyagency andand otherother parties,parties, suchsuch asas documentsdocuments toto thethe otherother partyparty inin thethe case,case, usuallyusually thethe followingfollowing optionaloptional JudicialJudicial CouncilCouncil formsforms forfor recordrecord thethe prosecutor.prosecutor. clearing:clearing: * TheThe proofproof ofof serviceservice hashas spacesspaces forfor youyou oror * PetitionPetition forfor DismissalDismissal (form(form CR-180),CR-180), someonesomeone whowho isis helpinghelping youyou toto writewrite inin when,when, dismissalsdismissals underunder PenalPenal CodeCode sectionssections 1203.4,1203.4, where,where, andand howhow thethe otherother partyparty gotgot thethe documents.documents. 1203.4a,1203.4a, 1203.41,1203.41, 1203.42,1203.42, 1203.43,1203.43, andand * OnceOnce thethe proofproof ofof serviceservice isis filledfilled outout andand filedfiled 1203.49,1203.49, andand reductionsreductions underunder PenalPenal CodeCode withwith thethe court,court, itit showsshows thethe courtcourt thatthat thethe otherother sectionssections 17(b)17(b) andand 17(d)(2)17(d)(2) partyparty gotgot thethe documents.documents. ¢ PetitionPetition forfor DismissalDismissal (Military(Military Personnel)Personnel) GB)3 WhatWhat isis recordrecord clearing?clearing? (form(form CR-183),CR-183), dismissalsdismissals underunder PenalPenal CodeCode ¢ RecordRecord clearingclearing isis aa processprocess thatthat allowsallows youyou toto askask sectionsection 1170.9(h),1170.9(h), andand reductionsreductions underunder PenalPenal aa courtcourt toto improveimprove youryour criminalcriminal record.record. CodeCode sectionsection 17(b)17(b) ForFor example,example, aa courtcourt maymay bebe ableable toto changechange somesome ¢ MotionMotion toto VacateVacate ConvictionConviction oror SentenceSentence convictionsconvictions fromfrom feloniesfelonies toto misdemeanors.misdemeanors. (form(form CR-187),CR-187), vacatingvacating convictionsconvictions underunder PenalPenal CodeCode sectionssections 1016.51016.5 andand 1473.71473.7 ¢ YouYou cancan startstart thethe processprocess ofof recordrecord clearingclearing byby filingfiling certaincertain documentsdocuments oror formsforms calledcalled ¢ Petition/ApplicationPetition/Application (Health(Health andand SafetySafety Code,Code, “applications,”“applications,” “petitions,”“petitions,” oror “motions.”“motions. ” §§ 11361.8)11361.8) (form(form CR-400),CR-400), reliefrelief underunder PropositionProposition 6464 forfor specifiedspecified marijuana-relatedmarijuana-related 4 WhoWho dodo I| needneed toto serveserve whenwhen I| askask aa convictionsconvictions courtcourt toto clearclear mymy criminalcriminal record?record?

PropositionProposition 6464 forfor specifiedspecified marijuana-relatedmarijuana-related 4 WhoWho dodo I| needneed toto serveserve whenwhen I| askask aa convictionsconvictions courtcourt toto clearclear mymy criminalcriminal record?record?

PropositionProposition 6464 forfor specifiedspecified marijuana-relatedmarijuana-related 4 WhoWho dodo I| needneed toto serveserve whenwhen I| askask aa
convictionsconvictions
courtcourt toto clearclear mymy criminalcriminal record?record?
* Petition/ApplicationPetition/Application forfor ResentencingResentencing andandMostMost recordrecord clearingclearing lawslaws saysay youyou havehave toto letlet thethe
DismissalDismissal (form(form CR-404),CR-404), resentencingresentencing andand prosecutingprosecuting agencyagency (usually(usually thethe districtdistrict attorney)attorney) knowknow
dismissaldismissal underunder PenalPenal CodeCode sectionsection 1170.221170.22 aboutabout thethe recordrecord clearingclearing request.request. SometimesSometimes youyou alsoalso havehave

