Santa Barbara — CDCR3

Source: https://www.santabarbara.courts.ca.gov/system/files/cdcr3.pdf

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF Applicant’s County of Residence In the Matter of the Application of Court use only Type Applicant’s Full Name – First, Middle,Middle, Last, andand Suffix

Certificate Number

Date of Birth Month Day, Year

CII Number

Criminal Case Number List all applicable Criminal Numbers

CERTIFICATE OF REHABILITATION Pursuant to Penal Code Section 4852.13

The petition of , presently residing Type Applicant’s Full Name – First, Middle, Last, and Suffix

at , heretofore filed, praying for Type Applicant’s Street Address, City, State, and Zip Code

a Certificate of Rehabilitation pursuant to the provisions of Chapter 3.5, Title 6 of Part 3 of the Penal Code

of the State of California, came on regularly for hearing on this day Day of the Month

of and proof having been made to the Month, YearYear

satisfaction of the Court that notice of the time of hearing has been regularly given as required by law; and from

satisfactory proof taken at said hearing the Court finds that all allegations of said petition are true, and that the

required period of rehabilitation has elapsed since petitioner's date of discharge from custody due to completion

of the term to which the petitioner was sentenced, or upon the release on parole or probation on

, that, where appropriate, petitioner has obtained relief pursuant to

Month, Day, Year

Penal Code Section 1203.4, and that petitioner has demonstrated by the course of conduct his/her rehabilitation

and fitness to exercise all the civil and political rights of citizenship (except as provided in Penal Code

Section 485.15); and that petitioner has been , time convicted of a felony; Total Number of Felony Convictions

WHEREFORE, It Is Ordered, Adjudged, and Decreed, And this court does hereby order, adjudge, and decree the petitioner has been rehabilitated and is fit to exercise all the civil and political rights of citizenship (except as provided in Penal Code Section 4852.15), and by virtue thereof, this court recommends that the Governor of the State of California grant a full pardon to said petitioner.

Done in open court this day of Day of the Month Month, Year

,

Judge of said Superior Court – TYPED or PRINTED Judge of said Superior Court – SIGNATURE

FORM 3 (Revised 1/02/2019) This form was prepared by the Board of Parole Hearings pursuant to Penal Code Section 4852.18.