CASE DOCKET NO.

MOTION TO THE COURT Trial Court of Massachusetts

AND AFFIDAVIT m5c£- I^90 District Court Department HI
NAME OF CASE COURT DIVISION

r Northampton District Court

vs. vAS
13- Gothic Street
DEFENDANT
; Northampton, MA. 01060-CSSV

On behalf of the LJ Plaintiff [^^Commonwealth □ Defendant in this case, I respectfully request the Court:

I I Continuance: to continue this case which is presently scheduled for.

EVENT
on. ., until , for the reasons given on the back of this form.
DATE ' DATE

Remove default: to order that the default, default order, or default judgment that was entered on.
DATE
be set aside, and that this case be restored to the court’s calendar, for the reasons given on the back of this form.

□ Remove dismissal: to order that the order for, or judgment of, dismissal that was entered on.
DATE
be set aside, and that this case be restored to the court’s calendar, for the reasons given on the back of this form.

□ Speedy trial: to order that the complaints whose numbers are listed above be advanced for speedy trial, for the
reasons given on the back of this form.

I I New trial: to order that the court’s judgment in this case dated . be vacated and
DATE
a new trial ordered, for the reasons given on the back of this form.

Revise or revoke sentence: to revise or revoke the sentence(s) imposed in this case on.
DATE
for the reasons given on the back of this form.

□ Amend or extend an abuse prevention order: to extend or amend the abuse prevention order underG.L. c. 209A dated
______ in the manner and for the reasons given on the back of this form.
DATE

I I Withdraw from representation: to be permitted to withdraw from further representation of the

PARTY
in this case for the reasons given on the back of this form. I have notified my client of this motion.

Other: (Specify what you are asking the Court to do, and the reasons for your request, on the back of this form.)

I have today 1ZH mailed IZH delivered a copy of this motion to all other parties to this case.
Any statements of fact made in this motion are made under the penalties of perjury and
I I of my own personal knowledge. I I based on information that I believe is true.
DATE SIGNED SIGNED

U-ll
PRINT NAME
I£L X.
ADDRESS DAYTIME TELEPHONE NO.

If motion is agreed to by other party, that

the party or attorney should sign here to indicate assent.
DATE SIGNED SIGNED DAYTIME TELEPHONE NO.

X
FOR CLERK-MAGIST RATE’S USE ONLY
DATE OF HEARING TIME OF HEARING
This motion has been scheduled for hearing
before the Court on this date and time. ►
DATE SIGNED CLERK-MAGISTRATE OR DESIGNEE

FOR JUDGE’S USE ONLY

I I After hearing [HI Without a hearing this motion is I I Allowed. EH Denied.

DATE JUSTICE

□C-CR 18 (4/07)
 Please note that you must comply with any court rules that govern your specific motion. Attach any materials you wish the Court to consider.
Include all reasons for your motion; failing to include a reason may bar you from raising it later. As indicated on the front of this form, note that
any factual statements are made under the penalties ofperjwy.

cn/t/i/? (SrX

V ft
Xrri \AAA J fv<LCT\ -JfXi ""fA JjOlL

<=^\ \^u)Ocaaj^ &. xoxox cX^a, f\ svi c%

\ J 1 1 / ? y
AjlAX-^KM- ^O^vUL_(

As ] (OSMMtrmvAT^XA

■—rAn3r''~AX cLaaSc- iMJ cLqa^uJ (cj aaa^j/>Cu

vOAa ri2J\Wx>i CJ&vJAov^ c7VU^^^(^2XAvilsl^,U

Oa ~~3Sx_ c_p-MAUui_-A 'i —vW r jkA0- tM^~S

XnvNi^ATlJ Xr~i cv Mjdn5v\ -f-c pe>/t>{<X_ Xm \/\C,(aJ‘?6M

7T\ '-Via cJSn^^vVvGM f-C?(€jUXX XvLSM Y>XtA3M CJ-A^A

"—vInoVv^i tvi S£CX-x£L fyiAxJjjA t MXrhOH \hjAA

Wj^ t/d/UD ck cJ$v\J i"h CVt cO

jS-W, ckbKjz^-1 /mo c-svd^cX:„ TKiL dd-^A>A sruusuJ

'—VSuuA rJSV\i\V^0M. 3lV *\ cJ2i2v\».L^JS

-------------------------------------- -
j?A-Ajc\ o c_-c^wvv<_J <aWkjlUi Mrtie_ i^juaJ