toto letlet lawlaw enforcementenforcement (like(like thethe policepolice oror sheriff)sheriff) oror otherother * PetitionPetition toto SealSeal ArrestArrest andand RelatedRelated RecordsRecords partiesparties knowknow aboutabout youryour request.request. YouYou cancan dodo soso byby (form(form CR-409),CR-409), sealingsealing underunder PenalPenal CodeCode “serving”“serving” (delivering)(delivering) aa copycopy ofof thethe paperspapers youyou filedfiled withwith sectionsection 851.91851.91 thethe courtcourt onon thethe prosecutingprosecuting agencyagency oror otherother parties.parties. ReadRead * PetitionPetition forfor ResentencingResentencing BasedBased onon HealthHealth thethe recordrecord clearingclearing lawlaw youyou areare basingbasing youryour requestrequest onon ConditionsConditions FromFrom MilitaryMilitary ServiceService ListedListed inin carefullycarefully toto seesee whowho needsneeds toto knowknow aboutabout youryour recordrecord PenalPenal CodeCode SectionSection 1170.91(b)1170.91(b) (form(form CR-412/CR-412/ clearingclearing request.request. ThoseThose areare thethe partiesparties whowho mustmust bebe served.served. MIL-412)MIL-412) * PetitionPetition forfor WritWrit ofof HabeasHabeas CorpusCorpus (form(form HC-001)HC-001)

Council www.courts.ca.gov JudicialJudicial of California,California,

NewNew JanuaryJanuaryCouncil 1,1, of2020,2020, OptionalOptionalwww.courts.ca.gov FormForm InformationInformation onon HowHow toto FileFile aa ProofProof ofof ServiceService inin CR-106-INFO,CR-106-INFO, PagePage 11 >ofof 22 CriminalCriminal RecordRecord ClearingClearing RequestsRequests

InformationInformation onon HowHow toto FileFile aa ProofProof ofof ServiceService inin CriminalCriminal CR-106-INFO RecordRecord ClearingClearing RequestsRequests

