Municipal Court Order
Municipal Court of _______________________________ State of New Jersey vs. ________________________________________________ Defendant ________________________________________________ ________________________________________________ Address County of ________________________________ Summons/Complaint No. __________________ ___ ___ ___ ___ Court Code _____________________ Docket Number
Judgment of Conviction Change of Judgment Suspension of Proceedings
Whereas, on _____ / _____ / _____ the above named pled guilty to; was convicted of; was granted suspended proceedings for; violating the provisions of __________________, __________________, __________________, __________________, it is Ordered that, commencing on _____ / _____ / _____, the defendant:
Be placed/continued on PROBATION for _____ (months) _____ (years) and comply with the standard conditions of probation pursuant to R. 3:21-7 of the Court Rules Governing Criminal Practice. If the offense occurred on or after February 1, 1993 and the sentence is to probation or to a State Correctional facility, a transaction fee of up to $1.00 is to be paid on each occasion when a payment or installment payment is made. (N.J.S.A. 2C:46-1d.);
Be placed/continued on SUPERVISORY TREATMENT (N.J.S.A. 2C:36A-1) for _____ (months) _____ (years);
Perform COMMUNITY SERVICE for a period of _____ (days) _____ (hours) to be performed under the direction and supervision of the __________________________________ County Probation Services; Serve a JAIL sentence of _______________. Jail Time Credit: _______________' Work Release recommended SLAP recommended
Complete an out-patient/residential TREATMENT program at ___________________________________________________________, to be arranged by Probation by defendant; Pay the following:
AMOUNT VCCB $ $ $ $ $ PAY TO (
PROB CRT
ü
) PAID AT SENTENCING $ $ $ $ $
Other: Please specify
AMOUNT $ $ $ $ TOTAL $
PAY TO (
PROB CRT
ü
) PAID AT SENTENCING $ $ $ $ $
*OTHER
*OTHER
The total remaining financial obligation of $ ___________ is to be paid in installments of $ ___________ per ___________________; 1. Restitution Beneficiary: _____________________________________________________________________________ $ ___________
(Name) (Name) (Address) (Address) (Amount) (Amount)
2. Restitution Beneficiary: _____________________________________________________________________________ $ ___________ *OTHER (Please identify creditor) The defendant's driving privileges are revoked for _________________ (months) _________________ (years); Comply with the following ADDITIONAL conditions of Probation/Supervisory Treatment: ________________________________ ___________________________________________________________________________________________________________________; Judge (name): _________________________ Judge (signature): ____________________________ Date: ____ / ____ / ____
Failure to comply with this Order may be cause for returning this case to court for another disposition that may include sentence to a period of incarceration. Receipt of this Order is acknowledged: Name: ____________________________________ Signature: _______________________________ Date: ____ / ____ / ____ Note: There is a related active Domestic Violence Attachments: DEFENDANT INFORMATION: Defendant's Name: ______________________________________ Social Security Number: _________________________________ Driver's License Number: ________________________________ Employer: ______________________________________________ Other Contact Person: ___________________________________ Date of Birth: ________________________________________ Telephone Number: ( ) _________________________ Complaint PSR TRO TRO/PRO PRO (attach copy).
Eye Color: __________________________________________ Address: ___________________________________________ Telephone Number: ( ) _________________________
Municipal Court Order
Municipal Court of _______________________________ State of New Jersey vs. ________________________________________________ Defendant ________________________________________________ ________________________________________________ Address County of ________________________________ Summons/Complaint No. __________________ ___ ___ ___ ___ Court Code _____________________ Docket Number
JUDGMENT OF CONVICTION CHANGE OF JUDGMENT SUSPENSION OF PROCEEDINGS
Whereas, on _____ / _____ / _____ the above named defendant pled guilty to; was convicted of; or was granted suspended proceedings for: violating the provisions of __________________, __________________, __________________, __________________. It is Ordered that, commencing on _____ / _____ / _____, the defendant: Be placed/continued on PROBATION for _____ (months) _____ (years) and comply with the standard conditions of probation pursuant to R. 3:21-7 of the Court Rules Governing Criminal Practice. If the offense occurred on or after February 1, 1993 and the sentence is to probation or to a State Correctional facility, a transaction fee of up to $1.00 is to be paid on each occasion when a payment or installment payment is made. (N.J.S.A. 2C:46-1d.); Be placed/continued on SUPERVISORY TREATMENT (N.J.S.A. 2C:36A-1) for _____ (months) _____ (years); Perform COMMUNITY SERVICE for a period of _____ (days) _____ (hours) to be performed under the direction and supervision of the __________________________________ County Probation Services; Serve a JAIL sentence of _______________. Jail Time Credit: _______________ Work Release recommended SLAP recommended
