Michigan > Statewide > Criminal > General
Petition And Order For Court Appointed Attorney MC 222 - Michigan
| Petition And Order For Court Appointed Attorney Form. This is a Michigan form and can be used in General Criminal Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Original - Court 1st copy - Defendant Approved, SCAO 2nd copy - Appointed attorney STATE OF MICHIGAN CASE NO. JUDICIAL DISTRICT PETITION AND ORDER FOR JUDICIAL CIRCUIT COURT APPOINTED ATTORNEY ORI Court address Court telephone no.MI- Defendants name, address, and telephone no. The State of Michigan THE PEOPLE OF v CTN SID DOB PETITION The defendant requests a court appointed attorney and submits the following information: 1. CHARGE Misdemeanor 2. RESIDENCE Live with parents Felony Rent Own Room/Board Next hearing: Paternity 3. MARITAL STATUS Date Single Divorced Dependents: Bail amount: $ Bond posted Married Separated Number4. INCOME Employer name and address Length of employment Average take-home pay $ weekly monthly every two weeks Other Income State monthly amount and source (DSS, VA, rent, pensions, spouse, unemployment, etc.) 5. ASSETS* State value of car, home, bank deposits, inmate accounts, bonds, stocks, etc. 6. OBLIGATIONS* Itemize monthly rent, installment payments, mortgage payments, child support, etc. 7. REPAYMENT I understand that I may be ordered to repay the court for all or part of my attorney and defense costs. 8. VERIFICATION I declare under penalty of contempt of court that the above information is true to the best of my information, knowledge, and belief. Date: Signature: *Use reverse side for additional information/comments. ORDER 9. is appointed to represent the petitioner. Name Bar no. 10. The petition is denied because: District Court Endorsement (felony cases only) Date Date Judge Bar no. Judge Bar no.MC 222 (3/00) PETITION AND ORDER FOR COURT APPOINTED ATTORNEY MCR 6.005(B) , MCR 6.610(D),(G)
|
|||||||
