Defendant’s name, address, and telephone no.

v

CTN/TCN

SID

THE PEOPLE OF

 The State of Michigan

 
 

In the matter of 
 

Offense(s)

TO:
Name and address of defendant/parent posting bond

Name and address of surety or other depositor posting bond

*Full bail amount
$

Amount of cash deposited
$

TYPE OF BOND:                 
 10% cash*        
              

 Personal recognizance
 
 Cash 

 Surety* 

 

 

 

 

 Real property

1. The above bond was forfeited and the defendant was ordered to surrender to the court within 28 days. The defendant/
 

juvenile failed to surrender as ordered. IT IS ORDERED: Judgment is entered in the full bail amount as follows:

  FOR:               

  AGAINST:       

Unit of government

Defendant/Parent/Surety/Depositor

Full bail amount...................................
Plus costs............................................
Total amount of judgment....................

Less amount of cash deposited.....
Balance of judgment...................

*If a 10% bond is allowed by the court and a surety bond for one quarter of the full bail amount has been posted by a surety
under MCL 765.6(2), judgment against the surety is limited to that one quarter. The remaining three quarters of the full bail
amount plus costs are the responsibility of the defendant/parent, less the amount of cash deposited.

The balance of this judgment must be paid by 

 . If it is not paid within 56 days of this date, a 20% 

Date

late penalty on the amount owed will be applied to the balance and any allowed methods of collection will be pursued.

STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITCOUNTYJUDGMENT AFTER BOND FORFEITURECASE NO. and JUDGEORIMI-Court addressCourt telephone no.Approved, SCAOForm MC 238, Rev. 8/20MCL 765.15, MCL 765.22, MCL 780.66, MCL 780.67, MCR 6.106(I)Page 1 of 2Distribute form to:CourtDefendant/JuvenileSurety or other depositorJudgment After Bond Forfeiture 
Page 2 of 2

(8/20) 

Case No. 
 

2. 
 

 a. The original charge(s) against the defendant/juvenile, for which the forfeited bond was posted, is/are still   

        pending. A bench warrant/order to apprehend has been issued on the original charge(s).

 
 
 

 b. Fine and costs as ordered have not been paid. A bench warrant/order to apprehend was issued for failure to  
        comply with judgment and bond posted to ensure appearance. Contempt/show-cause proceedings, for which  
        bond was posted, are still pending.

 
 

                                                                                           Judge signature and date
         

 

CERTIFICATE OF MAILING

Use note:  does not need to be completed if the 
document is served through MiFILE. 

I  served  a  copy  of  this  judgment  on  the  defendant  or  parent  and  surety  or  person  who  posted  bond  by  first-class  mail 
addressed to their last-known addresses as defined by MCR 2.107(C)(3). I declare under the penalties of perjury that this 
certificate of mailing has been examined by me and that its contents are true to the best of my information, knowledge, and 
belief.

 

                     

Clerk/Deputy signature and date