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Here is the text we could read:

In the Court of Common Pleas  
County of 

 Judicial District 

Commonwealth of Pennsylvania  

  v 
______________________ 

Docket No

Petition for Order for Limited Access Pursuant to Pa.R.Crim.P. 791 

AND NOW, the petitioner avers the following and requests that this petition for order for limited access pursuant 

to Pa.R.Crim.P. 791 be granted for the reasons set forth below. 

PETITIONER INFORMATION 

DOB: 
Alias(es):  

Social Security Number: 

List the name and address of the Court of Common Pleas, 
Magisterial District or Philadelphia Municipal Court Judge who 
accepted the guilty plea or heard the case: 

List name and mailing address of the affiant as shown on the 
complaint, if available: 

CASE INFORMATION 

Name of Affiant: 

Address:  

Full Name: 

Address: 

Judge: 

Address: 

Court of Common Pleas, Philadelphia Municipal Court or Magisterial District Docket Number:   

Date of Arrest or Complaint:  

Name of Arresting Agency: 

OTN:

List specific charges, as they appear on the charging document, to be subject to limited access and the disposition of each charge 
(please attach additional sheet(s) of paper if necessary): 

PA Statute 
(Title) 

Section 

Subsection 

Statute Description 

Counts 

Grade 

Disposition 

If the sentence includes restitution and/or the fee authorized to carry out limited access, have these 
amounts been paid?
List the reason(s) for the order for limited access (please attach additional sheet(s) of paper if necessary): 

  Yes 

  No 

I have attached a copy of my Pennsylvania State Police Criminal History Report obtained within 60 days before filing this petition. 
I have not attached a copy of my Pennsylvania State Police Criminal History Report because the attorney for the Commonwealth 
waives this requirement. 

I, the undersigned petitioner, aver that above case qualifies for a limited access order and none of the 

exceptions under 18 Pa.C.S. § 9122.1(b) are applicable. 

  I, the undersigned petitioner, aver that the facts set forth in this petition are true and correct to the best of my 

personal knowledge or information and belief, and are made subject to the penalties of unsworn falsification to 
authorities under 18 Pa.C.S § 4904. 

_________________________________ 
Signature of Petitioner 

 __________________ 
 Date 

AOPC Form Rev 12/28/20

(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): 1
Fields(s): 58
Average fields per page: 58
Reading Level: Grade 12
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

full_name was Full Name (0.49 conf)
users1_birthdate was DOB (1.00 conf)
social_security_number was Social Security Number (0.38 conf)
aliases_address__1 was AliasesAddress (0.38 conf)
aliases_address__2 was AliasesAddress_2 (0.36 conf)
aliases_address__3 was AliasesAddress_3 (0.36 conf)
aliases_address__4 was AliasesAddress_4 (0.36 conf)
court_common_municipal was Court of Common Pleas Philadelphia Municipal Court or Magisterial District Docket Number (0.42 conf)
name_arresting_agency was Name of Arresting Agency (0.44 conf)
p_statute_title_row__1 was PA Statute TitleRow1 (0.34 conf)
section_row__1 was SectionRow1 (0.27 conf)
subsection_row__1 was SubsectionRow1 (0.45 conf)
statute_description_row__1 was Statute DescriptionRow1 (0.35 conf)
counts_row__1 was CountsRow1 (0.45 conf)
grade_row__1 was GradeRow1 (0.31 conf)
disposition_row__1 was DispositionRow1 (0.46 conf)
p_statute_title_row__2 was PA Statute TitleRow2 (0.34 conf)
section_row__2 was SectionRow2 (0.27 conf)
subsection_row__2 was SubsectionRow2 (0.45 conf)
statute_description_row__2 was Statute DescriptionRow2 (0.35 conf)
counts_row__2 was CountsRow2 (0.45 conf)
grade_row__2 was GradeRow2 (0.31 conf)
disposition_row__2 was DispositionRow2 (0.46 conf)
p_statute_title_row__3 was PA Statute TitleRow3 (0.34 conf)
section_row__3 was SectionRow3 (0.27 conf)
subsection_row__3 was SubsectionRow3 (0.45 conf)
statute_description_row__3 was Statute DescriptionRow3 (0.35 conf)
counts_row__3 was CountsRow3 (0.45 conf)
grade_row__3 was GradeRow3 (0.31 conf)
disposition_row__3 was DispositionRow3 (0.46 conf)
p_statute_title_row__4 was PA Statute TitleRow4 (0.34 conf)
section_row__4 was SectionRow4 (0.27 conf)
subsection_row__4 was SubsectionRow4 (0.45 conf)
statute_description_row__4 was Statute DescriptionRow4 (0.35 conf)
counts_row__4 was CountsRow4 (0.45 conf)
grade_row__4 was GradeRow4 (0.31 conf)
disposition_row__4 was DispositionRow4 (0.46 conf)
p_statute_title_row__5 was PA Statute TitleRow5 (0.34 conf)
section_row__5 was SectionRow5 (0.27 conf)
subsection_row__5 was SubsectionRow5 (0.45 conf)
statute_description_row__5 was Statute DescriptionRow5 (0.35 conf)
counts_row__5 was CountsRow5 (0.45 conf)
grade_row__5 was GradeRow5 (0.31 conf)
disposition_row__5 was DispositionRow5 (0.46 conf)
limited_additional_necessary was List the reasons for the order for limited access please attach additional sheets of paper if necessary (0.36 conf)
signature_petitioner was Signature of Petitioner (0.48 conf)
signature_date was Date (1.00 conf)
county was County (0.39 conf)
defendant_name was DefendantName (0.41 conf)
docket_number was DocketNumber (0.34 conf)
district was DistrictNo (0.35 conf)
users1_address_line_one was Address (1.00 conf)
judge was Judge (0.39 conf)
judge_address was JudgeAddress (0.36 conf)
affiant was Affiant (0.35 conf)
affiant_address was AffiantAddress (0.36 conf)
dateof_arrest was DateofArrest (0.47 conf)
otn was OTN (0.47 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02