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Motion For Review Undisciplined Delinquent Probation Violation Extended Commitment Revocation Of Post Release Supervision Other J-241 - North Carolina
| Motion For Review Undisciplined Delinquent Probation Violation Extended Commitment Revocation Of Post Release Supervision Other Form. This is a North Carolina form and can be used in Juvenile Statewide . |
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(TYPE OR PRINT IN BLACK INK) File No. STATE OF NORTH CAROLINA County IN THE MATTER OF: Name And Address Of Juvenile In The General Court Of Justice District Court Division MOTION FOR REVIEW (UNDISCIPLINED/DELINQUENT) PROBATION VIOLATION EXTENDED COMMITMENT VIOLATION OF POST-RELEASE SUPERVISION OTHER G.S. 7B-2510, -2515, -2516, -2600 Juvenile's Date Of Birth Age Name Of Movant Name And Address Name And Address Parent Guardian Custodian Parent Guardian Custodian I request the Court to hear and further consider the case of the juvenile named above, as to whom the Court is exercising continuing jurisdiction, and to (specify other requests) . Protective supervision/probation/commitment/post-release supervision is scheduled to end on . FACTS AND CIRCUMSTANCES INDICATING NEED FOR REVIEW (Use reverse side for additional Facts and Circumstances.) Being first duly sworn, I say that I have read the foregoing motion and know the content thereof and that the same is true of my own knowledge, except as to those matters alleged upon information and belief, and as to these matters, I believe the same to be true. Signature Of Movant SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Name And Address Of Movant Deputy CSC Assistant CSC Clerk Of Superior Court Title (if applicable) Date My Commission Expires Notary County Where Notarized Agency (if applicable) SEAL AOC-J-241, Rev. 4/11 © 2011 Administrative Office of the Courts (Over) American LegalNet, Inc. www.FormsWorkFlow.com ADDITIONAL FACTS AND CIRCUMSTANCES AOC-J-241, Side Two, Rev. 4/11 © 2011 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com
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