Complete an out-patient/residential TREATMENT program at __________________________________________________, to be arranged by Probation by defendant; Pay the following:
AMOUNT VCCB $ $ $ $ $ PAY TO ( ü )
PROB CRT
Other: Please specify
PAID AT SENTENCING $ $ $ $ $ TOTAL $ $ $ $ $ AMOUNT
PAY TO ( ü )
PROB CRT
PAID AT SENTENCING $ $ $ $ $
The total remaining financial obligation of $ ___________ is to be paid in installments of $ ___________ per ___________________; 1. Restitution Beneficiary: _____________________________________________________________________________ $ ___________
(Name) (Name) (Address) (Address) (Amount) (Amount)
2. Restitution Beneficiary: _____________________________________________________________________________ $ ___________ The defendant's driving privileges are revoked for _________________ (months) _________________ (years); Comply with the following ADDITIONAL conditions of Probation/Supervisory Treatment: (see attached)
THE FOLLOWING MUST BE COMPLETED PRIOR TO FILING WITH THE SUPERIOR COURT CLERK:
CREDITOR 1. 2. AMOUNT $ $ 4. 3. CREDITOR AMOUNT $ $ 5. 6. CREDITOR AMOUNT $ $
Judge's name: _________________________
Judge's signature: ____________________________
Date: ____ / ____ / ____
Failure to comply with this Order may be cause for returning this case to court where you may be resentenced which may include a period of incarceration. Receipt of this Order is acknowledged: Name: ____________________________________ Signature: _______________________________ Date: ____ / ____ / ____ Note: There is a related active Domestic Violence Attachments: Complaint PSR TRO TRO/PRO PRO (attach copy).
DEFENDANT INFORMATION: Defendant's Name: ______________________________________ Social Security Number: _________________________________ Driver's License Number: ________________________________ Employer: ______________________________________________ Other Contact Person: ___________________________________
Gold: FILE
Date of Birth: ________________________________________ Telephone Number: ( ) _________________________
Eye Color: __________________________________________ Address: ___________________________________________ Telephone Number: ( ) _________________________
Municipal Court Order
Municipal Court of _______________________________ State of New Jersey vs. ________________________________________________ Defendant ________________________________________________ ________________________________________________ Address County of ________________________________ Summons/Complaint No. __________________ ___ ___ ___ ___ Court Code _____________________ Docket Number
JUDGMENT OF CONVICTION CHANGE OF JUDGMENT SUSPENSION OF PROCEEDINGS
Whereas, on _____ / _____ / _____ the above named defendant pled guilty to; was convicted of; or was granted suspended proceedings for: violating the provisions of __________________, __________________, __________________, __________________. It is Ordered that, commencing on _____ / _____ / _____, the defendant: Be placed/continued on PROBATION for _____ (months) _____ (years) and comply with the standard conditions of probation pursuant to R. 3:21-7 of the Court Rules Governing Criminal Practice. If the offense occurred on or after February 1, 1993 and the sentence is to probation or to a State Correctional facility, a transaction fee of up to $1.00 is to be paid on each occasion when a payment or installment payment is made. (N.J.S.A. 2C:46-1d.); Be placed/continued on SUPERVISORY TREATMENT (N.J.S.A. 2C:36A-1) for _____ (months) _____ (years); Perform COMMUNITY SERVICE for a period of _____ (days) _____ (hours) to be performed under the direction and supervision of the __________________________________ County Probation Services; Serve a JAIL sentence of _______________. Jail Time Credit: _______________ Work Release recommended SLAP recommended
Complete an out-patient/residential TREATMENT program at __________________________________________________, to be arranged by Probation by defendant; Pay the following:
AMOUNT VCCB $ $ $ $ $ PAY TO ( ü )
PROB CRT
Other: Please specify
PAID AT SENTENCING $ $ $ $ $ TOTAL $ $ $ $ $ AMOUNT
PAY TO ( ü )
PROB CRT
PAID AT SENTENCING $ $ $ $ $
The total remaining financial obligation of $ ___________ is to be paid in installments of $ ___________ per ___________________; 1. Restitution Beneficiary: _____________________________________________________________________________ $ ___________
(Name) (Name) (Address) (Address) (Amount) (Amount)
2. Restitution Beneficiary: _____________________________________________________________________________ $ ___________ The defendant's driving privileges are revoked for _________________ (months) _________________ (years); Comply with the following ADDITIONAL conditions of Probation/Supervisory Treatment: (see attached)
THE FOLLOWING MUST BE COMPLETED PRIOR TO FILING WITH THE SUPERIOR COURT CLERK:
CREDITOR 1. 2. AMOUNT $ $ 4. 3. CREDITOR AMOUNT $ $ 5. 6. CREDITOR AMOUNT $ $
Judge's name: _________________________
Judge's signature: ____________________________
Yellow: SUPERIOR COURT
Date: ____ / ____ / ____