Free mc235.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Prosectuor 2nd copy - Defendant PROBATE JIS CODE: MFO

STATE OF MICHIGAN
JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY ORI

CASE NO. MOTION FOR DESTRUCTION OF FINGERPRINTS AND ARREST CARD
Court telephone no.

Court address

MI-

Police Report No. The State of Michigan THE PEOPLE OF v
CTN/TCN SID DOB Defendant/Juvenile name, address, and telephone no.

Juvenile

In the matter of

Count

CRIME

CHARGE CODE(S) MCL citation/PACC Code

USE NOTE: This form is for use when the arresting agency or the Michigan State Police has failed to destroy the fingerprints and arrest card as required by law or when the Michigan State Police has not destroyed the fingerprints and arrest card because the defendant has had a prior conviction as stated in MCL 28.243(12)(h). This form is not for use in conjunction with setting aside an adjudication pursuant to MCL 712A.18e or setting aside a conviction pursuant to MCL 780.621.

MOTION 1. I,
Name (type or print)

, state that on
Date

I was found not guilty of all offense(s) charged in this case, and the arresting agency and/or Michigan State Police has not destroyed the fingerprints and arrest card as required by law. I was found not to be within the provisions of MCL 712A.2. 2. This motion does not pertain to any sentence imposed under MCL 333.7411, MCL 600.1076(4), MCL 762.11-MCL 762.15, MCL 769.4a, MCL 750.350a, MCL 750.430, or to one of the crimes listed in MCL 28.243(12). 3. I REQUEST that my fingerprints and arrest card be destroyed by the arresting agency and/or Michigan State Police.

Date

Signature

NOTICE OF HEARING A hearing will be held on this motion on at
Location Date

at
Time

before Hon.
Bar no.

.

CERTIFICATE OF MAILING I certify that on this date I served a copy of this motion and notice of hearing on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined by MCR 2.107(C)(3).
Date MC 235 (3/09)

Signature

MOTION FOR DESTRUCTION OF FINGERPRINTS AND ARREST CARD

MCL 28.243, MCL 780.621, MCL 780.623, MCR 3.936(D)