Free Order for Vehicle Immobilization - Michigan

Approved, SCAO

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

STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
Court address

CASE NO. ORDER FOR VEHICLE IMMOBILIZATION
Court telephone no.

The State of Michigan THE PEOPLE OF v

Defendant's name, address, and telephone no.

DLN

DOB

1. The defendant was convicted on
Date

for

violating section 625 of the Michigan vehicle code or a substantially corresponding local ordinance. violating section 625(4) or (5) of the Michigan vehicle code or a substantially corresponding local ordinance. driving in violation of a suspension/revocation with at least two or more prior violations of a suspension or revocation. 2. The violation occurred while the defendant was driving a vehicle identified as: Year: Make: License plate no:

VIN:

ORDER IT IS ORDERED: 3. The defendant shall have: a. himself/herself and the vehicle immobilized through tether technology. b. the above described vehicle immobilized by use of any available means that locks the iginition, wheels, or steering of the vehicle or otherwise prevents the defendant from operating the vehicle. 4. Unless otherwise ordered, sale of the vehicle to a non-family member, with proof of sale to the court, satisfies the immobilization requirement. 5. This order shall be satisfied at the expense and risk of the owner, co-owner, lessee, or co-lessee for starting
Date days

unless otherwise ordered by the court.

If the vehicle is not immobilized by the above start date, the vehicle is subject to impoundment by any law enforcement officer in the state until further order of the court. 6. Other:
Date Judge/Magistrate Bar no.

NOTE: It is a 93 day misdemeanor to tamper with, remove, or bypass a device that has been installed on a vehicle by court order for vehicle immobilization or to purchase, lease, or otherwise obtain a motor vehicle during a period of vehicle immobilization. CERTIFICATION OF IMMOBILIZATION I certify that on
Date

, I immobilized the above described vehicle by use of the following means:

Date Signature Name (type or print) MC 267 (6/03) Business name City, state, zip MCL 257.904d, MCL 257.904e Telephone no.

ORDER FOR VEHICLE IMMOBILIZATION