Claim Of Appeal Of Right Or Request To Withdraw Admission And Order {CIA 05}

Original - Court 1st copy - Defendant Approved, SCAO 2nd copy - Prosecutor 3rd copy - Defendant (order) STATE OF MICHIGAN CLAIM OF APPEAL OF RIGHT/ CASE NO. JUDICIAL DISTRICT REQUEST TO WITHDRAW ADMISSION AND ORDER, Civil Infraction Court address Court telephone no.Plaintiff Defendants name and address The State Township City Village v of Statute Ordinance Infraction: Infraction date: SECURITY FOR APPEAL/REQUEST TO WITHDRAW ADMISSION Plaintiffs appeal; no security required. Bond is set at $ Bond posted Date Fine and costs of $ were paid on . Date CLAIM OF APPEAL OF RIGHT Plaintiff Defendant claims an appeal from the judgment entered on Date in this court, by the violations bureau. magistrate. district judge. Date Applicant signature Address City,state, zip REQUEST TO WITHDRAW ADMISSION Defendant requests to withdraw the admission entered on in this court, by the Date violations bureau. magistrate. district judge. Date Defendant signature Address City,state, zip ORDER REGARDING REQUEST TO WITHDRAW ADMISSION IT IS ORDERED the defendants request to withdraw is granted. denied. Date Judge/Magistrate MCR 4.101(G)CIA 05 (6a/98) CLAIM OF APPEAL OF RIGHT/REQUEST TO WITHDRAW ADMISSION AND ORDER, Civil Infraction