Fillable STATE OF MICHIGAN THE PEOPLE OF JUDICIAL DISTRICT (Michigan)

Fill Online, Printable, Fillable, Blank STATE OF MICHIGAN THE PEOPLE OF JUDICIAL DISTRICT (Michigan) Form

Use Fill to complete blank online MICHIGAN pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

STATE OF MICHIGAN THE PEOPLE OF JUDICIAL DISTRICT (Michigan)

On average this form takes 24 minutes to complete

The STATE OF MICHIGAN THE PEOPLE OF JUDICIAL DISTRICT (Michigan) form is 3 pages long and contains:

  • 0 signatures
  • 19 check-boxes
  • 89 other fields

Country of origin: US
File type: PDF

BROWSE MICHIGAN FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Approved, SCAO
Form MC 227, Rev. 1/22
MCL 780.621, MCL 780.621b, MCL 780.621c, MCL 780.621d,
MCL 780.622, MCL 780.772a, MCL 780.827a
Page 1 of 3
Distribute form to:
Court
Defendant
Prosecuting official
Attorney General
State Police
Return
STATE OF MICHIGAN
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
APPLICATION TO
SET ASIDE CONVICTION(S)
CASE NO. and JUDGE
This application includes multiple case
numbers as listed in item 1.
ORI
MI-
Court address Court telephone no.
Police Report No.
THE PEOPLE OF
The State of Michigan
v
Defendant’s name, address, and telephone no.
CTN/TCN SID
Defendant’s attorney, bar no., address, and telephone no.
1. I request that the court issue an order to set aside the conviction(s) listed below as provided by law. I consent to
use of the nonpublic record created by MCL 780.623 to the extent authorized by MCL 780.623. A certified copy of each
conviction is attached. Use additional sheet(s) if more space is necessary.
CRIME
CHARGE CODE(S)
MCL citation/PACC Code
DATE OF
CONVICTION CASE NUMBER
a.
b.
c.
d.
2. a. I am requesting more than one felony to be set aside. At least seven years have passed since sentence was
imposed or discharge from imprisonment, probation, or parole for the convictions, whichever is later. I have not
been convicted of any offense during that time.
b. I am requesting one or more serious misdemeanor(s) to be set aside. At least five years have passed since
sentence was imposed or discharge from imprisonment, probation, or parole for the conviction(s), whichever is
later. I have not been convicted of any offense during that time.
c. I am requesting a first violation operating while intoxicated offense to be set aside. At least five years* have
passed since sentence was imposed or discharge from imprisonment, probation, or parole for the conviction,
whichever is later. I have not been convicted of any offense during that time. I have not previously applied to
have and had a first violation operating while intoxicated offense conviction set aside. *Note: the waiting period
to set aside a first violation operating while intoxicated offense is three years if the application is filed on or after
February 19, 2022 and before March 9, 2022.
Continued next page.
Use note: If you are asking to have an eligible conviction set aside
under MCL 780.621(3) because the offense committed was a direct
result of you being a victim of human trafficking, you must use form
MC 227b.
If you are asking to have a misdemeanor marihuana conviction set
aside under MCL 780.621e, you must use form MC 227a.
Application to Set Aside Conviction(s) (1/22)
Page 2 of 3
Case No.
d. I am requesting only one felony to be set aside. At least five years have passed since sentence was imposed or
discharge from imprisonment, probation, or parole for the conviction, whichever is later. I have not
been convicted of any offense during that time.
e. I am requesting one or more misdemeanor(s) to be set aside. None of the misdemeanors are a serious
misdemeanor, for an assaultive crime, or for a first violation operating while intoxicated offense. At least three years
have passed since sentence was imposed or discharge from imprisonment or probation for the conviction(s),
whichever is later. I have not been convicted of any offense during that time.
3. a. No other application has been filed to set aside a conviction listed in item 1.
b. An application was previously filed to set aside the following conviction(s) listed in item 1:
CRIME
CHARGE CODE(S)
MCL citation/PACC Code
DATE OF
CONVICTION CASE NUMBER DISPOSITION
4. a. No other application has been filed to set aside any other conviction(s).
b. An application was previously filed to set aside the following conviction(s) not listed in item 1:
CRIME
CHARGE CODE(S)
MCL citation/PACC Code
DATE OF
CONVICTION CASE NUMBER DISPOSITION
5. I have not had any convictions deferred and dismissed. I have had the following conviction(s) deferred
