In the matter of 

First and last name(s), alias(es)

1. The conditions of the bond deposited on 

 by 

 Date

Name and relationship to juvenile

 
 
                                                            
  
  have been satisfied. Amount of deposit: $ 
 
THEREFORE:
2. The bond is canceled.
3. The county treasurer shall withhold 10% of the deposit on a 10% cash bond in accordance with MCR 3.935(F)(4).

 
 which represents:      
 

 10% cash.
 100% cash.
 surety bond.

                     

 

 4. The remaining deposit shall be returned to 

 Name

 .

 5. The remaining deposit shall be applied to court-ordered reimbursement and costs as calculated below, and the 
    balance, if any, returned.

BOND DEPOSIT DISTRIBUTION

    A. Amount deposited..............................................................................................................  $ 
 

    B. County treasurer 10%................................................................     $ 
 

    C. Reimbursement distribution
        1. State-minimum costs..................  $ 
 
        2. Costs of care and services.........   $ 
 
        3. Attorney fees..............................   $ 
 
        4. Assessments..............................   $ 
 
        5. Restitution..................................   $ 
 
        6. Other..........................................    $ 
 
        Reimbursement subtotal............................................................     $ 
 

    D. Total owed to county (B+C)................................................................................................   $ 
 
          (if the amount on Line D is greater than A, subtract the amount on Line A from the amount on Line D and enter the difference on Line E)
          (if the amount on Line D is less than A, subtract the amount on Line D from the amount on Line A and enter the difference on Line F)

    E. Balance owing....................................................................................................................   $ 
 

    F.  Release to depositor..........................................................................................................    $ 
 

6. The county treasurer shall release to the bond depositor the amount shown above upon presentation of a copy of this
  authorization. Release shall be by check or by such method as the county treasurer deems appropriate.

Reimbursement approved:

 

                     

Approved, SCAO
Form JC 31, Rev. 9/20
MCR 3.604, MCR 3.935(F)(4)
Page 1 of 1

Signature and date

 

 

 

 
 
 
 
 
 
 
 

 
 
 

 

 

STATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTYAUTHORIZATION FOR RETURNOF BONDCASE NO.PETITION NO.JUDGECourt addressCourt telephone no.JIS Code: ARB