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Notice Of Right To Timely Appeal Following Trial Or Contested Probation Revocation Hearing Or Conditional Plea Form. This is a Michigan form and can be use in Appeals Statewide.
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Tags: Notice Of Right To Timely Appeal Following Trial Or Contested Probation Revocation Hearing Or Conditional Plea, CC 265a, Michigan Statewide, Appeals
:
:
Approved, SCAO
Index No.
Calendar No. copy - Prosecutor
1st
:
Original - Trial court
2nd copy - Defendant/Juvenile for return
3rd copy - Defendant/Juvenile
JUDICIAL SUBPOENA
CASE NO.
Plaintiff(s)
STATE OF MICHIGAN
NOTICE OF RIGHT TO TIMELY APPEAL
JUDICIAL CIRCUIT
-against- FOLLOWING TRIAL / CONTESTED
:
COUNTY
PROBATION REVOCATION HEARING /
CONDITIONAL PLEA:
Judge:
Court address
Court telephone no.
:
Defendant(s) Defendant/Juvenile name, address, telephone no., and date of birth
:
......................................................
THE PEOPLE OF THE STATE OF MICHIGAN
v
THE PEOPLE OF THE STATE OF NEW YORK
The following notice is given to you to comply with the Michigan Court Rules [either MCR 6.425(E), 6.301, or 6.445(H)].
TO
1. You are entitled to appellate review of your conviction and sentence.
2. If you are financially unable to retain a lawyer, the court will appoint a lawyer to represent you on appeal.
GREETINGS:
3. The request for a lawyer must be completed and sent directly to the court at the address noted above within 42 days after
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
sentencing. The financial schedule on the back of this form must be completed.
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
at
o'clock
noon, and at any recessed
RECEIPT OF NOTICE OF ,APPEAL RIGHTS in the
or adjourned date, to testify and give evidence as a witness in this action on the part of the
On this day I received this form and financial schedule. I understand that I must return the completed Request for Appointment
of Lawyer to the court within 42 days if I want an attorney appointed for my appeal.
Date
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Signature of defendant/juvenile
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
REQUEST FOR APPOINTMENT OF LAWYER AND AFFIDAVIT OF INDIGENCY
I request appointment of a lawyer to appeal my conviction and sentence. The affidavit of indigency and financial schedule on the
back of this form is submitted to show my financial condition.
(Attorney must sign above and type name below)
Date
Signature of defendant/juvenile
Attorney(s) for
NOTE TO DEFENDANT/JUVENILE: After completing the request for appointment of lawyer and the affidavit of indigency and
financial schedule, keep one copy for yourself and return the other copy to the court.
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
CC 265a (3/01)
NOTICE OF RIGHT TO TIMELY APPEAL FOLLOWING TRIAL / CONTESTED PROBATION REVOCATION
HEARING / CONDITIONAL PLEA
MCR 6.425(E)
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
AFFIDAVIT OF INDIGENCY AND FINANCIAL SCHEDULE
I request a court appointed attorney and submit the following information:
1. RESIDENCE
Rent
Own
Single
3. INCOME
Plaintiff(s)
Married
Calendar No.
:
Room/Board
Prison
JUDICIAL SUBPOENA
Live with parents
Number
-against-
2. MARITAL STATUS
:
:
Divorced
a. Employer name and address
Separated
:
Dependents:
Number
b. Length of employment
:
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c. . Average. of .pay .
. ..... . ..
weekly
monthly
Net: $
Gross: $
every two weeks
d. Other income (state monthly amount and source [DSS, VA, rent, pensions, spouse, unemployment, etc.]) If no income, state NONE.
THE PEOPLE OF THE STATE OF NEW YORK
TO
4. ASSETS
State value of car, home, bank deposits, inmate accounts, bonds, stocks, etc. If no assets, state NONE. Attach an account
statement and certification for assets in prison accounts.
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as amortgage payments, child support, etc. of the
Itemize monthly rent, installment payments, witness in this action on the part
5. OBLIGATIONS
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
6. REIMBURSEMENT
I understand that I may be ordered to reimburse the court for all or part of my attorney and defense costs.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
Signature
(Attorney must sign above and type name below)
Name (type or print)
Address
Attorney(s) for
City, state, zip
Subscribed and sworn to before me on
,
Date
My commission expires:
Office and P.O. Address
County, Michigan
Signature:
Date
Notary public
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
