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Application for Certificate of Second Chance

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Satate of Arizona vs. (Estado de Arizona contra)

DEFENDANT, in connection with the above-captioned case, requests a Certificate of Second Chance (ACUSADO, en relación con el caso subtitulado anteriormente, solicita un Certificado de Segunda Oportunidad):

Have you previously applied for the conviction in the above case to be set aside? (¿Ha solicitado anteriormente que se anule la condena en el caso anterior?)

If No: (En caso negativo:) Pursuant to A.R.S. § 13-905 (M), you are not eligible to receive a Certificate of Second Chance related to this case because your conviction has not been set aside. (De conformidad con A.R.S. § 13-905 (M), usted no es elegible para recibir un Certificado de segunda oportunidad relacionado con este caso porque su condena aún tiene efecto como fallo condenatorio.)

If Yes: (En caso afirmativo:) What was the date you applied for the conviction to be set aside? (¿Cuál fue la fecha que entablo la solicitud para dear sin efecto un fallo condenatorio?)

If No, pursuant to A.R.S. § 13-905 (M), you are not eligible to receive a Certificate of Second Chance related to this case because your conviction has not been set aside. (Si No, de conformidad con A.R.S. $ 13-905 (M), usted no es elegible para recibir un Certificado de Segunda Oportunidad relacionado con este caso porque su condena no ha sido anulada.)

If Yes, in what case? (En caso afirmativo, ¿en qué caso?)

I understand that this application may be denied if information in this application is found to be inaccurate. (Entiendo que esta solicitud puede ser denegada si se determina que la información en esta solicitud es inexacta.)

I declare under penalty of perjury that the information I have provided in this application and any attachments are true and correct to the best of my knowledge. (Declaro bajo pena de perjurio que la información que he proporcionado en esta solicitud y cualquier archivo adjunto son verdaderos y correctos a mi leal saber y entender.)

Created by AIPSS