MUNICIPAL COURT, CITY OF GRAND JUNCTION, COLORADO
250 N 5TH ST
GRAND JUNCTION, CO 81501
970-244-1537
FAX: 970-256-4090
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PLAINTIFF: People of the State of Colorado by and through the
People of the City of Grand Junction
vs.
DEFENDANT: / COURT USE ONLY
CASE NO.:
PETITION TO SEAL CRIMINAL JUSTICE RECORDS
PURSUANT TO C.R.S §24-72-702.5

1. The Petitioner is: (check one only)

the Defendant and the primary subject of the criminal justice records.

the Attorney of record for the Defendant.

2. Information about the Defendant: Date of Birth: ______

Current Mailing Address: ______

City: State: Zip Code: ______

Home Phone #: Work Phone #: Cell #: ______

3. The Petitioner asks this Court for an Order to Seal the Criminal Justice Records in the custody of the following agencies:

Grand Junction Municipal Court Case Number: ______

Grand Junction Police Department Case Number: ______

City Prosecutor’s Office

Colorado Bureau of Investigation (Any Order granting a petition to seal criminal conviction records must be sent to the Colorado Bureau of Investigation.)

Other: ______

□Mesa County Sheriff Department

VERIFICATION AND ACKNOWLEDGMENT

I (Petitioner) swear or affirm under oath, and under penalty of perjury, that I have read the foregoing Petition to Seal Criminal Justice Records and that the statements set forth therein are true and correct to the best of my knowledge and belief.

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Signature of Petitioner Date

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Signature of Attorney Date

Copy to City Attorney ______

Court Use Only
Domestic Violence Designation:
The case did not contain a designation of domestic violence.
The case did contain a crime identified by law enforcement prior to the filing of charges as domestic violence.
The case did contain an act identified by a city prosecutor in a formal criminal charge as domestic violence.
The case did contain any crime, the underlying factual basis of which was found by the Court on the record to include an act of domestic violence.
Case Disposition:
The case against the Defendant was completely dismissed (except as part of a plea agreement in a separate case).
The Defendant was acquitted of all counts in the case.
The Defendant completed a diversion agreement.
The Defendant completed a deferred judgment and sentence and all counts are dismissed.
Processing Fee:
The Defendant has paid the $65.00 processing fee.
The fee was waived by the Court upon a determination of indigency.

CERTIFICATE OF SERVICE

I certify that on ______(date) and true and accurate copy of this Petition to Seal Criminal Records was served on the Prosecuting Attorney by:

Hand Delivery E-filed Faxed to this number ______or by placing it in the United States mail, postage pre-paid, and addressed to the following:

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______

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Signature of Petitioner

MUNICIPAL COURT, CITY OF GRAND JUNCTION, COLORADO
250 N 5th St
Grand Junction CO 81501
970-244-1537
FAX: 970-256-4090
______
PLAINTIFF: People of the State of Colorado by and through the
People of the City of Grand Junction
vs.
DEFENDANT: / COURT USE ONLY
CASE NO.:
ORDER
TO SEAL CRIMINAL JUSTICE RECORDS
PURSUANT TO C.R.S §24-72-702.5

The Court has considered the Defendant’s motion to seal criminal justice records and finds the Defendant is eligible for relief. The Court hereby Orders the criminal records information related to this action be sealed immediately by removing the records that are subject to this Order from its database, except for basic identification information as defined in C.R.S. §24-72-302(2). Upon inquiry in the matter, the Petitioner and custodians to which this Order is directed may properly reply that no such records exist.

Defendant’s name ______Date of Birth: ______

Current Address: ______

City: ______State: ______Zip Code: ______

Ordered this ______day of ______, 20___.

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Municipal Judge