@7 WhoWho cancan serveserve thethe petitionpetition oror motion?motion? 9 HowHow shouldshould thethe petitionpetition oror motionmotion bebe served?served? * InIn mostmost cases,cases, thethe lawlaw allowsallows youyou (the(the personperson ThereThere areare threethree mainmain waysways toto serveserve documents:documents: byby mail,mail, whowho isis filingfiling thethe recordrecord clearingclearing request)request) toto serveserve thethe documentdocument oror form.form. personalpersonal delivery,delivery, oror electronicelectronic service.service. ProofProof ofof ServiceService——CriminalCriminal RecordRecord ClearingClearing (form(form CR-106)CR-106) cancan bebe * YouYou cancan alsoalso askask someonesomeone elseelse toto serveserve thethe usedused toto proveprove serviceservice byby mailmail oror personalpersonal delivery.delivery. documentdocument oror form.form. IfIf servingserving electronically:electronically: ¢ TheThe personperson whowho servesserves aa documentdocument oror formform forfor * DoDo notnot useuse ProofProofofof ServiceService—— CriminalCriminal RecordRecord recordrecord clearingclearing andand fillsfills outout thethe ProofProof ofof Service—Service — ClearingClearing (form(form CR-106).CR-106). CriminalCriminal RecordRecord ClearingClearing (form(form CR-106)CR-106) mustmust bebe atat leastleast 1818 yearsyears old.old. * CarefullyCarefully readread andand followfollow thethe requirementsrequirements inin * ReadRead thethe recordrecord clearingclearing lawlaw youyou areare basingbasing CaliforniaCalifornia RulesRules ofof Court,Court, rulerule 2.251,2.251, andand useuse youryour requestrequest onon carefullycarefully toto seesee ifif itit setssets anyany ProofProofofof ElectronicElectronic ServiceService (form(form POS-050/POS-050/ otherother requirementsrequirements forfor whowho cancan serveserve thethe EFS-050).EFS-050). request.request. IfIf someonesomeone elseelse isis servingserving documentsdocuments onon youryour behalf,behalf, makemake 8 WhenWhen areare thethe otherother partiesparties served,served, andand suresure toto provideprovide themthem withwith thethe namename ofof thethe agencyagency thatthat whenwhen dodo| I filefile aa proofproof ofof service?service? mustmust bebe servedserved (for(for example,example, SanSan FranciscoFrancisco CountyCounty DistrictDistrict Attorney),Attorney), thethe agencyagency’’ss address,address, andand aa copycopy ofof thethe AskAsk thethe courtcourt clerkclerk ifif anyany locallocal filingfiling rulesrules documentdocument oror form.form. apply.apply. ¢ InIn mostmost cases,cases, thethe otherother partiesparties shouldshould bebe servedserved IfIf servingserving byby mail:mail: afterafter thethe originaloriginal documentdocument oror formform isis filedfiled withwith ¢ TheThe serverserver shouldshould putput oneone copycopy ofof thethe documentdocument thethe court.court. ThatThat way,way, thethe courtcourt maymay addadd helpfulhelpful oror formform inin anan envelopeenvelope addressedaddressed toto thethe agency,agency, informationinformation toto thethe documentdocument oror form,form, suchsuch asas aa sealseal thethe envelope,envelope, andand placeplace first-classfirst-class postagepostage onon hearinghearing date.date. thethe envelope;envelope; andand ¢ SomeSome courtscourts requirerequire thatthat thethe documentdocument oror formform isis TheThe serverserver shouldshould mailmail thethe documentdocument oror formform byby firstfirst servedserved onon thethe otherother parties,parties, andand thenthen thethe depositingdepositing thethe envelopeenvelope atat aa postpost officeoffice oror originaloriginal documentdocument oror formform isis filedfiled withwith thethe court,court, mailboxmailbox oror byby depositingdepositing thethe envelopeenvelope atat anan alongalong withwith aa completedcompleted andand signedsigned proofproofofof service.service. officeoffice oror businessbusiness mailmail dropdrop wherewhere thethe serverserver « WhenWhen youyou filefile thethe documentdocument oror formform withwith thethe court,court, knowsknows mailmail isis pickedpicked upup everyevery dayday byby thethe postalpostal taketake thethe originaloriginal plusplus atat leastleast twotwo copiescopies ofof youryour service.service. documents.documents. IfIf servingserving byby personalpersonal delivery:delivery: © TheThe courtcourt willwill keepkeep thethe original.original. ¢ TheThe serverserver shouldshould givegive thethe documentdocument oror formform toto aa © TheThe clerkclerk willwill stampstamp youryour copiescopies “Filed”“Filed ” anda

IfIf servingserving byby personalpersonal delivery:delivery:
© TheThe courtcourt willwill keepkeep thethe original.original. ¢ TheThe serverserver shouldshould givegive thethe documentdocument oror formform toto aa
© TheThe clerkclerk willwill stampstamp youryour copiescopies “Filed”“Filed ” andand personperson withwith thethe agencyagency andand notenote thethe namename ofof thethe
returnreturn themthem toto you.you. KeepKeep oneone copycopy forfor youryour person,person, asas wellwell asas thethe address,address, date,date, andand timetime ofof
records.records. thethe service.service.
© TheThe otherother partiesparties cancan bebe servedserved withwith aa copycopy ofof
OnceOnce thethe documentdocument oror formform hashas beenbeen servedserved onon thethe otherother
youryour court-stampedcourt-stamped documentdocument oror form,form, andand thenthen
partiesparties byby mailmail oror personalpersonal delivery,delivery, thethe serverserver shouldshould fillfill youyou shouldshould filefile thethe proofproof ofof serviceservice withwith thethe
outout andand signsign thethe proofproof ofof serviceservice form.form.
courtcourt afterafter thethe partiesparties areare served.served.
WhatWhat dodo |I dodo withwith ProofProofofof ServiceService—— 10
CriminalCriminal RecordRecord ClearingClearing (form(form CR-106)CR-106)
onceonce itit isis filledfilled out?out?
YouYou shouldshould filefile aa completedcompleted proofproofofof serviceservice withwith thethe courtcourt
wherewhere youyou filedfiled youryour documentdocument oror form.form. AskAsk thethe courtcourt
clerkclerk ifif anyany locallocal filingfiling rulesrules apply.apply.

