Sample Declaration

SAMPLE DECLARATION IN SUPPORT OF 1203.4 PETITION

NAME

ADDRESS

SUPERIOR COURT OF CALIFORNIA

COUNTY OF _______

PEOPLE OF THE STATE OF CALIFORNIA, Case No.:

Plaintiff DECLARATION IN SUPPORT OF

VS. PETITION UNDER P.C. 1203.4

NAME

Defendant

---------------------------------------------------------------------------------------------------------------------------------

I, NAME, declare:

I believe the following facts justify my petition for expungement:

1. I was convicted of violating California Penal Code, (describe offense), committed on DATE. (Briefly describe circumstances of cases)

2. (Describe life circumstances at time of conviction, e.g.: In 1997, after this conviction for possession of methamphetamines, I was literally “scared straight. I realized that I needed to change my life entirely; I decided to get clean. Although it was difficult, I stopped doing drugs on my own.)

3. (Describe life circumstances since incident/conviction, e.g.: I have not had alcohol for over 10 years. I have not done any drugs for five years. Over the past year, I have participated in Alcoholics Anonymous to get support for staying “clean and sober,” and in order to get my drivers license back to help with finding

and retaining a job. I am in the process of joining a labor union of cement masons in order to find work. I am living at a shelter until I can find employment.)

4. (Describe/explain any other contacts with law enforcement since the incident/conviction, e.g. since the 1997 convictions, I have had one contact with law enforcement. I was cited and released for driving on a suspended license. Currently, I am working with the DMV and the courts to get my drivers license

back and clear this violation from my record.)

5. (Describe why you need an expungement, e.g., my prior conviction is greatly limiting my job opportunities and an expungement would allow me to work and achieve my goal of self- sufficiency and continued sobriety. I respectfully request that the court use its discretion to expunge my misdemeanor conviction and grant me a second chance to work and support myself. I declare under penalty of perjury of the laws of the State of California that the above is true and correct to the best of my knowledge.

Executed on DATE, at CITY, California