Form Adopted for Mandatory Use Judicial Council of California CR-150 [Rev. January 1, 2021] CERTIFICATE OF IDENTITY THEFT: JUDICIAL FINDING OF FACTUAL INNOCENCE Penal Code, § 530.6 CONFIDENTIAL (SEE RULE 4.601) CR-150 CASE NUMBERS: ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (name): PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: CERTIFICATE OF IDENTITY THEFT: JUDICIAL FINDING OF FACTUAL INNOCENCE (Penal Code, § 530.6) Warrant No. (if any): Violation Date: 1.

Petitioner Information: Name: Date of Birth: Gender: M F Nonbinary Ht: Wt: Hair Color: Eye Color: Race: Age: Booking No.: Driver's License or Identification No.: Other Identifying Information: 2. The court finds that: A criminal complaint has been filed against another person under the name of the petitioner in this case. Another person was arrested for, cited for, or convicted of a crime under the identity of the petitioner in this case. The petitioner is not the person for whom the warrant in this case was issued.

The petitioner's identity has been mistakenly associated with a record of the criminal conviction in this case. Accordingly, the court finds that the petition is meritorious and that there is no reasonable cause to believe that the petitioner committed the offense in this case, and that the petitioner is factually innocent of that offense. Date: JUDICIAL OFFICER CERTIFICATION I certify that the foregoing is a true and correct copy of the original on file in my office. Date: Clerk, by (DEPUTY) (SEAL) 1. The box to the right contains the petitioner's right thumbprint other print (specify): 2.

The print was taken on (date): 3. The print was taken by a. Name: b. Position: c. Badge or serial No.: ANY ALTERATION RENDERS THIS FORM VOID. CONFIDENTIAL (SEE RULE 4.601)