NewNew JanuaryJanuary 1,1, 20202020 InformationInformation onon HowHow toto FileFile aa ProofProof ofof ServiceService inin CR-106-INFO,CR-106-INFO, PagePage 22 ofof 22 CriminalCriminal RecordRecord ClearingClearing RequestsRequests

ProofProof ofof ServiceService —— CR-106 ClerkClerk stampsstamps datedate herehere whenwhen formform isis filed.filed. CR-106 CriminalCriminal RecordRecord ClearingClearing InstructionsInstructions ¢ BeforeBefore usingusing thisthis form,form, readread InformationInformation onon HowHow toto FileFile aa ProofProof ofof ServiceService inin CriminalCriminal RecordRecord ClearingClearing RequestsRequests (form(form CR-106-INFO).CR-106-INFO). ThisThis formform isis onlyonly forfor providingproviding proofproof thatthat aa documentdocument oror formform waswas servedserved (delivered)(delivered) inin aa casecase requestingrequesting thatthat aa courtcourt reviewreview aa criminalcriminal recordrecord forfor dismissal,dismissal, vacatur,vacatur, resentencing,resentencing, reduction,reduction, sealing,sealing, oror otherother recordrecord clearingclearing remedy.remedy. TheThe personperson whowho servesserves (delivers)(delivers) aa documentdocument oror formform inin thisthis casecase andand whowho fillsfills outout thisthis formform mustmust bebe atat leastleast 1818 yearsyears old.old. FillFill inin courtcourt namename andand streetstreet address:address: ¢ ThisThis formform isis forfor proofproof ofof serviceservice byby mailmail oror personalpersonal delivery.delivery. ForFor proofproofofof SuperiorSuperior CourtCourt ofof California,California, CountyCounty ofof electronicelectronic service,service, useuse ProofProof ofof ElectronicElectronic ServiceService (form(form POS-050/EFS-050).POS-050/EFS-050). « AA completedcompleted formform shouldshould bebe filedfiled withwith thethe court.court. KeepKeep aa copycopy ofof thisthis formform forfor youryour records.records.

1 AtAt thethe timetime II servedserved thethe documentdocument oror formform listedlisted below,below, II waswas atat leastleast 1818 FillFill inin criminalcriminal casecase numbernumber andand casecase name:name: yearsyears old.old. CaseCase Number:Number:

@)2 MyMy [homehome businessbusiness addressaddress is:is: CaseCase Name:Name: PeoplePeople ofof thethe StateState ofof CaliforniaCalifornia StreetStreet CityCity StateState ZipZip v.v. 3 II mailedmailed oror personallypersonally delivereddelivered thethe followingfollowing documentdocument oror formform (fill(fill inin thethe namename ofof thethe documentdocument youyou areare servingserving andand completecomplete (4)4 oror 5 ):(3)): PetitionPetition forfor DismissalDismissal (CR-180)(CR-180)

@4 ServiceService byby mailmail (a)(a) II putput oneone copycopy ofof thethe documentdocument oror formform inin anan envelopeenvelope addressedaddressed toto eacheach agencyagency (and(and person,person, ifif applicable)applicable) listedlisted below,below, sealedsealed thethe envelope,envelope, andand putput first-classfirst-class postagepostage onon thethe envelope.en elope.

