IN THE CIRCUIT COURT OF THE STATE OF OREGON

IN THE OREGON CIRCUIT COURT

_________________ COUNTY

IN RE:

_______________________,

Petitioner.)

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Case No. ______________

MOTION FOR ORDER TO SET ASIDE CONVICTION

COMES NOW the Defendant and respectfully moves the Court for an Order setting aside the CONVICTION in the following matter: Full Name: Date of Birth:

Arrest Charge(s):

Date of Arrest: Arresting Agency:

Conviction Charge(s):

Sentencing Date:

sition:

This Motion is based upon ORS 137.225 the records and files contained herein and the attached Declaration.

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Date:_______________

Defendants Signature

Prepared by: Name:

Address:

City: State: Zip:

Telephone: ( )

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