Approved, SCAO
JIS CODE: ARB
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
Court address
AUTHORIZATION FOR RETURN OF BOND
CASE NO. PETITION NO.
Court telephone no.
1. In the matter of
name(s), alias(es), DOB
2. The conditions of the bond deposited on
Date
by
Name and relationship to juvenile
have been satisfied. Amount of deposit: $
which represents:
10% cash. 100% cash. surety bond.
THEREFORE: 3. The bond is canceled. 4. The county treasurer shall withhold 10% of the deposit on a 10% cash bond in accordance with MCR 3.935(F)(4). 5. The remaining deposit shall be returned to
Name
.
6. The remaining deposit shall be applied to court-ordered reimbursement and costs as calculated below, and the balance, if any, returned. BOND DEPOSIT DISTRIBUTION A. Amount deposited .......................................................................................................... B. County treasurer 10% ............................................................. C. Reimbursement distribution 1. State-minimum costs ............ $ 2. Costs of care and services. .... $ 3. Attorney fees ......................... $ 4. Assessments ........................ $ 5. Restitution ............................. $ 6. Other ..................................... $ Reimbursement subtotal ......................................................... $ $
$ 0.00 $ 0.00
D. Total owed to county (B + C) ..........................................................................................
(if the amount on Line D is greater than A, subtract the amount on Line A from the amount on Line D and enter the difference on line E) (if the amount on Line D is less than A, subtract the amount on Line D from the amount on Line A and enter the difference on line F)
E. Balance owing ................................................................................................................ F. Release to depositor ......................................................................................................
$ $
7. The county treasurer shall release to the bond depositor the amount shown above upon presentation of a copy of this authorization. Release shall be by check or by such method as the county treasurer deems appropriate. Reimbursement approved:
Date Signature
Do not write below this line - For court use only
JC 31 (9/06)
AUTHORIZATION FOR RETURN OF BOND
MCR 3.604, MCR 3.935(F)(4)