and dismissed:
6. There are no other criminal charges pending against me.
Applicant Signature
Subscribed and sworn to before me on
Date
.
Deputy clerk/Notary public signature
My commission expires on
.
Name (type or print)
Notary public, State of Michigan, County of
. Acting in the County of
.
This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.
Application to Set Aside Conviction(s) (1/22)
Page 3 of 3
Case No.
TO: Michigan Attorney General and
Prosecuting official
A hearing will be held on the above application to set aside conviction on
Date and time
at
Location
before
Judge
.
I certify that copies of this application and certified record of conviction and notice of hearing were served on the
prosecuting official on
Date
by first-class mail addressed to the last-known address.
Attorney General on
Date
by first-class mail addressed to the last-known address.
I certify that copies of this application, certified record of conviction, and the fingerprint card, accompanied by the required fee, were
served on the Michigan State Police on
Date
by first-class mail addressed to the last-known address.
I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to
the best of my information, knowledge, and belief.
Date
Applicant/Attorney signature
NOTICE OF HEARING
PROOF OF SERVICE
The hearing cannot be held until the court receives
the Michigan State Police report required by
MCL 780.621(d)(8).
Instructions for Filing and Serving an Application to Set Aside Conviction(s) (Form MC 227)
For additional instructions and an online interview that will help you create forms, go to michiganlegalhelp.org.
1. Determine whether you are eligible to apply to have your conviction set aside according to MCL 780.621 -
MCL 780.621d.
2. You must file the application in the court where the conviction occurred. You must use a separate application for
each court.
3. If you are asking to have an eligible conviction set aside under MCL 780.621(3) because the offense committed
was a direct result of you being a victim of human trafficking, you must use form MC 227b. If you are asking to have a
misdemeanor marihuana related conviction set aside under MCL 780.621e, you must use form MC 227a.
4. Find out the exact date of each conviction and each charge from the court. Get a certified copy of each
conviction from the clerk of the court in which you were convicted and attach it to your application. There may be
a fee to obtain these certified copies.
5. Swear to the truth of the statements in this application and then sign it in the presence of the court clerk or a notary
public.
6. Make five copies of all attachments and this application. Take all copies to the court clerk.
7. Depending on local practice, the clerk of the court may set a hearing date at the time of filing. If a hearing date is set
at the time of filing, the clerk of the court will complete the Notice of Hearing.
8. Go to the local law enforcement agency for a fingerprint card and get fingerprinted on the applicant card (RI-008).
There may be a fee for fingerprinting. Fill out the card completely.
9. Make out a money order or check to the State of Michigan for the application. The application fee is $50.00. This fee
is sent with the application packet to the Michigan State Police for processing.
10. Mail a copy of the application packet, application fee, and the fingerprint card to the Michigan State Police by first-
class mail to Michigan State Police, Criminal Justice Information Center - Criminal History, PO Box 30266, Lansing,
Michigan 48909.
11. Mail a copy of the application packet to the Attorney General of the State of Michigan by first-class mail to Office of
the Attorney General, Criminal Trials and Appeals Division, PO Box 30212, Lansing, Michigan 48909.
12. Mail a copy of the application packet to the correct prosecuting official where the conviction occurred (county, city,
or township) by first-class mail. See www.michiganprosecutor.org/about-us-menu/prosecutor-directory for the
addresses of county prosecutors.
13. On both remaining copies of the application, fill in the Proof of Service on page 3. After you fill out and sign the
Proof of Service, mail or take one of the remaining application packets with the completed Proof of Service to the
court. Keep the other copy of the application packet for your records.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

STATE OF MICHIGAN THE PEOPLE OF JUDICIAL DISTRICT (Michigan)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 June 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document