What information is needed for Expungement?

Basic information needed by your attorney to start an Expungement. Typing up is best.

1.   Petitioner's name is _____________.  

any other name used___________________.

Current address ___________________________________

CITY _____________________________ STATE _______ ZIP __________

CELL-PHONE ________________________________ rev 1/30/20

            

OTHER PHONE-DAY __________________________  

E-MAIL ADDRESS ______________________________________________

REFERRED BY: _______________________________________________

2.   Petitioner's date of birth is _______, 

Social Security Number is ________

3.  Petitioner was charged  on [DATE]  ________________ for violation of the following:  

N.J.S.A. 2C:  ______________

type of offense  _________________

Town ___________________                     

Summons/ Warrant/ Complaint #  ____________________

[Leave out traffic tickets ex 39:4-49.1.   Traffic tickets cannot be expunged]

The original complaint number was ___________

4.  This matter was in ___________   County .  

5. This matter was heard in the   ______________ Municipal Court on __________

6. On [DATE] ______, I plead guilty of the following offense: ________________________. 

I was fined _____, costs of ______ and ______. 

 Or

on ________________, charges were dismissed

7. The following are all othercharges against me since I was 18 year old, even if the charge was dismissed or it was a Municipal Ordinance:  

[IF NONE, WRITE NONE]

[OTHER PRIOR CHARGES] Petitioner was charged  on   ________________ for violation of the following:  

N.J.S.A. 2C:  ______________

type of offense  _________________

Summons/ Warrant/ Complaint # ____________________

Other prior offenses:

This matter was in ___________ County , town ______________

Disposition/ result ___________________________________

[If none, write none, don’t leave blank]

Please advise in criminal cases if you are not a US citizen. ____

KENNETH VERCAMMEN & ASSOCIATES, PC

ATTORNEY AT LAW

2053 Woodbridge Ave.

Edison, NJ 08817

(Phone) 732-572-0500

                                  (Fax) 732-572-0030