Nhjb 2317 Ds Form PDF Details

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QuestionAnswer
Form NameNhjb 2317 Ds Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesIII, Atty, forgoing, prosequi

Form Preview Example

THE STATE OF NEW HAMPSHIRE

JUDICIAL BRANCH

http://www.courts.state.nh.us

Court Name:

Case Name:

Case Number:

(if known)

PETITION TO ANNUL RECORD

The Petitioner requests an order of the Court to annul the record of arrest and charge, and if applicable, conviction and sentence in the following matter in accordance with RSA 651:5.

PLEASE COMPLETE A SEPARATE FORM FOR EACH OFFENSE

 

 

 

 

 

 

 

 

 

Name of Petitioner (Last)

(First)

 

(Middle)

Date of Birth

 

 

 

 

 

 

 

 

 

 

Address (Street)

 

 

City/Town

State

Zip

 

 

 

 

 

 

 

 

 

 

Social Security Number

 

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

Case Number

Charge ID Number

Offense

 

 

 

 

 

 

 

 

 

 

 

RSA Violated

Date of Offense

 

Date of Conviction/Other

Date Sentence Completed

 

 

 

 

 

Disposition

 

 

 

 

Description of Sentence or other Disposition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The Petitioner states as follows: (Petitioner must initial all paragraphs which apply.)

Petitioner was not convicted of the above offense, and seeks only annulment of any record of arrest or charge.

Petitioner has completed all the terms and conditions of the sentence for the above offense.

Petitioner has completed all of the terms and conditions of the sentence for the above offense. Petitioner has not been convicted of another crime, except a motor vehicle violation (excluding Driving While Intoxicated) for a period of time as follows:

For a violation, one year.

For a class A or B misdemeanor (except sexual assault), 3 years.

For a class B felony (except felony indecent exposure or lewdness), 5 years.

For a class A felony, 10 years.

For sexual assault under RSA 632-A:4, 10 years.

For felony indecent exposure or lewdness under RSA 645:1, II, 10 years.

NHJB-2317-DS (08/28/2012)

Page 1 of 3

Case Name:

Case Number:

PETITION TO ANNUL RECORD

The Petitioner has not been convicted of any violent crime, of any crime of obstruction of justice, or of any offense for which an extended term of imprisonment under RSA 651:6 was imposed.

The time requirements for annulment under RSA 651:5, III have been met for any and all crimes for which the Petitioner has been convicted.

The Petitioner was convicted of a misdemeanor prior to January 1, 1995 and is exercising the option to apply for annulment under the laws in effect at the time of sentencing. A Petition to Annul in conformance with the prior law is attached.

The Petitioner believes an order granting annulment will assist in petitioner’s rehabilitation and is consistent with the public welfare.

Date

Signature of Petitioner

 

 

 

Signature of Counsel

 

 

 

Name

 

 

 

Address

State of

 

, County of

 

 

This instrument was acknowledged before me on

 

 

 

 

by

 

 

My Commission Expires

 

 

 

 

 

 

 

 

Affix Seal, if any

 

Signature of Notarial Officer / Title

 

NHJB-2317-DS (08/28/2012)

Page 2 of 3

Case Name:

Case Number:

PETITION TO ANNUL RECORD

FOR COURT USE ONLY:

ON THE PETITION TO ANNUL RECORD OF ARREST OR CONVICTION AND SENTENCE

The Court having found that notice of the forgoing petition was given in accordance with law, and having reviewed the investigative report of the Department of Corrections made in accordance with statute, finds that annulment of the applicant’s record will assist in the applicant’s rehabilitation and will be consistent with the public welfare and the requirements of law,

IT IS THEREFORE ORDERED AND CERTIFIED

That the record of the charge and disposition of dismissal, acquittal or nolle prosequi in the above referenced matter, together with any record of arrest or charge therein, is hereby annulled. The applicant has shown that issuance of this order is warranted under the statute. The clerk shall issue an appropriate Certificate of Annulment.

That the record of conviction and sentence in the above entitled case, together with any record of arrest or charge therein, is hereby annulled. The clerk shall issue an appropriate Certificate of Annulment.

The Court DENIES the applicant’s petition for the following reason(s):

Date

 

Justice

 

FOR DISTRICT DIVISION USE ONLY

On

 

, petition and notification of pending petition for annulment sent to:

AG/County Atty., Arresting Agency, State Police Records.

Other

NHJB-2317-DS (08/28/2012)

Page 3 of 3

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1. Begin completing the Notarial with a selection of necessary blank fields. Collect all of the required information and make certain there is nothing omitted!

prosequi completion process explained (stage 1)

2. Your next stage is to submit the next few blank fields: Name of Petitioner Last Address, Offense, Date of ConvictionOther Disposition, Date Sentence Completed, Charge ID Number, Date of Offense, Description of Sentence or other, The Petitioner states as follows, Petitioner was not convicted of, of arrest or charge, Petitioner has completed all the, offense, Petitioner has completed all of, offense Petitioner has not been, and For a violation one year.

Writing section 2 in prosequi

People who use this PDF frequently get some things incorrect when completing Offense in this section. Be certain to reread whatever you type in here.

3. Completing For a violation one year, For a class A or B misdemeanor, For a class B felony except felony, For a class A felony years, For sexual assault under RSA A, For felony indecent exposure or, NHJBDS, and Page of is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

NHJBDS, For sexual assault under RSA A, and Page  of inside prosequi

4. This next section requires some additional information. Ensure you complete all the necessary fields - PETITION TO ANNUL RECORD, The Petitioner has not been, justice or of any offense for, The time requirements for, crimes for which the Petitioner, The Petitioner was convicted of a, the option to apply for annulment, The Petitioner believes an order, and is consistent with the public, Signature of Petitioner, Signature of Counsel, and Date - to proceed further in your process!

prosequi conclusion process outlined (stage 4)

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