Approved, SCAO Original - Court STATE OF MICHIGAN JUDICIAL DISTRICT NOTICE TO APPEAR Civil Infraction 1st copy - Defendant 2nd copy - Complainant CASE NO. Court address Court telephone no. Civil infraction: The Infraction date: State Twp. City Village of: Statute Hearing scheduled for: Date: Time: At: the court address above, courtroom Informal hearing Explanation v Defendant Personal service Ordinance Formal hearing 1. The defendant must appear at the above address with his/her witnesses on the date and time indicated. 2. Failure to appear may result in a default judgment against the defendant and action against his/her driving privileges. 3. This case may not be adjourned, except by the court. Complainant(s) CIA 01 (3/08) NOTICE TO APPEAR, Civil Infraction 4. If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to make arrangements. CERTIFICATE OF MAILING I certify that on this date I served a copy of this notice on the parties by first-class mail addressed to their last-known addresses as defined in MCR 2.107(C)(3). Date Magistrate/Deputy court clerk American LegalNet, Inc. www.FormsWorkflow.com