IN THE GENERAL SESSIONS CRIMINAL COURT OF SHELBY COUNTY, TENNESSEE DIVISION ________________ ___________________________________________________________________________________ STATE OF TENNESSEE * BOOKING NO. ___________________________________ VS. * CHARGE: _____________________________________ ___________________________ DEFENDANT * ____________________________________ _________________________________________________________________________________________ ORDER OF PROBATION PURSUANT TO TENNESSEE CODE ANNOTATED 40-35-302 __________________________________________________________________________________________ This cause came on to be heard before the undersigned Judge, the above named defendant having entered a plea of guilty or having been found guilty of the offense of _________________________________, and having been sentenced to a term of ____________ months and __________ days in the Shelby County Correction Center or the County Jail. It appearing that the above named defendant is a good candidate to have all or part of the term of incarceration suspended and to be placed on probation. IT IS ORDERED, ADJUDGED, AND DECREED that imposition of ________months and ______ days of the sentence of the above named defendant be and hereby is suspended, and said defendant is hereby placed on probation for the period of ________ months and ______ days under the supervision of the Shelby County Probation Office, such supervision being subject to the laws of this state. IT IS FURTHER, ORDERED, ADJUDGED, AND DECREED that the above-named defendant shall comply with the following general specific conditions of this probation, the violation of any of which shall constitute grounds for revocation of this suspension of sentence. 1. Probationer shall report to the Shelby County Probation Office, 201 Poplar Avenue, Memphis, Tennessee, Room 8-01, immediately upon release from custody or following Court and shall maintain required contact with the Shelby County Probation Office. 2. Probationer shall perform __________ days of Community Service as directed by the Shelby County Probation Office. Probationer shall complete this condition by _______________________. Probationer shall observe any other terms and conditions of this probation which may be outlined, either orally or in writing, by the Probation Officer supervising this case. 3. Probationer shall not violate any law of the United States of America, of the State of Tennessee, or of any other State in which he may be, or any ordinance of a municipality having jurisdiction over probationer, and probationer shall not engage in conduct inconsistent with good citizenship. Probationer shall not participate in any activity which results in being arrested. 4. Probationer shall not frequent places where intoxicants are sold or places of questionable resort or amusement. Probationer shall not use intoxicants of any kind to excess. 5. Probationer shall not purchase, use or possess, other than in his own home, weapons or firearms except when the Probation Officer supervising this case grants permission in writing for use of specific weapons or firearms for licensed hunting. 6. Probationer shall immediately report any change of address or of employment to the Probation Officer supervising this case. 7. Probationer shall notify the Probation Officer supervising this case immediately in the event of being arrested on any charge whatsoever, regardless of disposition. 8. Probationer shall pay the fine(s) on or before _________________. In addition, probationer shall pay the probation supervision fee of thirty ($30.00) dollars each month for the period of supervised probation, such payment to be made to the Clerk of the Court. 9. Probationer shall abide by the following special conditions of probation, _________________________ __________________________________________________________________________________. Entered this the __________ day of _________________________, yr _____. ____________________________________________ JUDGE I, the above named defendant, have read or have had read to me the foregoing Order of Deferment. I fully understand the Order and agree to comply with the terms and conditions set forth therein during my probationary period. _______________________________________ ____________________________________________ ATTORNEY FOR DEFENDANT PROBATIONER _______________________________________ _____________________________________________ ATTORNEY FOR PROSECUTION ADDRESS PHONE # _____________________________ American LegalNet, Inc. www.USCourtForms.com