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Office of the Revisor of Statutes

CRIMINAL PROCEDURE

FORM 9 - APPLICATION AND SUMMONS FOR OBTAINING DEFENDANT'S APPEARANCE FOR VIOLATION OF CONDITIONS OF RELEASE, PURSUANT TO RULE 6.03, SUBD. 1

STATE OF MINNESOTADISTRICT COURT
COUNTY OF __ JUDICIAL DISTRICT
_,)APPLICATION AND
Plaintiff,)SUMMONS FOR OBTAINING
)DEFENDANT'S APPEARANCE
vs.)FOR VIOLATION OF
)CONDITIONS OF
)RELEASE, PURSUANT
)TO RULE
_,)6.03, SUBD. 1
Defendant.)District Court File No. _

APPLICATION FOR OBTAINING DEFENDANT'S APPEARANCE

The following facts constitute PROBABLE CAUSE to believe that the above-named Defendant has violated conditions of release:

THEREFORE, I request, that pursuant to Rule 6.03, subd. 1, Minnesota Rules of Criminal Procedure, that Defendant be summoned to appear and be otherwise dealt with according to law.

Dated: __
(Prosecuting Attorney)
Name:
Attorney License No.:
Title:
Address:
Telephone No.:

SUMMONS

TO: The above-named Defendant.

YOU ARE HEREBY SUMMONED to appear on the ___ day of __________, 20___, at ____ o'clock __.m., before the above-named Court at

_,_,_,
(Room No.)(Place)(Address)

pursuant to Rule 6.03, Subd. 1, Minnesota Rules of Criminal Procedure, to determine if you have violated your conditions of release.

IF YOU FAIL TO APPEAR in response to this Summons, a warrant for your arrest may be issued.

_
Issuing Officer*

*The name and title of the Issuing Officer should be printed or stamped following the Issuing Officer's signature.

(Effective for criminal actions commenced or arrests made after 12 o'clock midnight January 1, 1990.)