Free mc246.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Probation department

2nd copy - Defendant 3rd copy - Prosecutor

STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
ORI

CASE NO. MOTION AND SUMMONS REGARDING PROBATION VIOLATION
Court telephone no.

Court address

MI-

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

I,

Name of probation officer (type or print)

, allege that the probationer has violated the terms of his/her

probation as follows:

I REQUEST that the court compel the probationer to appear for a hearing on the charges in this motion.
Date Signature of probation officer

SUMMONS TO DEFENDANT, IN THE NAME OF THE PEOPLE OF THE STATE OF MICHIGAN: You are ordered to appear in court at the above address on
Date

at

Time

for arraignment on the alleged probation

violation. Failure to appear at the stated time and place may subject you to arrest.
Date Judge Bar no.

CERTIFICATE OF MAILING

I certify that on this date a copy of this motion and summons was served upon the probationer by first-class mail addressed to his/her last-known address as defined by MCR 2.107(C)(3).

Date

Signature

MC 246 (3/09)

MOTION AND SUMMONS REGARDING PROBATION VIOLATION

MCR 6.103(B), (C), MCR 6.445(A)