Packet For Certificate For Rehabilitation Or Pardon (Notice Of Filing Of Petition) {2}

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF Applicant's County of Residence In the Matter of the Application of Court use only Type Applicant's Full Name - First Middle Last and Suffix, if applicable Date of Birth Month Day, Year CII Number Criminal Case Number(s) List applicable Criminal Case Number(s) NOTICE OF FILING OF PETITION FOR CERTIFICATE OF REHABILITATION AND PARDON Pursuant to Penal Code Sections 4852.01 and 4852.06 To the Governor of the State of California: District Attorney, County of County of Residence ; ; Most recent felony in county of conviction, if different from County of Residence District Attorney, County of District Attorney, County of 2nd most recent felony in county of conviction, if applicable ; ; 3rd most recent felony in county of conviction, if applicable District Attorney, County of You and Each of You Will Please Take Notice That On the day of Date you filed your Petition for Certificate of Rehabilitation and Pardon ; the undersigned has filed a petition in the above-mentioned court(s) for a Certificate of Rehabilitation and Pardon in accordance with the provision of Chapter 3.5, Title 6, Part 3 of the Penal Code of the State of California, and that said petition has, by said court, been set for a hearing on the Day of hearing day of to commence at Month, Year Time of hearing a.m. soon p.m., of said day, or as as the matter can be heard, in its courtroom, department Department at the courthouse state of California. County where hearing will be held in the city of City where hearing will be held ,county of Applicant's Signature Month Day, Year Applicant's Street Address Applicant's City, State ZIP Code FORM 2 (Revised 1/21/99) This form was prepared by the Investigations Division of the Board of Prison Terms pursuant to Penal Code Section 4852.18. American LegalNet, Inc. www.FormsWorkFlow.com AFFIDAVIT OF SERVICE BY MAIL STATE OF CALIFORNIA City of I, Full Name - First Middle Last and Suffix, if applicable , County of being first duly sworn, deposes, and says: I am a citizen of the United States, am over the age of 18 years, and am not a party to the above-entitled proceeding. I am a resident of the County of County of Residence , State of California. My residence business address is Street Address City, State ZIP Code On the Day of the Month day of Month, Year , I served the attached Notice to each person listed below Full Name - First Middle Last and Suffix, if applicable Street Address County Full Name - First Middle Last and Suffix, if applicable Street Address County Full Name - First Middle Last and Suffix, if applicable Street Address County Full Name - First Middle Last and Suffix, if applicable Street Address County by placing a copy of this Notice in a sealed envelope and mailing it first class, postage pre-paid to each person as listed above. There is a delivery service by United States mail at each of the places so addressed, or there is a regular communication by mail between the place of mailing and each of the places so addressed. Subscribed and sworn to before me this Day of the Month day of Month, Year . Full Name of Notary Public - TYPED or PRINTED Notary Public - SIGNATURE In and for the City of FORM 2A (Revised 1/21/98) , County of This form was prepared by the Investigations Division of the Board of Prison Terms pursuant to Penal Code Section 4852.18. , California. American LegalNet, Inc. www.FormsWorkFlow.com NOTICE OF SERVICE IN PERSON Receipt of copy of this Notice is hereby admitted this Day of the month day of Month, Year . Governor's Office State Capitol Legal Affairs Division Full Name of Governor's staff - TYPED or PRINTED Governor's staff - SIGNATURE Governor's staff - TITLE Month Day, Year Receipt of copy of this Notice is hereby admitted this Day of the month day of Month, Year . Full Name of District Attorney staff - TYPED or PRINTED District Attorney staff - SIGNATURE County District Attorney Month Day, Year Receipt of copy of this Notice is hereby admitted this Day of the month day of Month, Year . Full Name of District Attorney staff - TYPED or PRINTED District Attorney staff - SIGNATURE County District Attorney Month Day, Year Receipt of copy of this Notice is hereby admitted this Day of the month day of Month, Year . Full Name of District Attorney staff - TYPED or PRINTED District Attorney staff - SIGNATURE County District Attorney Month Day, Year Receipt of copy of this Notice is hereby admitted this Day of the month day of Month, Year . Full Name of District Attorney staff - TYPED or PRINTED District Attorney staff - SIGNATURE County District Attorney FORM 2B (Revised 1/21/98) Month Day, Year This form was prepared by the Investigations Division of the Board of Prison Terms pursuant to Penal Code Section 4852.18. American LegalNet, Inc. www.FormsWorkFlow.com