Fill and Sign the Mc 240 Pretrial Release Order Michigan Courts State of Michigan Form

Approved, SCAO Original - Court1st copy - Defendant2nd copy - Prosecutor3rd copy - Sheriff/Facility 4th copy - Originating law enforcement agency (when applicable)5th copy - LEIN (when applicable) STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT PRETRIAL RELEASE ORDER AMENDED CONDITIONS AMENDED LEIN EXPIRATION DATE CASE NO. Bound Over from District Court District Case No: ORI Court address Court telephone no. MI- Date of arrest Type of offense Misdemeanor Felony Arresting agency Agency file no. Offense(s) Statute/ordinance citation(s) Purpose of next appearance Time of appearance Date of appearance Place of appearance At the court address above Other: TYPE OF BOND: Personal recognizance Cash/Surety Cash/Surety/10% Cash Real property* *Proof of value and interest in real property is required. Full bail amount $ Bond set by Judge/Magistrate The State of Michigan THE PEOPLE OF Juvenile In the matter of v Defendant’s name, address, and telephone no. Date of birth CTN/TCN 1. a. Release on personal recognizance shall be ordered as required by MCR 6.1\ 06(C). b. Release on personal recognizance will not reasonably ensure appearance. public safety. 2. Under 18 USC 922(g)(8), the court found, at a hearing, that the defe\ ndant/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(a)(32) and named in item 4q. **Needed for NCIC. IT IS ORDERED: 3. a. The defendant/juvenile shall post a new bond and comply with the terms a\ nd conditions in item 4. b. The bond previously ordered is continued, and the defendant/juvenile shall comply with the terms and conditions in item 4. 4. The defendant/juvenile shall comply with the following terms and conditi\ ons that are checked: a. Personally appear for any examination, arraignment, trial, sentencing, or at any time and place as directed by this court. If represented by an attorney in this case, any notice to appear may be given to the defendant’s attorney instead of the defendant. b. Abide by any judgment entered in this case and surrender to serve any se\ ntence imposed. c. Do not leave the State of Michigan without the permission of this court.\ d. Do not commit any crime while released. e. Immediately notify this court, in writing, of any change of address or t\ elephone number. f. Make reports to a court agency as specified by this court or the agency. g. Do not use alcohol or any other illegal controlled substance. h. Participate in a substance abuse testing or monitoring program. (See additional page for more conditions) MC 240 (6/17) PRETRIAL RELEASE ORDER MCL 765.6b, MCR 3.935, MCR 6.106, MCR 6.610, 18 USC 922(g)(8) Case No. IT IS ORDERED (continued): i. Participate in a specified treatment program for any physical or mental \ condition, including substance abuse. j. Comply with restrictions on personal association, place of residence, pl\ ace of employment, or travel. k. Surrender driver’s license or passport. l. Continue to seek employment. m. Comply with the following curfew: n. Continue or begin an educational program. o. Remain in the custody of a responsible member of the community. The community member agrees to monitor the defendant/juvenile and report any violation of these release conditions \ to the court. p. Do not possess or purchase a firearm or other dangerous weapon. q. Do not harass, intimidate, beat, molest, wound, stalk, threaten, or engage in other conduct that would place any of the following persons or a child of any of the following persons in reasonab\ le fear of bodily injury: spouse, former spouse, individual with whom the defendant has a child in common, resident or fo\ rmer resident of the defendant’s household. r. Do not assault, harass, intimidate, beat, molest, wound, or threaten the\ following person(s): Name(s) s. Do not have (or cause any third party to have) any direct or indirect \ contact with the following person(s): ( Note: This condition also applies while the defendant/juvenile is in custody.) Name(s) t. Do not enter the following specified premises or areas: Address or other location May go to the address once, accompanied by a peace officer, to remove personal belongings. u. Other: 5. The sheriff Custodial agency/Facility shall hold the defendant/juvenile named above in its care and custody until bond is posted and the terms and conditions specified in item 4 are acknowledged. The defendant/juvenile shall be brought to all court appearances while i\ n custody or as otherwise ordered. The sheriff or director or designee of the custodial facility is authorized to obt\ ain and consent to routine, nonsurgical medical and dental care for the juvenile and emergency medical, dental, and surgical treatment of the juvenile. 6. This order shall be entered into LEIN, is effective when signed, and expires on . (Note: Check when release is subject to conditions necessary to protect 1 or m\ ore named persons under MCL 765.6b or for NCIC.) Height Weight Race Sex Date of birth Hair color Eye color Other identifying information Date Judge/Magistrate Bar no. Pretrial Release Order (6/17) Case No. I acknowledge and understand the terms and conditions of my release from jail. If I fail to perform all the terms and conditions, I may be subject to arrest without a warrant, jail, contempt of court, a\ nd new conditions of release. If my release is revoked and a bond was posted, the full amount of my bond, regardless of who posted it, may be forfeited. If I am arrested for a violation of these terms and conditions in another state, I waive all extradition pro\ ceedings and will be immediately returned to this state. NOTICE OF FIREARMS RESTRICTION : If item 4q is a condition of my release, federal and/or state law may prohibit me from possessing or purchasing ammunition or a firearm (including a rifle, pi\ stol, or revolver). Date Defendant/Juvenile’s signature Bond deposited by Defendant: If all the terms and conditions of pretrial release are met, the money deposited (bond) will be used to pay any fine, state minimum costs, restitution, statutory assessments, and other costs imposed. Any balance will be returned to me as authorized by statute and court rule. Date Defendant’s signature Bond deposited by Third Party: Surety/Agent: I understand and agree if all the terms and conditions of pretrial release are not met by the defendant, the money deposited (bond) may be forfeited and a judgment entered for the entire amount of the bond. If all the terms and conditions of pretrial release are met, the full amount of the bond will be returned to me unless I deposited a 10% cash bond. In that instance, the court wi\ ll return only 90% of it to me. Date Signature of depositor/surety/agent and identification (i.e. DLN) Name of depositor/surety/agent (type or print) Address City, state, zip \ Telephone no. Note: If a third party or surety posted bond for the defendant, the court clerk may provide the third party or surety with a copy of the terms and conditions of release. ACKNOWLEDGMENT OF PRETRIAL RELEASE CONDITIONS Acknowledgment of Pretrial Release Conditions Pretrial Release Order (6/17)