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IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				

IN THE INTEREST OF:
                                                                           ,
          Petitioner.	
Case No. 			            	

APPLICATION TO VACATE AND SEAL ALCOHOL AGE VIOLATION
I.C. § 18-1502(6)

Petitioner asks that the Court vacate and seal the above named case based upon the following information: 

1.	The Petitioner has been found guilty of only one (1) violation of I.C § 18-1502 or I.C. § 23-604;

2.	The Petitioner does not have any alcohol or drug related findings of guilt, in Idaho or any state, within five (5) years of the commission of this offense.	 	 

Dated: 												
							Petitioner Name