Original - Court 1st copy - Jail 2nd copy - Contemnor Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE CASE NO. JUDGMENT OF CONTEMPT Court address Court telephone no. In the matter of , contemnor, Address City State Zip THE COURT FINDS: 1. The contemnor was found guilty of civil criminal contempt on by plea by summary contempt after hearing for the following: failing to pay. failing to serve a sentence as ordered. failing to appear. violating a condition of a bond. failing to complete and return juror qualification questionnaire. failing to complete and return juror personal history questionnaire. failing to appear for jury service. disobeying a subpoena. refusing to testify. failing to comply with investigative subpoena. failing to obey a grand jury summons. taking improper action, as an employer, against a juror. disobeying an injunctive order against a public nuisance. failing to complete an affidavit of judgment debtor. other: 2. The contemnor was represented by an attorney. advised of the right to counsel and appointed counsel and knowingly, intelligently, and voluntarily waived that right. IT IS ORDERED: 3. a. The contemnor is sentenced to jail for criminal contempt as follows: Report at m. Count Date Sentence Begins Sentenced Mos. Days Credited Mos. To Be Served Days Mos. Release Authorized for the Following Purpose Days Release Period From To Upon payment of fine and costs .... To work or seek work ................... For attendance at school ............... For medical treatment .................... Other: b. The contemnor is committed to the county jail for civil contempt and may be released when: 4. The contemnor is ordered to probation for criminal contempt. 5. The contemnor shall pay: State Minimum $ Crime Victim Restitution Court Costs (See separate order.) Attorney Fees Fine Other Costs Total $ $ $ $ $ $ $ The due date for payment is . Fine, costs, and fees not paid within 56 days of the due date are subject to a 20% late penalty on the amount owed. Only the fine and some costs may be satisfied by serving time in jail. 6. Other: (SEAL) Date MC 96 (5/07) Judge JUDGMENT OF CONTEMPT Bar no. MCL 600.1701 et seq. American LegalNet, Inc. www.FormsWorkflow.com