Michigan > Statewide > Juvenile
Order Of Probation (Designated Case) JC 74 - Michigan
| Order Of Probation (Designated Case) Form. This is a Michigan form and can be used in Juvenile Statewide . |
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Original - Court (Part 1) 3rd copy - Prosecutor (Part 1) 1st copy - Probation Department (Part 1) 4th copy - Law enforcement agency (Part 2) Approved, SCAO 2nd copy - Juvenile (Part 1) 5th copy - Court LEIN copy (Part 2) STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT - FAMILY DIVISION PETITION NO. ORDER OF PROBATION COUNTY (DESIGNATED CASE) ORI Court address Court telephone no.MI- Police Report No. CTN/TCN SID DOB 1. In the matter of Juveniles address, and telephone no. Probation officer Term Offense(s) Sentence delayed under MCL 712A.18(1)(n) Judgment of guilt is deferred under: MCL 333.7411, Controlled Substance Act MCL 750.350a, Parental Kidnapping Act Juvenile poses a credible threat to the physical safety of 1 or more per sons named in item 8. **needed for NCIC entry IT IS ORDERED that the juvenile is placed on probation under the supervision of the above named probation officer for the term indicated, and the juvenile shall: 2. Not violate any criminal law of any unit of government. 7. Pay the following to the court: 3. Not leave the state without the consent of this court. Fine...................................$ 4. Make a truthful report to the probation officer monthly, or as often Costs ................................$ as the probation officer may require, either in person or in Restitution.........................$ writing, as required by the probation officer. Crime Victim Assessment .$ 5. Notify the probation officer immediately of any change of address State minimum costs ........$ or employment status. Supervision Fee.................$ 6. Not purchase or possess a firearm. **needed for NCIC entry Other.................................$ Total..................................$ Total amount due shall be paid in installments of $ per starting on Date and paid in full by the due date on the judgment of sentence unless othe rwise ordered. The supervision fee is payable immediately and applies to all delayed se ntences. A supervision fee may not be ordered or collected for juveniles whose judgment of guilt has been deferred under MCL 750.3 50a. Fines, costs, and fees not paid within 56 days of the date owed are subj ect to a 20% late penalty on the amount owed. 8. Other: (Use this space for conditions for the protection of 1 or more named p ersons - also complete the LEIN order on Part 2 of this form)Failure to comply with this order may result in a revocation of probatio n and incarceration. Date Judge Bar no.I have read or heard the above order of probation and have received a co py. I understand and agree to comply with this order. Date Juvenile signature If sentence is delayed or judgment of guilt is deferred as stated above, the clerk of the court shall advise the Michigan State Police CriminalJustice Information Center of the disposition as required under MCL 769. 16a. MCL 712A.18, MCL 712A.18(1)(n), MCR 3.955,JC 74 (9/03) ORDER OF PROBATION (DESIGNATED CASE), PART 1 18 USC 922(g)(8)(c)<<<<<<<<<********>>>>>>>>>>>>> 2 Original - Court (Part 1) 3rd copy - Prosecutor (Part 1) 1st copy - Probation Department (Part 1) 4th copy - Law enforcement agency (Part 2) Approved, SCAO 2nd copy - Juvenile (Part 1) 5th copy - Court LEIN copy (Part 2) STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT - FAMILY DIVISION PETITION NO. ORDER OF PROBATION COUNTY (DESIGNATED CASE) ORI Court address Court telephone no.MI- Police Report No. CTN/TCN SID DOB 1. In the matter of Juveniles address, and telephone no. Probation officer Term Offense(s) Sentence delayed under MCL 712A.18(1)(n) Judgment of guilt is deferred under: MCL 333.7411, Controlled Substance Act MCL 750.350a, Parental Kidnapping Act Juvenile poses a credible threat to the physical safety of 1 or more per sons named in item 8. *needed *for NCIC entry IT IS ORDERED that the juvenile is placed on probation under the supervision of the above named probation officer for the term indicated, and the juvenile shall: 2. Not violate any criminal law of any unit of government. 7. Pay the following to the court: 3. Not leave the state without the consent of this court. Fine...................................$ 4. Make a truthful report to the probation officer monthly, or as often Costs ................................$ as the probation officer may require, either in person or in Restitution.........................$ writing, as required by the probation officer. Crime Victim Assessment .$ 5. Notify the probation officer immediately of any change of address State minimum costs ........$ or employment status. Supervision Fee.................$ 6. Not purchase or possess a firearm. **needed for NCIC entry Other.................................$ Total..................................$ Total amount due shall be paid in installments of $ per starting on Date and paid in full by the due date on the judgment of sentence unless othe rwise ordered. The supervision fee is payable immediately and applies to all delayed se ntences. A supervision fee may not be ordered or collected for juveniles whose judgment of guilt has been deferred under MCL 750.3 50a. Fines, costs, and fees not paid within 56 days of the date owed are subj ect to a 20% late penalty on the amount owed. 8. Other: (Use this space for conditions for the protection of 1 or more named p ersons - also complete the LEIN order on Part 2 of this form)Failure to comply with this order may result in a revocation of probatio n and incarceration. Date Judge Bar no.TO LOCAL LAW ENFORCEMENT:The protective conditions in item 8. and the following identifying informa tion of the juvenile must be entered on the LEIN system. The court will notify local law enforcem ent of any amendments to or revocation of this order. Height Weight Race Sex Date of Birth Hair Color Eye Color Other Identifying Information Effective date of conditions in item 8. Expiration date of order Date Judge Bar no. MCL 712A.18, MCL 712A.18(1)(n), MCR 3.955,JC 74 (9/03) ORDER OF PROBATION (DESIGNATED CASE), PART 2 18 USC 922(g)(8)(c)
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