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Michigan Supreme Court - Michigan Hall of Justice

Michigan Supreme Court State Court Administrative Office Trial Court Services Division Michigan hall of Justice Box 30048 lansing , Michigan 48909 Phone (517) 373-4835 Jennifer Warner Director MEMORANDUM DATE: January 31, 2018 FROM: Matthew Walker, Forms and Resources Analyst RE: Notice of Revisions to MC 219 Form MC 219 has been revised. A brief explanation of the changes and a copy of the form with the changes highlighted are provided below. For questions, comments, or suggestions about these Court forms, contact 517-373-2217 or MC 219, Judgment of Sentence/Commitment to Jail Most recent update: (1/18) version Use of existing stock: Can be used until depleted if the conditional sentencing is not needed Translations (for informational use only): Arabic Spanish Click here to see the highlighted changes.

Michigan Supreme Court State Court Administrative Office Trial Court Services Division Michigan Hall of Justice P.O. Box 30048 Lansing, Michigan 48909

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1 Michigan Supreme Court State Court Administrative Office Trial Court Services Division Michigan hall of Justice Box 30048 lansing , Michigan 48909 Phone (517) 373-4835 Jennifer Warner Director MEMORANDUM DATE: January 31, 2018 FROM: Matthew Walker, Forms and Resources Analyst RE: Notice of Revisions to MC 219 Form MC 219 has been revised. A brief explanation of the changes and a copy of the form with the changes highlighted are provided below. For questions, comments, or suggestions about these Court forms, contact 517-373-2217 or MC 219, Judgment of Sentence/Commitment to Jail Most recent update: (1/18) version Use of existing stock: Can be used until depleted if the conditional sentencing is not needed Translations (for informational use only): Arabic Spanish Click here to see the highlighted changes.

2 This form has been revised to reinstate the conditional sentencing option in item 12. This option was mistakenly removed during typesetting when the form was last revised in June, 2017. MC 219 (1/18) JUDGMENT OF SENTENCE/COMMITMENT TO JAILMCL (2), MCL , MCL ,MCL , MCL , MCL , MCL , MCR , SCAO Original - Court1st copy - Jail2nd copy - Michigan State Police CJIC3rd copy - Defendant4th copy - ProsecutorSTATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITJUDGMENT OF SENTENCE COMMITMENT TO JAILCASE addressCourt telephone Report No. The State of MichiganTHE PEOPLE OF vDefendant s name, address, and telephone Court FINDS:1.

3 The defendant was found guilty on Date of the crime(s) stated below:CountCONVICTED BYDISMISSEDBY*CRIMECHARGE CODE(S)MCL citation/PACC CodePlea*CourtJury*Insert G for guilty pleas, NC for nolo contendere, or MI for guilty but mentally ill, D for dismissed by Court , or NP for dismissed by The defendant was represented by an attorney: . was advised of right to counsel and appointed counsel and knowingly, intelligently, and voluntarily waived that right. 3. Conviction reportable to Secretary of State.

4 ** The defendant s driver s license number is . 4. Sanctions are reportable to State Police.** Revoked. Suspended days. Restricted days. 5. HIV testing and sex offender registration are completed. **(see back) 6. The defendant has been fingerprinted according to MCL 7. A DNA sample is already on file with the Michigan State Police from a previous case. No assessment is IS ORDERED: 8. Probation is revoked. 9. Deferred status is revoked. HYTA status is revoked. 10. The defendant is sentenced to jail as follows: Report at Time.

5 CountDate SentenceBeginsSentencedCreditedTo Be ServedRelease Authorizedfor the Following PurposeRelease Upon payment of fine and To work or seek For attendance at For medical Other: Judgment of Sentence/Commitment to Jail (1/18) Page of Case No. IT IS ORDERED (continued): 11. Sentence(s) to be served consecutively to (If this item is not checked, the sentence is concurrent.) each other. case number(s) .12. The defendant shall pay:State MinimumCrime VictimRestitutionDNA CostsAttorney FeesFineOther CostsTotal$$$$$$$$$ The due date for payment is.

6 Fine, costs, and fees not paid within 56 days of the due date are subject to a 20% late penalty on the amount owed. Only the fine and some costs may be satisfied by serving time in jail. The defendant shall serve days in jail for failure to pay on time, as part of a conditional sentence. Prior to enforcement of jail time for failing to pay, the Court must determine the defendant s ability to pay. 13. The defendant shall be placed on probation for months and abide by the terms of probation. (See separate order.) 14. The defendant shall complete the following rehabilitative services.

7 Alcohol Highway Safety Education Treatment ( outpatient, inpatient, residential, mental health). Specify: 15. The vehicle used in the offense shall be immobilized or forfeited. (See separate order.) 16. Other:Date Judge/Magistrate Bar no.**Currently convictions are reportable to the Secretary of State under: MCL (21)(a) MCL MCL MCL (12) MCL (7) MCL MCL (12)(a)**Sanctions are reportable to the State Police under: MCL (12)(b), including sentences for imprisonment under 90 days MCL (21)(b)