Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT CASE NO. BIND OVER/TRANSFER AFTER PRELIMINARY EXAMINATION FELONY District Court ORI: MI- DISTRICT CIRCUIT Circuit Court ORI: MI- Victim or complainant Defendant's name and address THE PEOPLE OF THE STATE OF MICHIGAN Bind over/Transfer - Circuit/Juvenile court Complaint copy - Prosecutor Complaint copy - Defendant/Attorney Information - Circuit court Original complaint - Court Warrant - Court v Complaining witness Co-defendant(s) Date: On or about City/Twp./Village County in Michigan Police agency report no. Defendant CTN Charge Defendant TCN Defendant SID Defendant DOB Maximum penalty Witnesses Oper./Chauf. CDL Date: Vehicle Type Defendant DLN District judge: Reporter/Recorder Cert. no. Bar no. Bar no. Represented by counsel EXAMINATION WAIVER 1. I, the defendant, understand: a. I have a right to employ an attorney. b. I may request a court appointed attorney if I am financially unable to employ one. c. I have a right to a preliminary examination where it must be shown that a crime was committed and probable cause exists to charge me with the crime. 2. I voluntarily waive my right to a preliminary examination and understand that I will be bound over to circuit court on the charges in the complaint and warrant (or as amended). Bar no. Defendant attorney Defendant ADULT BIND OVER 3. Examination was waived on . Date 4. Examination was held on and it was found that probable cause exists to believe both that an offense not cognizable by the district court has been committed and that the defendant committed the offense. 5. The defendant is bound over to circuit court to appear on at Date m. Time on the charge(s) in the complaint. on the amended charge(s) of MCL/PACC Code 6. Bond is set in the amount of $ Date . Type of bond: . Posted Bar no. Judge Certification of transmittal and bind over/transfer for juvenile are printed on reverse side. MCL 764.1 et seq., MCL 766.1 et seq., MCL 767.1 et seq., MCR 6.110 MC 200 (7/05) FELONY SET, Bind Over/Transfer After Preliminary Examination American LegalNet, Inc. www.USCourtForms.com JUVENILE BIND OVER/TRANSFER 3. Examination was waived on 4. Examination was held on . Date and it was found that Date there is probable cause that a life offense occurred and that there is probable cause that the juvenile committed the life offense. there is no probable cause that a life offense occurred or there is no probable cause that the juvenile committed the life offense, but some other offense occured that if committed by an adult would constitute a crime, and there is probable cause to believe the juvenile commited that offense. 5. The juvenile is bound over to circuit court criminal division to appear on at Date m. Time on the charge(s) in the complaint. on the amended charge(s) of MCL/PACC Code . 6. This case is transferred to the family division of the circuit court for further proceedings immediately. on at Date 7. Bond is set in the amount of $ Date Time m. . Type of bond: Posted Bar no. Judge MCL 766.14(2), MCR 6.911 CERTIFICATION I certify that on this date I have transmitted to the circuit court criminal division the prosecutor's authorization for a warrant application, the complaint, a copy of the register of actions, and any recognizances received. Date Court clerk NOTE: Send a copy of this bindover to the Michigan State Police Criminal Justice Information Center. American LegalNet, Inc. www.USCourtForms.com