Free jc74.pmd - Michigan

Approved, SCAO

Original - Court (Part 1) 1st copy - Probation department (Part 1) 2nd copy - Juvenile (Part 1)

3rd copy - Prosecutor (Part 1) 4th copy - Law enforcement agency (Part 2) 5th copy - Court LEIN copy (Part 2) JIS CODE: OOP

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address ORI

ORDER OF PROBATION (DESIGNATED CASE)

CASE NO. PETITION NO.

Court telephone no.

MI-

CTN/TCN

SID

DOB

1. In the matter of
Juvenile's address and telephone no.

Probation officer Offense(s)

Term

Sentence delayed pursuant to MCL 712A.18(1)(m)

Pursuant to 18 USC 922(g)(8), the court found, at a hearing, that the juvenile represents a credible threat to the physical safety of one or more persons as defined in 18 USC 922(g)(8) and 18 USC 921(32) and named in item 9. **Needed for NCIC entry. IT IS ORDERED that the juvenile is placed on probation under the supervision of the probation officer named above for the term indicated, and the juvenile shall 2. not violate any criminal law of any unit of government. 7. pay the following to the court. 3. not leave the state without the consent of this court. Fine ................................... $ 4. make a truthful report to the probation officer monthly, or as often Costs ................................ $ as the probation officer may require, either in person or in Restitution ......................... $ writing, as required by the probation officer. Crime Victim Assessment. $ 60.00 5. notify the probation officer immediately of any change of address State minimum costs ........ $ or employment status. Supervision fee .................. $ 6. not purchase or possess a firearm. **Needed for NCIC entry. Other ................................. $ 60.00 Total .................................. $ 8. a.The total amount due shall be paid in installments of $ per starting on
Date

and paid in full by the due date on the judgment of sentence or order delaying sentence, or by Date b. The due date for payment is .
Date

.

The supervision fee is payable immediately and applies to all delayed sentences. Fines, costs, and fees not paid within 56 days of the date owed are subject to a 20% late penalty on the amount owed. 9. other: (Use this space for conditions for the protection of one or more named persons - also complete the LEIN order on Part 2 of this form. See back
of form for required language when conditions are ordered pursuant to 18 USC 922[g][8].)

Failure to comply with this order may result in a revocation of probation and incarceration.
Date Judge Bar no.

I have read or heard the above order of probation and have received a copy. I understand and agree to comply with this order. I also understand that federal and/or state law may prohibit me from possessing or purchasing ammunition or a firearm (as those terms are defined in federal and state law) if the court found I represent a credible threat to the physical safety of a named person and/or explicitly prohibited (in item 9) the use, attempted use, or threatened use of physical force that would reasonably be expected to cause bodily injury to that named person.
Date Juvenile signature

If sentence is delayed as stated above, the clerk of the court shall advise the Michigan State Police Criminal Justice Information Center of the disposition as required by MCL 769.16a.
JC 74 (9/08)

ORDER OF PROBATION (DESIGNATED CASE), PART 1

MCL 712A.18, MCL 712A.18(1)(m), MCR 3.955, 18 USC 922(g)(8)(c)

Approved, SCAO

Original - Court (Part 1) 1st copy - Probation department (Part 1) 2nd copy - Juvenile (Part 1)

3rd copy - Prosecutor (Part 1) 4th copy - Law enforcement agency (Part 2) 5th copy - Court LEIN copy (Part 2) JIS CODE: OOP

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address ORI

ORDER OF PROBATION (DESIGNATED CASE)

CASE NO. PETITION NO.

Court telephone no.

MI-

CTN/TCN

SID

DOB

1. In the matter of
Juvenile's address and telephone no.

Probation officer Offense(s)

Term

Sentence delayed pursuant to MCL 712A.18(1)(m)

Pursuant to 18 USC 922(g)(8), the court found, at a hearing, that the juvenile represents a credible threat to the physical safety of one or more persons as defined in 18 USC 922(g)(8) and 18 USC 921(32) and named in item 9. **Needed for NCIC entry. IT IS ORDERED that the juvenile is placed on probation under the supervision of the probation officer named above for the term indicated, and the juvenile shall 2. not violate any criminal law of any unit of government. 7. pay the following to the court. 3. not leave the state without the consent of this court. Fine ................................... $ 4. make a truthful report to the probation officer monthly, or as often Costs ................................ $ as the probation officer may require, either in person or in Restitution ......................... $ 60.00 writing, as required by the probation officer. Crime Victim Assessment. $ 60.00 5. notify the probation officer immediately of any change of address State minimum costs ........ $ or employment status. Supervision fee .................. $ 6. not purchase or possess a firearm. **Needed for NCIC entry. Other ................................. $ 60.00 Total .................................. $ 8. a.The total amount due shall be paid in installments of $ per starting on
Date

and paid in full by the due date on the judgment of sentence or order delaying sentence, or by Date b. The due date for payment is .
Date

.

The supervision fee is payable immediately and applies to all delayed sentences. Fines, costs, and fees not paid within 56 days of the date owed are subject to a 20% late penalty on the amount owed. 9. other: (Use this space for conditions for the protection of one or more named persons - also complete the LEIN order on Part 2 of this form. See back
of form for required language when conditions are ordered pursuant to 18 USC 922[g][8].)

Failure to comply with this order may result in a revocation of probation and incarceration.
Date Judge Bar no.

TO LOCAL LAW ENFORCEMENT:The protective conditions in item 9. and the following identifying information of the juvenile must be entered on the LEIN system. The court will notify local law enforcement of any amendments to or revocation of this order.
Height Weight Race Sex Date of Birth Hair Color Eye Color Other Identifying Information

Effective date of conditions in item 9. Date JC 74 (9/08)

Expiration date of order Judge Bar no. MCL 712A.18, MCL 712A.18(1)(m), MCR 3.955, 18 USC 922(g)(8)(c)

ORDER OF PROBATION (DESIGNATED CASE), PART 2

Required Language When Conditions are Issued Pursuant to 18 USC 922(g)(8): Use the following language when the conditions involve an intimate partner of the defendant or child of the intimate partner or defendant as defined in 18 USC 922(g)(8) and 18 USC 921(32). Defendant is restrained from harassing, stalking, or threatening, or engaging in other conduct that would place [insert name(s)] in reasonable fear of bodily injury. For details about these conditions, see SCAO Administrative Memorandum 2008-02.