(b)(b) TheThe envelopeenvelope oror envelopesenvelopes werewere addressedaddressed asas follows:follows:
(1)(1) NameName ofof agencyagency servedserved (and(and person,person, ifif applicable):applicable):
AddressAddress onon envelope:envelope:

StreetStreet CityCity StateState ZipZip
(2)(2) NameName ofof agencyagency servedserved (and(and person,person, ifif applicable):applicable):
AddressAddress onon envelope:envelope:
StreetStreet CityCity StateState ZipZip
CheckCheck herehere ifif youyou mailedmailed copiescopies ofof thethe documentdocument oror formform toto moremore peoplepeople oror agencies.agencies. AttachAttach aa
separateseparate pagepage listinglisting thethe namesnames andand addressesaddresses onon eacheach additionaladditional envelopeenvelope youyou mailed.mailed. WriteWrite
“CR-106,“CR-106, ItemItem 4”4” onon thethe toptop ofof thethe page.page.
(c)(c) II mailedmailed thethe envelopeenvelope oror envelopesenvelopes onon (date):(date): fromfrom (city):(city): (state):(state):
byby depositingdepositing thethe envelopeenvelope oror envelopesenvelopes (check(check one):one):
(1)qd) WithWith thethe U.S.U.S. PostalPostal Service.Service.
(2)(2) AtAt anan officeoffice oror businessbusiness mailmail dropdrop wherewhere II knowknow thethe mailmail isis pickedpicked upup everyevery dayday andand depositeddeposited
withwith thethe U.S.U.S. PostalPostal Service.Service.

of JudicialJudicial CouncilCouncil Califomia,California, www.courts.ca.govwww.courts.ca.gov ProofProof ofof ServiceService —— CR-106,CR-106, PagePage 11 ofof 22 Clearing Record NewNew JanuaryJanuary 1,1, 2020,of2020, OptionalOptional FormForm Criminal
Criminal Record Clearing

CaseCase Number:Number:

®5 ServiceService byby PersonalPersonal DeliveryDelivery

II personallypersonally gavegave oneone copycopy ofof thethe documentdocument oror formform toto eacheach ofof thethe following:following:

(a)(a) NameName ofof personperson andand agencyagency served:served:

(1)(1) AddressAddress wherewhere youyou gavegave thethe documentdocument oror formform toto thisthis person:person:

StreetStreet CityCity StateState ZipZip

(2)(2) DateDate whenwhen youyou gavegave thethe documentdocument oror formform toto thisthis person:person:

(3)(3) TimeTime whenwhen youyou gavegave thethe documentdocument oror formform toto thisthis person:person:

(b)(b) NameName ofof personperson andand agencyagency served:served:

(1)(1) AddressAddress wherewhere youyou gavegave thethe documentdocument oror formform toto thisthis person:person:

StreetStreet CityCity StateState ZipZip

(2)(2) DateDate whenwhen youyou gavegave thethe documentdocument oror formform toto thisthis person:person:

(3)(3) TimeTime whenwhen youyou gavegave thethe documentdocument oror formform toto thisthis person:person:
CheckCheck herehere ififyouyou gavegave copiescopies ofof thethe documentdocument oror formform toto moremore people.people. AttachAttach aa separateseparate pagepage
listinglisting thethe namesnames ofof eacheach ofof thesethese people,people, thethe addressaddress wherewhere youyou gavegave eacheach ofof themthem thethe documentdocument
oror form,form, andand thethe datedate andand timetime youyou gavegave themthem thethe documentdocument oror form.form. WriteWrite “CR-106,“CR-106, ItemItem 5”5” onon
thethe toptop ofof thethe page.page.

@)6 II declaredeclare underunder penaltypenalty ofof perjuryperjury underunder CaliforniaCalifornia statestate lawlaw thatthat thethe informationinformation aboveabove isis truetrue andand correct.correct.

Date:Date:

TypeType oror printprint serverserver’s’s namename ServerServer signssigns herehere afterafter servingserving

NewNew JanuaryJanuary1,1, 20202020 ProofProof ofof ServiceService —— CR-106,CR-106, PagePage 22 ofof 22 CriminalCriminal RecordRecord ClearingClearing