Here is the text we could read:
Commonwealth of Pennsylvania
Court of Common Pleas
County of
Judicial District
Order Granting Petittion for Truancy
Expungement
COMMONWEALTH OF PENNSYLVANIA
v.
Docket No:
ORDER
AND NOW, this _____ day of _________________, 2_____, after consideration of the Petition
presented by ______________________________, it is ORDERED that the Petition is GRANTED.
The defendant's arrest record regarding these charges shall be expunged. Further, it is ORDERED that the
arresting agency shall destroy all records, fingerprints, photographic plates and photographs pertaining to the
charge(s) specified below, which resulted from the arrest(s) of ______________________________.
In addition, all criminal justice agencies, including PennDOT, upon which this order is served shall expunge
and destroy the official and unofficial arrest and other criminal records, files and other documents pertaining to
the captioned proceedings.
reference.
The information appears on the attached page(s) which is hereby incorporated into this ORDER by
BY THE COURT:
Date
Judge
CPCMS 490A
COMMONWEALTH OF PENNSYLVANIA
v.
Order Granting Petition for Truancy
Expungement
Docket No:
The following information is provided:
1. Petitioner's Name:
2. Alias(es):
3. Petitioner's Address:
4. Petitioner's Date of Birth:
5. Petitioner's Social Security Number:
6. Name and address of Judge of the Magisterial
District or Philadelphia Municipal Court who
accepted the guilty plea or heard the case:
7. Name and address of the affiant as shown on the
complaint or citation, if available:
8. Magisterial District Court number:
9. Docket Number(s) to be Expunged:
10. The date on the citation or complaint, or the date
of arrest, and if available, the criminal justice
agency that made the arrest:
11. The specific charges, as they appear on the
charging document, to be expunged and
applicable dispositions:
12. If the sentence includes a fine or costs, whether
the amount due has been paid:
YES
NO
13. The petitioner has satisfied the requirements of 24
P.S. ยง13-1333.3(h) for expungement.
YES
NO
14. The criminal justice agencies upon which certified
Affiant
copies of the order shall be served:
Juvenile's School
County Children and Youth Services
PennDOT
CPCMS 490A
(Untitled)
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Pennsylvania state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from www.pacourts.us (2023-03)
- Page(s): 2
- Fields(s): 37
- Average fields per page: 18
- Reading Level: Grade 10
- LIST Grouping(s):
GO-00-00-00-00.
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
signature_date__1
was Date (1.00 conf)year
was Year (0.28 conf)signature_date__2
was Date2 (1.00 conf)docket_number__1
was DocketNumber (0.34 conf)month
was Month (0.28 conf)county_name
was CountyName (0.36 conf)judicial_district
was JudicialDistrict (0.38 conf)defendents_name__1
was DefendentsName1 (0.45 conf)applicants_name__1
was ApplicantsName1 (0.36 conf)defendents_name__2
was DefendentsName2 (0.45 conf)alias__1
was Alias1 (0.35 conf)alias__2
was Alias2 (0.35 conf)alias__3
was Alias3 (0.35 conf)applicants_address
was ApplicantsAddress (0.41 conf)applicants_dateof_birth
was ApplicantsDateofBirth (0.48 conf)applicants_social_number
was ApplicantsSocialSecurityNumber (0.36 conf)nameof_judge
was NameofJudge (0.39 conf)street_addressof_judge
was StreetAddressofJudge (0.44 conf)nameof_affiant
was NameofAffiant (0.35 conf)addressof_affiant
was AddressofAffiant (0.35 conf)district_court_number
was DistrictCourtNumber (0.39 conf)docket_numberstobe_expunged
was DocketNumberstobeExpunged (0.41 conf)dateof_citation_complaint
was DateofCitationOrComplaint (0.44 conf)arresting_agency
was ArrestingAgency (0.54 conf)specific_charges_expungment
was SpecificChargesForExpungment (0.43 conf)cityof_affiant
was CityofAffiant (0.35 conf)cityof_judge
was CityofJudge (0.39 conf)stateof_affiant
was StateofAffiant (0.35 conf)stateof_judge
was StateofJudge (0.39 conf)zip_codeof_judge
was ZipCodeofJudge (0.29 conf)zip_codeof_affiant
was ZipCodeofAffiant (0.33 conf)applicant_city
was ApplicantCity (0.30 conf)applicants_state
was ApplicantsState (0.50 conf)applicants_zip_code
was ApplicantsZipCode (0.31 conf)defendents_name__3
was DefendentsName3 (0.45 conf)docket_number__2
was DocketNumber2 (0.31 conf)applicants_name__2
was ApplicantsName3 (0.36 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
Suggested Screen 1:
docket_number__1
district_court_number
docket_numberstobe_expunged
arresting_agency
specific_charges_expungment
applicant_city
docket_number__2
Suggested Screen 2:
Suggested Screen 3:
signature_date__1
signature_date__2
county_name
defendents_name__1
applicants_name__1
defendents_name__2
applicants_dateof_birth
dateof_citation_complaint
applicants_zip_code
defendents_name__3
applicants_name__2
Suggested Screen 4:
Suggested Screen 5:
applicants_address
applicants_social_number
applicants_state
Suggested Screen 6:
nameof_affiant
addressof_affiant
cityof_affiant
stateof_affiant
zip_codeof_affiant
Suggested Screen 7:
nameof_judge
street_addressof_judge
cityof_judge
stateof_judge
zip_codeof_judge
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