MC 200 (6/17) FELONY SET,
Defendant’s name and address
THE PEOPLE OF THE
STATE OF MICHIGAN v
Victim or complainant
Complaining witness
Codefendant(s) (if known) Date: On or about
City/Twp./Village County in Michigan Defendant TCN Defendant CTN Defendant SID Defendant DOB
Police agency report no. Charge Maximum penalty
A sample for chemical testing for DNA identification profiling is
on file with the Michigan State Police from a previous case.
Oper./Chauf.
CDL
Vehicle Type Defendant DLN
Approved, SCAO
Information - Circuit court
Original complaint - Court
Warrant - Court
Bindover/Transfer - Circuit/Juvenile court
Complaint copy - Prosecutor
Complaint copy - Defendant/Attorney
STATE OF MICHIGAN
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
CASE NO.
DISTRICT
CIRCUIT
District Court ORI: MI- Circuit Court ORI: MI-
Date:
District judge:
Bar no.
Reporter/Recorder Cert.no. Represented by counsel Bar no.
1. I, the defendant, understand:
a. I have a right to employ an attorney.
b. I may request a court-appointed attorney if I am financially unable to employ one.
c. I have a right to a preliminary examination where it must be shown that a crime was committed and probable cause exists
to charge me with the crime.
2. I voluntarily waive my right to a preliminary examination and understand that I will be bound over to circuit court on the
charges in the complaint and warrant (or as amended).
Defendant attorney Bar no.
Defendant
I consent to this waiver:
Prosecuting attorney Bar no.
3. Examination was waived on
Date
.
4. Examination was held on
and it was found that probable cause exists to believe
both that an offense not cognizable by the district court has been committed and that the defendant commited the offense.
5. The defendant is bound over to circuit court to appear on
Date
at
Time
.
on the charge(s) in the complaint.
on the amended charge(s) of
MCL/PACC Code
.
6. Bond is set in the amount of $
. Type of bond:
Posted
Date
Judge Bar no.
Certification of transmittal and bindover/transfer for juvenile are printed on other side.
EXAMINATION WAIVER
ADULT BINDOVER
MCL 764.1 et seq., MCL 766.1 et seq., MCL 767.1 et seq., MCR 6.110
Bindover/Transfer After Preliminary Examination
BINDOVER/TRANSFER AFTER
PRELIMINARY EXAMINATION
FELONY