ou^(kcqjL ^xLvcri cmJdtMs \^jlka^

/ft A<h J “A —Vi/f 0 JAA .. TAa U

ft) V) £,V>(/L5? /\UAP^AO\JS P<JXf ^iXM JlAX ' f"C> Xx \J\dr~)M. (AA

1 \ „ u
yaJJjA .,

H£3A=X ______________________

fV'brr- \Aa'lAAoJLd
- ---- —------------------------------------------------------------------------------------------------------------------
■ - ' ^ l ■
 ORDER OF PRETRIAL DOCKET No(s)
MASSACHUSETTS TRIAL COURT
CONDITIONS OF RELEASE
DEFENDANT'S NAME & ADDRESS PCF No. Court Department: Cour4

Ssnos~7 Court:

FAILURE TO OBEY THIS ORDER MAY RESULT IN YOUR ARREST AND INCARCERATION
TO THE DEFENDANT: It is hereby ORDERED that you must comply with all PRETRIAL CONDITIONS OF RELEASE that are checked or
filled in below pursuant to:
©4.L. c.: h4.l.(
□ G.L. c. 276, § 57, U 2 . 276, § 58 c. 276, § 42A □ G.L. c. 276, § 87 □ G.L. c. 276, § 87
(Superior Court pretrial (specified restrictions on personal (in cases alleging domestic violence, (pretrial conditions of (conditions of release with the
conditions of release in cases association or conduct, or in cases reasonable restrictions on the travel, release with the defendant's defendant's consent as a
alleging domestic violence) alleging domestic violence, to ensure association, or place of abode of the consent; distinguished from conditional disposition)
the safety of the alleged victim, any defendant, as will prevent contact with pretrial probation as a
other individual or the community) the person allegedly abused)
End Date:
conditional disposition)

&6BEY all local, state, and federal laws and court orders, including abuse and harassment prevention orders and support orders.
QffoTIFY the probation department immediately if you change your residence, mailing address, or contact information.
QlClAKE NO FALSE STATEMENTS to any officer of the court.
FI DO NOT LEAVE MASSACHUSETTS unless you get the express permission of the court and sign a waiver of rendition.
FI SURRENDER ALL PASSPORTS AND PASSPORT ID CARDS to the court prior to release and do not seek a replacement.
FI REFRAIN FROM POSSESSION of any firearms, rifles, shotguns, destructive devices, or dangerous weapons.
□ RETRAIN FROM ABUSE and/or HARASSMENT of: ____________________
GJ-HAVE NO CONTACT, direct or indirect, with: 'fieWe/-
□ STAY (distance):____________ AWAY FROM:
□ STAY AWAY FROM (address):___________________________________________
□ RESIDE □ in/at:_______ ,_________________ ___________________________ U with: _
□ TAKE MEDICATION as prescribed by licensed medical provider.
j~~1 DO NOT OPERATE a motor vehicle O SURRENDER your driver's license to the court by and do not seek a replacement.
□ REFRAIN FROM □ ILLEGAL DRUGS □ RECREATIONAL MARIJUANA □ ALCOHOL

□ SUBMIT TO RANDOM TESTING or □ TESTING___ times per_______________

[H SIGN RELEASES to verify your compliance with terms of this order and provide verification as directed by probation.
1~1 REPORT TO THE PROBATION DEPARTMENT as directed by probation and/or as ordered below:
□ by phone □ in person times per week
D ATTEND and verify to your probation officer meetings per week of □ Recovery/AA/NA □
□ COOPERATE in a O Mental Health O Substance Use Disorder evaluation and any recommended treatment
□ Comply with REMOTE ALCOHOL BREATH TESTING.
□ Comply with ELECTRONIC MONITORING □ EXCLUSION ZONE(S): ___________________________________
□ HOME CONFINEMENT □ CURFEW:_______ □ OTHER:
□ PARTICIPATE in: program and verify completion to probation by (date)
□ PARTICIPATE in □ Pretrial Services (§§ 57, 58, 58A only) or □ Treatment (with def. consent) at CCC
□ OTHER CONDITIONS:

DEFENDANT ACKNOWLEDGEMENT OF ORDER INTERPRETER'S SIGNATURE, if any

SIGNATURE OF DEFENDANT: I have read and understood these conditions. I have translated the terms of this Order, and the acknowledgement set forth to
(If applicable: I consent to programming at Community Corrections and to the left, to the defendant prior to his/her signature.
conditions imposed under G.L. c. 276, § 87.) I understand if I violate any
condition, it may result in my arrest and incarceration, and the revocation of my

