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Notice To Prisoner On Application For Leave To Appeal Decision Of Parole Board CC 404 - Michigan

Notice To Prisoner On Application For Leave To Appeal Decision Of Parole Board Form. This is a Michigan form and can be used in Appeals Statewide .
 Fillable pdf Last Modified 8/27/2008
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Original - Prisoner 3rd copy - Prison/Facility 1st copy - Parole board 4th copy - Court (for proof from prison/facility) Approved, SCAO 2nd copy - Prosecutor/Victim 5th copy - Court (for proof from prosecutor/victim) STATE OF MICHIGAN CIRCUIT CASE NO: NOTICE TO PRISONER ON JUDICIAL CIRCUIT APPLICATION FOR LEAVE TO APPEAL APPEAL CASE NO: COUNTY JUDGE: DECISION OF PAROLE BOARD Court address Court telephone no. Appellant Prisoners name, address, and inmate no. (if known) Appellee THE PEOPLE OF THE STATE OF MICHIGAN v NOTE: This form is required under MCR 7.104(D)(2)(c). If the appropriate language is included in the application for leave to appeal, this formdoes not need to be used. TO THE PRISONER: 1. An application for leave to appeal a decision to grant parole is being filed with the circuit court. (attached) 2. You are not required to respond to the attached application. If you wish to respond to the application for leave to appeal you may respond yourself or hire an attorney to respond for you. 3. If an order of parole is issued under MCL 791.236; MSA 28.2306 before the appellate proceedings are completed, a stay may be granted in the manner provided by MCR 7.105(G), except that no bond is required. TO THE PRISON/FACILITY: You are required to personally serve this notice, the application for leave to appeal, and any supporting documents on the prisoner named above. After service on the prisoner, you must complete the proof of service belowand file it with the clerk of the court. PROOF OF SERVICE I certify that on this date I served copies of this notice, the application for leave to appeal and any supporting documents by registeredor certified mail, return receipt requested on the parole board, the prosecutor (if appropriate), and on the facility where the prisoneris incarcerated. Date Signature of applicant/attorney Note: Attach copy(ies) of the return receipt(s) from the parole board and the prosecutor (when appropriate) and file a copy of thisproof of service with the clerk of the court. PROOF OF SERVICE ON PRISONER I certify that on this date I personally served this notice, the application for leave to appeal and any supporting documents on theprisoner named above. Date Signature of prison official MCR 7.104(D)(2)CC 404 (3/96) NOTICE TO PRISONER ON APPLICATION FOR LEAVE TO APPEAL DECISION OF PAROLE BOARD
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