Form 4-953. Petition to expunge arrest records and public records; upon conviction.

[For use with District Court Rule 1-077.1 NMRA] STATE OF NEW MEXICO COUNTY OF _________________________ _______________ JUDICIAL DISTRICT COURT In re _________________________________, No.___________________ Petitioner. PETITION TO EXPUNGE ARREST RECORDS AND PUBLIC RECORDS UNDER NMSA 1978, SECTION 29-3A-5 (Upon Conviction) Petitioner, [ ] unrepresented by counsel/[ ] represented by counsel (select one), under NMSA 1978, Section 29-3A-5, respectfully moves the Court to expunge the arrest records and public records related to the case and charge(s) below. 1. Information about Petitioner: _____________________________ Date of Birth: _________________________________________ Current Mailing Address: _______________________________________________ City: ____________________ State: ____________________ Zip Code: ________ Home Phone #: ___________ Work Phone #: _____________ Cell #: ___________ Other names or aliases by which Petitioner has been known (Include prior names, nicknames, or aliases, especially if your arrest records may reflect a different name): ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 2. [ ] Petitioner has no pending expungement cases in the _________ Judicial District. [ ] Petitioner has the following pending expungement case or cases in the _________ Judicial District (provide expungement case numbers for any expungement cases that may be currently pending before the ___________ Judicial District Court): _______________________________________________________ ___________________________________________________________________ 3. [ ] Petitioner has never applied for expungement and been denied. [ ] Petitioner has applied for expungement and been denied in the following expungement cases (provide the expungement case numbers): ________________ ___________________________________________________________________ ___________________________________________________________________ 4. The following case(s) and records are the subject of Petitioner’s Petition to Expunge: District Court case number(s): ___________________________________________ Metropolitan/Magistrate/Municipal Court case number(s): _____________________ Law Enforcement Agency case number(s): ________________________________ Arrest number(s): ____________________________________________________ 5. The following appellate court cases(s) are related to Petitioner’s Petition to Expunge: Court of Appeals case number(s): ________________________________________ Supreme Court case number(s): _________________________________________ 6. Petitioner was convicted of the following charges: (Complete for each offense that you are seeking to expunge. Include additional pages if necessary.) (1) Date of offense/arrest: ______________________________________________ Name and statute/ordinance number of offense: ____________________________ Date sentence completed: ______________________________________________ Date fines and fees paid: _______________________________________________ [ ] Check if additional pages attached. 7. [ ] Petitioner has no cases related to the charges sought to be expunged. [ ] The following cases are related to the charges sought to be expunged: (Include case names and numbers for any cases that were joined either with a co- defendant or joined as the result of a plea.) ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 8. [ ] There is currently no other charge(s) or proceeding(s) pending against Petitioner. 9. Petitioner has had no other criminal convictions (measured from the date of completion of a sentence for a conviction in any jurisdiction) for a period of: [ ] Two years [ ] Four years [ ] Six years [ ] Eight Years [ ] Ten or more years 10. [ ] Petitioner has paid all fines and fees and has fulfilled all victim restitution ordered for the charges Petitioner seeks to expunge. 11. [ ] Petitioner is not seeking to expunge convictions pertaining to any of the following:  An offense committed against a child;  An offense causing great bodily harm or death;  A sex offense as defined in NMSA 1978, Section 29-11A-3;  An offense for embezzlement under NMSA 1978, Section 30-16-8; or  An offense involving driving while under the influence of intoxicating liquor or drugs. 12. Petitioner believes justice will be served by the Court granting the Petition and states the following in support: (Explain why expungement is being sought, e.g., employment, licensure, housing, and any adverse consequences that have been suffered by Petitioner or will be suffered if the Petition is not granted. Attach additional pages if necessary.) ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ [ ] Check if additional pages attached. 13. Petitioner asks this Court for an Order to Expunge arrest records and court records in the custody of the following below: [ ] District Court in the _____________ Judicial District; [ ] ___________ County Sheriff’s Department; [ ] District Attorney for the _________________ Judicial District; [ ] New Mexico Department of Public Safety; [ ] Law Enforcement Agency (name of agency that arrested Petitioner) ___________ __________________________________________________________________; [ ] Metropolitan/Magistrate/Municipal Court in _______________________(location); [ ] New Mexico State Police Investigations Bureau; [ ] Other: ___________________________________________________________ 14. The charges sought to be expunged were originally disposed of or originated in (select one) [ ] District Court in the ______________ Judicial District [ ] Metropolitan Court in _________________ (location) [ ] Magistrate Court in __________________ (location) [ ] Municipal Court in ___________________ (location) 15. [ ] A copy of this Petition, when filed with the Court, will be mailed by first class United States mail to: (1) The District Attorney in the ______________ Judicial District (The District Attorney in the Judicial District where Petitioner’s charge originated) ______________________________________________________________ (Address) (2) The New Mexico Department of Public Safety P.O. Box 1628, Santa Fe, New Mexico 87504-1628 (3) ___________________________________________________________ (The law enforcement agency that arrested Petitioner) __________________________________________________ (Address) 16. [ ] Petitioner has included copies of Petitioner’s FBI and DPS Record of Arrest and Prosecution (RAP) sheets, dated no later than ninety (90) days prior to the filing of the petition. 17. Petitioner has included the following additional documentation related to Petitioner’s criminal history: (Petitioner should attach the documentation detailing the sentences for the charges Petitioner is seeking to expunge. If there have been additional convictions, additional paperwork may be required.) a. Documentation showing completion of Petitioner’s sentences for the convictions Petitioner is seeking to expunge; b. Documentation showing completion of sentences for any other convictions that Petitioner has served; c. Documentation showing final payment of any fines and fees owed related to the convictions Petitioner is seeking to expunge; d. Documentation showing completion of any victim restitution ordered as a result of the convictions Petitioner is seeking to expunge; e. Other: ___________________________________________________________ (list any other documentation provided with the petition). 18. [ ] Petitioner wishes to attend any hearings in this matter by telephonic or other electronic means as provided for in Rule 1-077.1(J) NMRA. ______________________________________________________________________ SIGNATURE SECTION I, Petitioner, affirm under penalty of perjury under the laws of the State of New Mexico that the statements herein are true and correct. __________________________________ Printed name of Petitioner __________________________________ Date __________________________________ Signature of Petitioner __________________________________ Mailing Address __________________________________ Telephone Number __________________________________ Email __________________________________ Attorney Name (if applicable) __________________________________ Date __________________________________ Attorney Signature __________________________________ __________________________________ Mailing Address __________________________________ Telephone Number __________________________________ Email [Provisionally adopted by Supreme Court Order No. 21-8300-033, effective for all cases pending or filed on or after January 28, 2022; provisionally adopted form approved as amended by Supreme Court Order No. S-1-RCR-2024-00099, effective for all cases filed on or after December 31, 2025.]