Free cia03.pmd - Michigan

Approved, SCAO

Original - Court

Copy - Defendant

STATE OF MICHIGAN JUDICIAL DISTRICT
Court address Civil infraction:

14-DAY NOTICE Civil Infraction

CASE NO.
Court telephone no. Infraction date:

The

State

Twp.

City

Village

of:

Statute

Ordinance

v

Defendant name, address, and telephone no.

NOTICE OF FAILURE TO COMPLY WITH JUDGMENT Amount due: $

If you fail to comply with the judgment rendered in this case on or before 1. the Secretary of State will immediately suspend your driving privileges for most driving offenses. 2. a bench warrant may be issued for your arrest. 3. the cost to compel appearance may be added to the amount of your judgment. 4. your operator's license will not be issued or renewed if this notice is for multiple parking violations or a nontraffic state civil infraction. Payment may be made in person or by mail. If you make payment by mail, it must be in the form of a certified check or money order only, and received by this court no later than the due date above. Return this notice with your payment.
CIA 03 (3/09)

, I certify that on this date I served a copy of this notice on the parties by first-class mail addressed to their last-known addressses as defined by MCR 2.107(C)(3).
Date Judge/Magistrate/Deputy court clerk

14-DAY NOTICE, Civil Infraction