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Summons In A Criminal Case (USDC Western Michigan) Form. This is a Michigan form and can be use in USDC Western Federal.
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Tags: Summons In A Criminal Case (USDC Western Michigan), AO-83, Michigan Federal, USDC Western
AO 83 (Rev. 02/09) Summons in a Criminal Case
UNITED STATES DISTRICT COURT
for the
Western District of Michigan
United States of America
v.
)
)
)
)
)
)
)
Defendant's name and address
Case No.
SUMMONS IN A CRIMINAL CASE
YOU ARE SUMMONED to appear before the United States district court at the time, date, and place set forth
below to answer to one or more offenses or violations based on the following document filed with the court:
u Indictment
uSuperseding Indictment
u Probation Violation Petition
u Information
u Superseding Information
u Supervised Release Violation Petition u Violation Notice
Place:
u Complaint
u Order of Court
Before:
Date and Time:
This offense is briefly described as follows:
Date:
Issuing officer’s signature
Printed name and title
Proof of Service
This summons was received by me on (date)
.
u I personally served the summons on this defendant
(place)
at
on (date)
; or
u On (date)
, I left the summons at the defendant’s residence or usual place of abode
with (name)
, a person of suitable age and discretion who resides
there, and mailed a copy to the defendant’s last known address; or
u The summons was returned unexecuted because
.
I declare under penalty of perjury that this information is true.
Date returned:
Server’s signature
Printed name and title
Remarks:
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