(Continued on the other side.)
Court telephone no.
CC 257 (3/10)
MOTION FOR RELIEF FROM JUDGMENT
Court address
ORI
MCR 6.502, MCR 6.503
Approved, SCAO
STATE OF MICHIGAN CASE NO.
JUDICIAL CIRCUIT
COUNTY
MI-
v
Defendant name, address, and inmate no.
MOTION FOR RELIEF FROM JUDGMENT
THE PEOPLE OF THE STATE OF MICHIGAN
2nd copy - Defendant
3rd copy - Defendant attorney
Original - Court
1st copy - Prosecutor
CTN/TCN
SID DOB
To be completed by the court.
INSTRUCTIONS: Answer each question as completely as you can. If you need more space to answer any question, you may attach
extra pages. You may also attach documents, affidavits, or a brief, if you wish. Only one motion for relief may be filed, except as
indicated in MCR 6.502(G)(2). Information for items 1 and 2 is on both your judgment of sentence and basic information sheet, which
are available at the prison record office.
1. I was found guilty on of the crime(s) stated below.
2. I was sentenced as stated below by Hon. .
3. Fill in the charts below with the information requested about the court proceedings in your case and the names of the attorneys
who represented you.
a. Trial Level - All Proceedings. From arrest to sentencing, including lineups and other proceedings.
b. Postconviction - All Proceedings. State and federal, including appeals, posttrial motions, and habeas petitions.
OTHER INFORMATION
Count
SENTENCE
DATE
Mos.Years Days
DATE SENTENCE
BEGINS
JAIL CREDIT
Mos. Days
MAXIMUMMINIMUM
Mos.Years
Name of judge
NAME OF
PROCEEDING
NAME OF
PROCEEDING
NAME OF
ATTORNEY
NAME OF
ATTORNEY
CHARGE CODE(S)
MCL citation/PACC Code
Count
CRIME
CONVICTED BY
Plea* Court
Jury
DISMISSED
BY*
*For plea: insert "G" for guilty plea, "NC" for nolo contendere, or "MI" for guilty but mentally ill. For dismissal: insert "D" for dismissed by court or "NP" for dismissed
by prosecutor/plaintiff.
Date
NAME OF NAME OF
COURT DOCKET NO. PROCEEDING ATTORNEY RESULT DATE OF RESULT
4. Appointment of Counsel. Do you want an attorney appointed? Yes No If yes, complete and attach a financial schedule.
5. Grounds and Relief.
a. What action do you want the court to take?
b. What are the legal grounds for the relief you want? You must raise all the issues you know about. You may not be
allowed to raise additional issues in the future. Use extra sheets of paper, if necessary.
ISSUE ONE:
Supporting facts:
ISSUE TWO:
Supporting facts:
ISSUE THREE:
Supporting facts:
ISSUE FOUR:
Supporting facts:
I declare that the statements above are true to the best of my information, knowledge, and belief.
PROOF OF SERVICE
I certify that on this date I served a copy of this motion upon the prosecutor by personal service. first-class mail.
Date Signature
Date Signature