Original - Court 1st copy - Juvenile 2nd copy - Prosecutor JIS CODE: JOC Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY JUDGMENT OF CONVICTION (DESIGNATED CASE) CASE NO. PETITION NO. Court address Court telephone no. ORI MI- SID CTN/TCN DOB 1. In the matter of 2. Date of trial/hearing: Judge: Bar no. 3. A petition has been filed in this matter and notice of hearing has been served as required by law. 4. The case was designated by the prosecutor court for trial of the juvenile in the same manner as an adult. 5. The juvenile appeared in court in person with parent(s), guardian, legal custodian, or guardian ad litem, and was represented by an attorney. waived representation by an attorney. THE COURT FINDS 6. The juvenile was found guilty on of the crime(s) as stated below. Date CONVICTED BY Count Plea* Court Jury DISMISSED BY* CHARGE CODE(S) MCL citation/PACC Code CRIME *For plea, insert "G" for guilty plea, "NC" for nolo contendere, or "MI" for guilty but mentally ill. For dismissal, insert "D" for dismissed by court or "NP" for dismissed by prosecutor/plaintiff. 7. The juvenile has has not been fingerprinted according to MCL 28.243. IT IS ORDERED: 8. The juvenile is convicted of the crime(s) stated above. 9. Sentencing is set for at Date at at Time courtroom before Hon. . Location 10. The juvenile shall report to the county sheriff within 24 hours to be fingerprinted. 11. Pending sentencing, the juvenile shall continue in custody pursuant to the prior court order. continue to be released on bond pursuant to the prior court order. be released or placed in custody pursuant to the attached order. cooperate with and participate in services, evaluations, tests, and the sentencing investigation as requested by the probation officer. Parent(s) shall pay the cost of professional testing and evaluations. 12. Other: Date Judge NOTICE OF FIREARMS RESTRICTION: Federal law and/or state law may prohibit you from possessing or purchasing ammunition or a firearm (as those terms are defined in federal and state law) if you are convicted of a misdemeanor crime of violence and you are a current or former spouse, parent, or guardian of the victim; you share a child in common with the victim; you are or were cohabitating with the victim as a spouse, parent, or guardian; or you are or were involved with the victim in another, similar relationship. JC 70 (9/08) JUDGMENT OF CONVICTION (DESIGNATED CASE) MCL 712A.2d, MCR 3.954, 18 USC 822(g)(9)(c) American LegalNet, Inc. www.FormsWorkflow.com