CONTINUOUS CONSTRUCTION POSTCARD
Computer or typewriter generated
Size:  6 x 4

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL DISTRICT

DEFAULT JUDGMENT
Civil Infraction

Original - Court       Copy - Defendant
Court Telephone No.

 

 City 

 Twp. 

 State 

I certify that the

 Village  of: 
 

The 
  v   Defendant (name and address printed on other side)
DEFAULT ENTRY 
1. defendant has not made a scheduled appearance or answered a citation within time allowed by statute.
2. defendant is not in the military service, or is in the military service but received notice and adequate time and   
  opportunity to appear and defend.
3. default is entered against the defendant.
DEFAULT JUDGMENT is entered in the amount stated on the other side. 
Return this notice with payment in the amount of the judgment stated on the other side of this form. Fines, costs, and 
other financial obligations imposed by the court must be paid at the time of assessment, except when the court allows 
otherwise, for good cause shown. Fines, costs, and fees not paid within 56 days of the default judgment date are 
subject to a 20% late penalty on the amount owed. If you are not able to pay due to financial hardship, contact 
the court immediately to request a payment alternative.
CERTIFICATE OF SERVICE: I certify that on this date I served a copy of this judgment on the defendant by first-class 
mail addressed to his/her last-known address as defined by MCR 2.107(C)(3). I declare under the penalties of perjury 
that this certificate of service has been examined by me and that its contents are true to the best of my information, 
knowledge, and belief. 
Date of Default/Judgment*
Date of entry and mailing
NOTICE: You may be able to have the default judgment set aside by filing a motion (form CIA 04) within 14 days of the 
mailing date. You must post a cash bond equal to the total fines and costs noted when filing this motion.

                                                       

Clerk/Deputy clerk/Magistrate

CIA 07 

(8/21)  DEFAULT JUDGMENT, Civil Infraction

MCR 1.110, MCR 4.101(B), (D)

BACK COPY

Clear Zone

Postage 
Clearance
Zone

DEFAULT JUDGMENT
Civil Infraction

XXRD DISTRICT COURT
1234 E. Main St. NE
Everywhere, MI XXXXX

Appearance Date Default/Judgment Date*

AMOUNT OF JUDGMENT

OCR read Area for Delivery Address

Case Number

Infraction Date

Civil Infraction

Vehicle Plate No.

State Costs $

Fines $

Costs $

$

Total $

Bond Forfeited $

Balance Due $

BARCODE AND POSTAL MARKING AREA

FRONT COPY
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