Ariz. R. Crim. P. form 31(a)
_____________________COURT OF ARIZONA
IN____________________COUNTY
STATE OF ARIZONA -VS- _________________ Defendant (FIRST, MI, LAST) Date of Birth:___________ Applicant is: [ ] Defendant [ ] Attorney for Defendant [ ] Probation Officer | Case Number:____________________ APPLICATION TO SET ASIDE CONVICTION (A.R.S. § 13-905) Note: Your application may entitle you to restoration of the right to possess and carry a firearm pursuant to A.R.S. § 13-905(O) |
SECTION I. CONVICTION(S)
A Judgment of Guilt was entered in the_______________________________Court against the defendant
on the________day of______________________________,______, on the conviction of:
1. Count I: __________________________________________________________
2. Count II: _________________________________________________________
3. Count III _________________________________________________________
4. Count IV: _________________________________________________________
[ ] Additional counts continue on a separate page.
SECTION II. SENTENCE COMPLIANCE
1. [ ] I have complied with all required terms of the sentence (including all probation, employment, classes, community restitution, victim restitution or other monetary obligations, drug alcohol testing, or other requirements). [ ] Yes [ ] No. If no, please explain:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
2. [ ] I received a certificate of absolute discharge from the Arizona Department of Corrections.
[ ] Yes [ ] No.
3. Victim restitution [ ] has [ ] has not been paid in full or [ ] was not ordered.
If victim restitution has not been paid in full, please explain:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
4. All other court-ordered monetary obligations [ ] have [ ] have not been paid in full or [ ] were not ordered.
If all other monetary obligations have not been paid in full, please explain:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
In some circumstances, you may be eligible to apply to the court to modify the amount owed or convert monies owed to community restitution.
SECTION III. PRIOR SET ASIDE(S)
1. Have you previously applied to set aside any conviction? [ ] Yes [ ] No. If so, what was the date of your last application?
2. Have you previously been granted a set aside? [ ] Yes [ ] No. If so, was the set aside on a felony conviction? [ ] Yes [ ] No.
3. If you have previously been granted a set aside on a felony conviction, did you receive a certificate of second chance? [ ] Yes [ ] No [ ] N/A.
4. Have you previously been denied a set aside? [ ] Yes [ ] No.
SECTION IV. PENDING CASES
1. Are there any open criminal cases against you? [ ] Yes [ ] No. If yes, please explain:
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_________________________________________________________________
_________________________________________________________________
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SECTION V. OTHER INFORMATION FOR THE COURT
1. Is there anything you would like the court to take into consideration?
_________________________________________________________________
_________________________________________________________________
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2. [ ] Attached is other pertinent documentation. List attached documents:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
3. The defendant, prosecutor, or the victim may request a hearing, but the court is not required to set a hearing. Do you request a hearing? [ ] Yes [ ] No.
I understand that even if I am granted the right to possess and carry a firearm pursuant to this application I may still be prohibited from possessing and carrying a firearm under other state or federal laws.
I understand that this application may be denied if information in this application is found to be inaccurate.
I declare under penalty of perjury that, to the best of my knowledge, the information provided in this application and any attachments is true and correct.
___________________ Print Defendant's Name | _____________________ Defendant's Signature |
_____________________________________
Address
OR
AUTHORIZATION TO PROCEED ON BEHALF OF DEFENDANT
I authorize___________________________________________[ ] Attorney, or [ ] Probation Officer to
petition the____________Court in_________________________County, to take the above-indicated action.
_______ Date | ______________ Defendant's Signature |
To the best of my knowledge, (the information provided in this application is true and correct.
_________________________ Print Attorney/Probation Officer Name | _________________________ Attorney/Probation Officer Signature |
__________________________________
Attorney-Probation Officer Address
Ariz. R. Crim. P. form 31(a)