Michigan > Statewide > Criminal > Felony
Summons MC 256 - Michigan
| Summons Form. This is a Michigan form and can be used in Felony Criminal Statewide . |
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Original - Court 2nd copy - Prosecutor Approved, SCAO 1st copy - Defendant 3rd copy - Defendant attorney STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT SUMMONS JUDICIAL CIRCUIT Criminal DISTRICT CIRCUIT ORI Court address Court telephone no.MI- Defendants name and address Victim or complainant THE PEOPLE OF THE v STATE OF MICHIGAN Complaining witness Co-defendant(s) Date: On or about City/Twp./Village County in Michigan Defendant CTN Defendant SID Defendant DOBPolice agency report Charge Maximum penalty no. Witnesses Defendant DLN STATE OF MICHIGAN, COUNTY OF . The complaining witness has filed a sworn complaint in this court stating that on the date and the location described, the defendant, contrary to law, IN THE NAME OF THE PEOPLE OF THE STATE OF MICHIGAN TAKE NOTICE: YOU ARE SUMMONED TO APPEAR for arraignment on Day and date at m., at the address above , Michigan, Time Location before the presiding judge. If you fail to appear, a warrant will be issued for your arrest upon the prosecutors request. This summons expires on the date of hearing. If you require special accommodations to use the court because of disabilities, please contact the court immediately to make arrangements. Requested on by: Date Prosecuting official Date Judge/Magistrate/Court clerk Bar no.MC 256 (6/96) SUMMONS, Criminal MCR 6.103(B)<<<<<<<<<********>>>>>>>>>>>>> 2 SUMMONS, Criminal Case No. PROOF OF SERVICE CERTIFICATE / AFFIDAVIT OF SERVICE / NON-SERVICE OFFICER CERTIFICATE OR AFFIDAVIT OF PROCESS SERVER I certify that I am a sheriff, deputy sheriff, bailiff, appointed Being first duly sworn, I state that I am a legally competent court officer, or attorney for a party [MCR 2.104(A)(2)], and adult who is not a party or an officer of a corporate party, and that: (notary not required) that: (notary required) I served personally a copy of the summons, I served by registered or certified mail (copy of return receipt attached) a copy of the summons, together with , on: Attachment Defendants name Complete address(es) of service Day, date, time After diligent search and inquiry, I have been unable to find and serve: I have made the following efforts in attempting to serve process: I have personally attempted to serve the summons, together with Attachment on Name at and have been unable to complete service because Address the address was incorrect at the time of filing. Service fee Miles traveled Mileage fee Total fee Signature $ $ $ Title Subscribed and sworn to before me on , County, Michigan. Date My commission expires: Signature: Date Deputy court clerk/Notary public ACKNOWLEDGMENT OF SERVICE I acknowledge that I have received service of the summons, together with Attachment on Day, date, time on behalf of .Signature MCR 2.105
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