Madera Superior Court Form Adopted for Optional Use MAD-CRM-0017 (Rev. 3/12/19) PETITION FOR MODIFICA TION /TERMINATION OF PROBATION and COURT ORDER UNDER PENAL CODE 2471203.3 Page 1 of 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, Telephone No.) FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA Madera - 200 South G Street, Madera, CA 93637 Traffic - 200 South G Street, Madera, CA 93637 PEOPLE OF THE STATE OF CALIFORNIA VS. Defendant : PETITION FOR MODIFICATION/TERMINATION OF PROBATION and COURT ORDER UNDER PENAL CODE 2471203.3 CASE NUMBER: 1. I , the Defendant Attorney for Defendant in the above entitled action hereby request an order modifying/terminating probation. 2. The defendant is currently on FORMAL INFORMAL probation. 3. I offer the following information for the courts consideration (state reasons you feel termination is justified, attach a separate page if necessary): 4. CASE CALENDARED FOR: at 8:30 A.M. in Dept. for request of modification of sentence. 5. All restitution obligations as ordered on the above case have been fulfilled. 6. A removal order is requested, the defendant is in-custody at the Madera County Jail. I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (Type or print name) (Signature of Petitioner) For Clerk222s Office Use Only CLERK222S CERTIFICATE OF SERVICE/NOTICE OF HEARING I herby certify that I am a Deputy Clerk and Ex-Officio Clerk of the Superior Court of the State of California, County of Madera, and not a party to this action; that on the date set forth below, I served the Petition for Modification/Termination of Probation, Notice of Hearing and Court Order on the following parties, District Attorney; Probation Department by placing a copy of this notice in an area specially designated for personal delivery within the Criminal Division at the Madera Superior Court. Bonnie Thomas, Clerk of the Court Date: By: Deputy Clerk COURT ORDER Petition: Granted Denied Granted as modified: Date: Judge of the Superior Court: American LegalNet, Inc. www.FormsWorkFlow.com