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

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Here is the text we could read:

COMMONWEALTH OF PENNSYLVANIA
COUNTY OF

ORDER GRANTING PETITION
FOR TRUANCY EXPUNGEMENT

Mag. Dist. No:

MDJ Name:

Address:

Telephone:

_________________________
v.

_________________________

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.

The information appears on the attached page(s) which is hereby incorporated into this ORDER by reference.

Date

Magisterial District Judge

SEAL

MDJS 490A

Page 1

The following information is provided:

1. Petitioner's Name:

2. Alias(es):

3. Petitioner's Address:

Petitioner's Date of Birth:

Petitioner's Social Security Number:

Name and address of the judge of the Magisterial District
or Philadelphia Municipal Court who accepted the guilty
plea or heard the case:

Name and mailing address of the affiant as shown on the
complaint or citation, if available:

Magisterial District Court number:

Docket Number:

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
(attach additional sheets if needed):

12.

If the sentence includes a fine or costs, whether the
amount due has been paid:

YES

13.

The petitioner has satisfied the requirements of
24 P.S. §13-1333.3(h) for expungement.

YES

14.

The criminal justice agencies, including PennDOT,
upon which certified copies of the order shall be served:

MDJS 490A

Page 2

(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): 43
Average fields per page: 21
Reading Level: Grade 10
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.

signature_date was Date (1.00 conf)
month was Month (0.28 conf)
year was Year (0.28 conf)
applicants_name was ApplicantsName (0.46 conf)
county was County (0.39 conf)
md_j_number was MDJ Number (0.45 conf)
md_j_name was MDJ Name (0.40 conf)
md_j_add__1 was MDJ_Add1 (0.43 conf)
md_j_add__2 was MDJ_Add2 (0.43 conf)
md_j_city was MDJ_City (0.39 conf)
md_j_state was MDJ_State (0.38 conf)
md_j_zip was MDJ_Zip (0.39 conf)
md_j_phone was MDJ Phone (0.39 conf)
date_signed_mdj was DateSignedMDJ (0.44 conf)
signature_mdj was SignatureMDJ (0.45 conf)
defendant__1 was Defendant (1.00 conf)
plaintiff was Plaintiff (1.00 conf)
defendant__2 was Defendant1 (0.35 conf)
alias__1 was Alias1 (0.35 conf)
alias__2 was Alias2 (0.35 conf)
alias__3 was Alias3 (0.35 conf)
nameof_judge was NameofJudge (0.39 conf)
street_addressof_judge was StreetAddressofJudge (0.44 conf)
cityof_judge was CityofJudge (0.39 conf)
stateof_judge was StateofJudge (0.39 conf)
zip_codeof_judge was ZipCodeofJudge (0.29 conf)
nameof_affiant was NameofAffiant (0.35 conf)
addressof_affiant was AddressofAffiant (0.35 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)
stateof_affiant was StateofAffiant (0.35 conf)
zip_codeof_affiant was ZipCodeofAffiant (0.33 conf)
district_court_number was DistrictCourtNumber1 (0.42 conf)
petitioner_name was Petitioner'sName1 (0.43 conf)
petitioner_address was Petitioner'sAddress (0.42 conf)
petitioner_city was Petitioner'sCity (0.50 conf)
petitioner_state was Petitioner'sState (0.40 conf)
petitioner_zip_code was Petitioner'sZipCode (0.35 conf)
petitioner_dateof_birth was Petitioner'sDateofBirth (0.43 conf)
petitioner_social_security was Petitioner'sSocialSecurityNumber (0.37 conf)

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

(Untitled)

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Identified Data Fields:

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