Free cia02.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Defendant 2nd copy - Return

STATE OF MICHIGAN JUDICIAL DISTRICT
Court address

CASE NO. JUDGMENT Civil Infraction
Court telephone no.

Plaintiff

Defendant name, address, and telephone no.

The of

State

Township

City

Village

v

Statute

Ordinance

Infraction:

Infraction date:

DEFAULT ENTRY I certify that: 1. The defendant has not made a scheduled appearance nor answered the citation within the time allowed by statute. 2. The defendant is not in the military service or is in the military service but received notice and adequate time and opportunity to appear and defend. 3. The default of the defendant is entered.
Date Clerk/Deputy court clerk/Magistrate

JUDGMENT THE COURT FINDS: 1. The defendant is responsible and admitted responsibility by mail. in person/by representation. 2. The defendant is in default. The citation/complaint is sufficient to make a determination of responsibility. 3. After hearing, the defendant is is not responsible as amended: . 4. The plaintiff failed to appear. 5. The plaintiff moved to dismiss the case. IT IS ORDERED: For a defendant on active military duty, default judgment shall not be entered, except as provided by the Servicemembers Civil Relief Act. 6. The case is dismissed. 7. The defendant must pay this amount immediately by returning a copy of this judgment with payment. Amount of judgment Fine $ Costs $ State costs $ TO THE DEFENDANT: If you fail to pay this judgment, the $ Secretary of State may take action against your driving privileges. Total $ Fine, costs, and fees not paid within 56 days of the appearance date Bond forfeited $ or other date owed are subject to a 20% late penalty on the amount Balance due $ owed. 8. Other:

Date

Judge/Magistrate/Deputy court clerk

NOTICE TO THE DEFENDANT: If this judgment is the result of an informal hearing, you may appeal the decision within 7 days of the judgment date. If this judgment is the result of a formal hearing, you may appeal the decision within 21 days of the judgment date. If this judgment is based on an admission of responsibility, you may file a written request to withdraw your admission within 14 days of the admission. If this judgment is the result of a default, you may file a motion to set aside the default within 14 days of the date the judgment was served. A bond equal to the amount of the judgment is required in all instances.

CERTIFICATE OF SERVICE I certify that on this date I have personally served a copy of this judgment on the defendant. I have served a copy of this judgment on the defendant by first-class mail addressed to his/her last-known address as defined by MCR 2.107(C)(3).
Date CIA 02 (3/09) Clerk/Deputy court clerk/Magistrate

JUDGMENT, Civil Infraction

MCR 4.101(B), 50 USC 521