Form Cc-1473 is a form used to request exemption from the social security and Medicare tax on certain types of wages. This form must be completed and filed by the employer in order to request this exemption. There are a number of specific requirements that must be met in order for an employer to be exempt from these taxes, so it is important to understand them before completing this form. Completing this form incorrectly can result in fines and other penalties, so it is important to take your time and make sure everything is filled out correctly.
| Question | Answer |
|---|---|
| Form Name | Form Cc 1473 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | virginia dismissal, petition for expungement virginia, petition expungement court, cc 1473 |
PETITION FOR EXPUNGEMENT |
Case No |
FILED IN A CIRCUIT COURT – |
|
ACQUITTAL/DISMISSAL |
|
Commonwealth of Virginia VA. CODE § |
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............................................................................................................................................................................................. |
Circuit Court |
CITY OR COUNTY |
|
.............................................................................................................................................................................................................................................................
STREET ADDRESS OF COURT
.......................................................................................................................................................................................... v. Commonwealth of Virginia
NAME OF PETITIONER
1.This petition to expunge the police and court records, including electronic records, relating to the charge(s) detailed in Part 2 (below) is based on subsection A of §
(CHECK ONE)
[ ] has been acquitted of the charge.
[ ] a nolle prosequi of the charge has been taken or the charge has been otherwise dismissed, including dismissal by accord and satisfaction pursuant to Virginia Code Section
2.I further state that:
Petitioner’s date of birth is: .............................................................
Petitioner’s full name at the time of arrest: .............................................................................................................................................................
Specific charge(s) to be expunged: .............................................................................................................................................................................
If matter was heard on appeal from General District Court, list applicable General District Court case number(s):
....................................................................................................................................................................................................................................................
[ ] A copy of the warrant or indictment is attached to this petition. Underlying Case No.(s) ..........................................................
Date of arrest: |
Name of arresting agency: |
[] A copy of the warrant or indictment [ ] date of arrest or name of arresting agency is not reasonably available because (state reason this information is not available):
....................................................................................................................................................................................................................................................
Date(s) of final disposition of charge(s): |
Court disposing of charge(s): |
............................................................................................................ |
.................................................................................................................................... |
The continued existence and possible dissemination of information relating to the arrest of the petitioner causes or may cause circumstances which constitute a manifest injustice to the petitioner. For this reason, I request that the police and court records, including electronic records, relating to the charge(s) be expunged and that a copy of any order of expungement be forwarded to the Department of State Police pursuant to subsection K of §
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_______________________________________________________________________ |
DATE |
SIGNATURE OF [ ] PETITIONER [ ] ATTORNEY FOR PETITIONER |
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................................................................................................................................................ |
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PRINT NAME |
.............................................................................................................................................................................................................................................................
ADDRESS/TELEPHONE NUMBER OF [ ] PETITIONER [ ] ATTORNEY FOR PETITIONER
[ ] I certify that I provided the petitioner a certified copy of this petition. |
Hearing date and time: |
........................................................................_______________________________________________________________________ |
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DATE |
CLERK |
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Checklist for petitioner:
[] File completed PETITION FOR EXPUNGEMENT FILED IN A CIRCUIT COURT – ACQUITTAL/DISMISSAL in the circuit court of
the county or city in which the charge(s) was disposed of, together with all applicable fees and costs and, if required by the clerk of the court, a completed COVER SHEET FOR FILING CIVIL ACTIONS, circuit court form
[] Obtain one complete set of fingerprints from a
[] Have a copy of this petition served on the Commonwealth’s Attorney in the county or city in which the PETITION FOR
EXPUNGEMENT FILED IN A CIRCUIT COURT – ACQUITTAL/DISMISSAL is filed.
FORM