Fill and Sign the On Violation of Form

Sentencing Judge Sex State F ile No. STATE OF NORTH CAROLINA File No. Name Of Complainant, If Any (Name, Address Or Department, Phone No.) Total Balance Due pay to the Clerk of Superior Court the costs of court and any additional\ sums set forth in that judgment, in that you failed to make in full and when due one or more required payments, with the result that you are in arrears as of this date as follows: Paid To Date Arrearage To Date $$ Original Obligation Length Of Term Of Unsupervised Probation Race Date Of Birth Defendan t's Drivers License No. STATE VERSUS Name And Address Of Defendant Offense(s) TO THE DEFENDANT NAMED ABOVE: VIOLATIONS You were placed on unsupervised probation pursuant to the judgment referred to above, which was entered in this case on the date shown. The undersigned hereby notifies you that there is reason to believe that you violated the condition(s) of your probation that you: 2. 5. $ $ N OTICE OF HEARING ON VIOLA TION OF UNSUPERVISED PROBA TION G.S. 15A-1345, 143B-708 a. b. a. b. a. b. Date Of Judgment Length Of Sentence Original - File Copy - Defendant (Over) AOC-CR-220, Rev. 5/13 © 2013 Administrative Office of the Courts County com plete an Alcohol and Drug Educat ion Traffic Scho ol and pay the fee prescribed by law, in that you failed to complete an ADET School as required by G.S. 122C-142.1(c). pay t he fee prescribed by law. 1. com plete the number of hours of community service specified in that judgment in that you failed within the time provided to a. complete that service as directed by t he judicial service coordinator. b. pay t he community service fee prescribed by law. Hours Due Hours Completed To Date Hours Required 3. obtain a substance abuse assessment from a licensed facility and pay the fee prescribed by law, in that you failed, within the prescribed time, to 4. participate in a treatment program and pay all treatment fees prescribed by law, in that you failed to participate in a treatment program, as recommended in your treatmen t report, for t he period provided in that report. pay all treatment f ees prescribed by law. obtain an assessment. pay t he prescribed f ee. In The General Court Of Justice Superior Court Division District Additional F ile Nos. Other Costs $ Judge (Check one option) If you fail to ap pear for this hearing, the Court may issue an order requiring you to show cause why you should not be held in contempt of court. In addition, the Court may issue an order for arrest for your failure to ap pear. An Order For Arrest has been issued and is attached. Signature AM PM Date Name (Type Or Print) Date Of Hearing Location Of Hearing Time Of Hearing serve an active term of days months in the custody of the sheriff of this county, in t hat you f ailed to report as required on date(s) 6. This Notice is issued upon information supplied by the complainant listed on the reverse, if any, or upon the undersigned’s own motion. PLEASE TAKE NOTICE THAT a hearing will be held on the violation(s) set forth abov e on the date, and at the time and location specified below. If t he Court finds that you have violat ed a condition of your unsupervised probation, the Court may revoke your uns upervised probation and order you to begin serv ing an active sentence. Whether or not the Court finds that you have violat ed a condition of unsupervis ed probation, it may continue you on probation, modify the conditions of your probation, and ext end the term of your probation. AOC-CR-220, Side Two, Rev. 5/13 © 2013 Administrative Office of the Courts . 7. Other: (specify) NOTICE O F HEARING If you were ordered to perform community service work as a c ondition of probation imposed upon conviction of an offense not involv ing impaired driv ing,the court will revoke your drivers li cense if it finds that you willfully failed to comply with the community service requirements, and will do so whether or not you appear at the hearing . G.S. 143B-708. If you were ordered to perform community service work as a c ondition of probation imposed upon conviction for impaired driv ing under G.S. 20-138.1, the court will revo ke your limited driving privilege if it finds that you willfully failed to comply with the community service r equirements, and will do so whether or not you appear at the hearing . G.S. 20-179.3(j1) (G.S. 20-179.4 for offenses committed prior to December 1, 2009) and 143B-708. Department Or Agency Date Of Mailing Signature Date Of Return By personally serv ing this Notice Of Hearing On Violation Of Un supervised Probation on the defen dant. By mailing this Notice Of Hearing On Violation Of Un supervised Probation to the last known address available to the undersigned on the date of mailing shown abo ve. This Notice Of Hearing On Violation Of Un supervised Probation WAS NOT serv ed for the following reason: I certify t hat this Notice Of Hearing On Violation Of Unsupervised Probat ion was received and served as follows: RETURN OF SERVICE Date Received Date Served Magistrate CSC DAAssistant CSC Assistant DA Deputy CSC CSWP