Fill and Sign the Note Use This Form for All Court Ordered Modifications of Probation Including Changes in Conditions Confinement

File No.Co. Of Hearing NOTE: Use this form for all court-ordered modifications of probation, including changes in conditions, confinement in response to violation under G.S. 15A-1344(d2) or contempt under G.S. 5A-11, and all findings/orders resulting from violation hearings when probation is not revoked completely. STATE OF NORTH CAROLINA County Seat Of Court In The General Court Of Justice District Superior Court Division ORDER ON VIOLATION OF PROBATION OR ON MOTION TO MODIFY (For All Modifications On Or After Dec. 1, 2011) G.S. 15A-1344, -1345 Name Of Defendant Race Sex Date Of Birth State STATE VERSUS Crt Rptr Initials Attorney For State Defendant’s Drivers License No. Def. Found Def. Waived Not Indigent Attorney Attorney For Defendant Date Of Judgment Suspending Sentence Name Of County And File No. (County Of Original Conviction) Appointed Retained The defendant was placed on probation pursuant to the following Judgment\ Suspending Sentence: This matter is before the Court upon: 1. review under G.S. 15A-1342(b) or (d). After reasonable notice to th\ e defendant, the Court finds does not find that termination of probation is warranted by the defendant’s conduct and the ends of jus\ tice. 2. motion to modify the defendant’s probation without charge of violatio\ n. Upon notice and hearing consent of the State and the defendant (see signatures on Side Two if modification entered in chambers) , the Court finds does not find that good cause has been shown to modify the original Judgment Suspending Sentence. 3. allegation of violation of the conditions of the defendant’s probatio\ n. Upon due notice of the alleged violation(s) or waiver of such notice, a hearing was held before the Court . After considering the record in the above- captioned case, the evidence presented, and any statements of the State and the defendant, the Court finds that the defendant admitted or that the Court is reasonably satisfied in the exercise of its discretion that: (check all that apply) 1. the defendant violated the condition(s) of probation set forth in \ a. Paragraph(s) in the Violation Report or Notice of Hearing dated . b. Paragraph(s) in the Violation Report or Notice of Hearing dated . c. the attached sheet. Such violation(s) was willful and without valid excuse and occurred at a time prior to the expiration or termination of the period of the probation. 2. the defendant violated the condition(s) of probation set forth in \ a. Paragraph(s) in the Violation Report or Notice of Hearing dated , b. Paragraph(s) in the Violation Report or Notice of Hearing dated , c. the attached sheet, but said violation(s) was not willful. is validly excused. 3. the defendant has not violated any of the conditions of the defendant’s probation except those found above, if any. 4. the defendant is guilty of contempt beyond a reasonable doubt. Material opposite unmarked squares is to be disregarded as surplusage. (Over) It is ORDERED that: 1 the original Judgment is modified as set forth below and, except as specifically so modified, shall remain in full force and effect. 2. the original Judgment is not modified, but remains in full force and effect. 3. the defendant’s limited driving privilege is REVOKED; the defendant s\ hall surrender all copies of that privilege to the Clerk of Superior Cou\ rt for transmittal/notification to the Division of Motor Vehicles. 4. the defendant’s probation is terminated. NOTE: When this option is checked, the “Restitution Update Worksheet, Notice And Findings (Revocation Or Termination Of Probation),” AOC-CR-612, must be completed in every case in which the defendant was ordered, as a condition of probation, to pay restitution in an amount in excess of $250 to a Victims’ Rights Act victim. 5. all charges of probation violation in this case, which are not specifically found above, are dismissed. 6. the disposition of this matter is continued until . 7. the defendant for willful contempt: a. be imprisoned for days in the custody of the sheriff. as provided in AOC-CR-609, Page Two, attached. b. pay a fine of $ . c. Other: . 8. (offenses committed on or after October 31, 1998) the defendant’s drivers license is revoked, whether the defendant is\ present or not. G.S. 143B-708 (NOTE: Select this option whenever the Court finds a willful violation of a community service condition of probation. If this option is selected, complete AOC-CR-317, Side One, and notify DMV .) ORDER $ Arrearage/Probation Fee Atty’s Fee This Proceeding Comm Serv Fee EHA Fee SBM Fee Appt Fee/Misc Modified Amount Due Balance/Obligation Due* The “Monetary Conditions” in the Judgment Suspending Sentence are modified to read as follows: The defendant shall pay to the Clerk of Superior Court the “Modified Amount Due” shown below, plus the probation supervision fee if placed on supervised probation, pursuant to a schedule determined by the probation officer. set out by the court as follows: . *Equals “Total Amount Due” as shown on original Judgment, less all payments made to date. The Court finds just cause to waive costs, as ordered on the attached AOC-CR-618. Other: . $ $ $ $ $ $ $ MODIFIED MONETARY CONDITIONS AOC-CR-609, Rev. 12/17