Mc241 - Michigan Courts - State Of Michigan
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1
2Original - Court
1st copy - Defendant
Approved, SCAO
2nd copy - Extra
STATE OF MICHIGAN
CASE NO.
JUDICIAL DISTRICT
BOND
JUDICIAL CIRCUIT
INTERIM
AMENDED
ORI
Court address
Court telephone no.
MI-
Defendant's/Juvenile's name, address, and telephone no.
The State of Michigan
THE PEOPLE OF
v
Date of birth
CTN/TCN
Date of arrest
Type of offense
Arresting agency
Agency file no.
Misdemeanor
Felony
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:
Bond denied
Bond set by Judge/Magistrate
Full bail amount
Personal recognizance
TYPE OF BOND:
$
Cash/Surety
Cash/Surety/10% Cash
Real property*
*Proof of value and interest in real property is required
TERMS AND CONDITIONS
See terms and conditions on other side of this form
I have read and agree to the terms and conditions as specified on the other side of this bond and as follows:
I will abide by the other conditions specified in items:
List, by number, all items ordered in the Pretrial Release. Include any specific details.
which are listed on the back of this bond. I understand if I fail to perform all the terms and conditions of this bond, my release may be revoked
and I will be subject to arrest, and the full amount of the bond may be forfeited and judgment entered for the entire amount of the bond.
Date
Defendant's signature
Bond Deposited by Defendant: If all the terms and conditions of this bond are met, it will be used to pay any fine, state minimum costs,
restitution, statutory assessments, and other costs imposed and 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 on the face and on
the back of this bond are not met by the defendant, the full amount of the bond may be forfeited and a judgment entered for the entire amount
of the bond. If all the terms and conditions of this bond 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 will return only 90% of it to me.
Date
Signature of depositor/surety/agent and identification (i.e. DLN)
Name of depositor/surety/agent
Address
City, state, zip
ACCEPTANCE
Bond is accepted.
Received deposit of $
.
Signature
Date
BOND
MC 241 (1/08)
MCL 765.6c, MCL 765.6d, MCL 780.582a, MCR 6.102(D), (F), MCR 6.106, MCR 6.610, 18 USC 922(g)(8)
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