The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

Approved, SCAO

STATE OF MICHIGAN

JUDICIAL DISTRICT

CLAIM OF APPEAL OF RIGHT/
REQUEST TO WITHDRAW ADMISSION
AND ORDER, Civil Infraction

CASE NO.

Original - Court
1st copy - Defendant
2nd copy - Prosecutor
3rd copy - Defendant (order)

Court  telephone  no.

State

Township

City

Village

v

Defendant's name and address

Court  address

Plaintiff

The

of

Statute

Ordinance

Infraction:

Infraction date:

SECURITY FOR APPEAL/REQUEST TO WITHDRAW ADMISSION

This is the plaintiff's appeal; no security is required.

Bond is set at $

     .

Bond was posted

Fine and costs of $

Date

were paid on

Date

CLAIM OF APPEAL OF RIGHT

Plaintiff

Defendant

claims an appeal from the judgment entered on

Date

in this court, by the

traffic bureau.

magistrate.

district judge.

    .

    .

Date

Date

Date

Applicant signature

Address

City, state, zip

Defendant signature

Address

City,state,  zip

REQUEST TO WITHDRAW ADMISSION

Defendant requests to withdraw the admission entered on

Date

traffic bureau.

magistrate.

district judge.

in this court, by the

ORDER REGARDING REQUEST TO WITHDRAW ADMISSION

IT IS ORDERED  the defendant's request to withdraw is

granted.

denied.

CIA 05   (4/08)   CLAIM OF APPEAL OF RIGHT/REQUEST TO WITHDRAW ADMISSION AND ORDER, Civil Infraction

Judge/Magistrate

MCR 4.101(G), (H)(3)

Claim of Appeal of Right/Request to Withdraw Admission and Order, Civil Infraction

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/civil-infraction (2023-03)
Page(s): 1
Fields(s): 40
Average fields per page: 40
Reading Level: Grade 6
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

disno was disno (0.97 conf)
docket_number was caseno (1.00 conf)
judge was judge (0.39 conf)
users1_address_line_one was address (1.00 conf)
telno was telno (0.35 conf)
users1_name was name (1.00 conf)
dname was dname (0.35 conf)
daddress__1 was daddress (0.35 conf)
infraction was infraction (0.37 conf)
idate was idate (0.35 conf)
bond was bond (0.43 conf)
amount was amount (0.38 conf)
posted was posted (0.31 conf)
bdate was bdate (0.35 conf)
fine was fine (0.32 conf)
famount was famount (0.35 conf)
pdate was pdate (0.35 conf)
jdate was jdate (0.37 conf)
cdate was cdate (0.35 conf)
appaddress was appaddress (0.35 conf)
appcity was appcity (0.35 conf)
adate was adate (0.35 conf)
rdate was rdate (0.35 conf)
daddress__2 was daddress1 (0.35 conf)
dcity was dcity (0.35 conf)
appeal was appeal (0.38 conf)
checkbox__1 was checkbox3 (0.35 conf)
checkbox__2 was checkbox2 (0.35 conf)
checkbox__3 was checkbox4 (0.35 conf)
checkbox__4 was checkbox5 (0.35 conf)
checkbox__5 was checkbox6 (0.35 conf)
checkbox__6 was checkbox7 (0.35 conf)
checkbox__7 was checkbox8 (0.35 conf)
checkbox__8 was checkbox9 (0.35 conf)
checkbox__9 was checkbox10 (0.35 conf)
checkbox__10 was checkbox11 (0.35 conf)
checkbox__11 was checkbox12 (0.35 conf)
checkbox__12 was checkbox13 (0.35 conf)
checkbox__13 was checkbox1 (0.35 conf)
checkbox__14 was checkbox14 (0.35 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Claim of Appeal of Right/Request to Withdraw Admission and Order, Civil Infraction

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02