DATE:
m
(ASSOCIATE) PROBATION OFFICER'S SIGNATURE AS WITNESS JUDGE’S SIGNATURE

DATE: YYbui^ € li/Mh

 ORDER OF PRETRIAL DOCKET No(s)
MASSACHUSETTS TRIAL COURT r^|
CONDITIONS OF RELEASE iRHSt&OOinRt)
DEFENDANT'S NAME & ADDRESS. ( J ^ PCF No. Court Department:

~lCa "W# W ^ ssnosi Court:

VOoT-VUcpMolci tVjfft/C'c'4
FAILURE TO OBEY THIS ORDER MAY RESULT IN YOUR ARREST AND INCARCERATION
TO THE DEFENDANT: It is hereby ORDERED that you must comply with all PRETRIAL CONDITIONS OF RELEASE that are checked or
filled in below pursuant to:
□ G.L. c. 276, § 57,1 2 ~ G.L. c. 276, § 58 □ G.L. c. 276, § 42A JS G.L. c. 276, § 87 n G.L. c. 276, § 87
(Superior Court pretrial /(specified restrictions on personal (in cases alleging domestic violence, (pretrial conditions of (conditions of release with the
conditions of release in cases association or conduct, or in cases reasonable restrictions on the travel, release with the defendant's defendant's consent as a
alleging domestic violence) alleging domestic violence, to ensure association, or place of abode of the consent; distinguished from conditional disposition)
the safety of the alleged victim, any defendant, as will prevent contact with pretrial probation as a
other individual or the community)
End Date:
the person allegedly abused). conditional disposition)

THE FOLLC RDERED:

OBEY all local, state, and federal laws and court orders, including abuse and harassment prevention orders and support orders.

g NOTIFY the probation department immediately if you change your residence, mailing address, or contact information,
fig.MAKE NO FALSE STATEMENTS to any officer of the court.
^waiver of rendition.
fteFseek-a-replacemeetr
■ REFRAIN FROM POSSESSION of any firearms, rifles, shotguns, destrus ve devices, or dangerous weapons.
I ! □ REFRAIN FROM ABUSE and/or HARASSMENT of: Jmai Sh/J. n
□ HAVE NO CONTACT, direct or indirect, with:
□ STAY (distance):________________ AWAY FROM:
□ STAY AWAY FROM (address):
□ RESIDE □ in/at: □ with:
□ TAKE MEDICATION as prescribed by licensed medical provider.
("I DO NOT OPERATE a motor vehicle O SURRENDER your driver's license to the court by and do not seek a replacement.
□ REFRAIN FROM □ ILLEGAL DRUGS □ RECREATIONAL MARIJUANA □ ALCOHOL

□ SUBMIT TO RANDOM TESTING or □ TESTING___ times per__________________________

SIGN RELEASES to verify your compliance with terms of this order and provide verification as directed by probation.
f~l REPORT TO THE PROBATION DEPARTMENT as directed by probation and/or as ordered below:
O by phone Q in person times per week
□ ATTEND and verify to your probation officer meetings per week of □ Recovery/AA/NA □
□ COOPERATE in a O Mental Health □ Substance Use Disorder evaluation and any recommended treatment
B
□ Comply with REMOTE ALCOHOL BREATH TESTING.
□ Comply with ELECTRONIC MONITORING □ EXCLUSION ZONE(S):
□ HOME CONFINEMENT □ CURFEW: □ OTHER:
□ PARTICIPATE in: program and verify completion to probation by (date)
C] PARTICIPATE in □ Pretrial Services (§§ 57, 58, 58A only) or □ Treatment (with def. consent) atCCC
□ OTHER CONDITIONS:

DEFENDANT ACKNOWLEDGEMENT OF ORDER INTERPRETER'S SIGNATURE, if any

SIGNATURE OF DEFENDANT: 1 have read and understood these conditions. I have translated the terms of this Order, and the acknowledgement set forth to
(If applicable: I consent to programming at Community Corrections and to the left, to the defendant prior to his/her signature.
conditions imposed under G.L c. 276, § 87.) I understand if I violate any
condition, it may result in my arrest and incarceration, and the revocation of my
release.
JJ»,
DATE: DATE:

(ASSOCIATE) PROBATION OFFICER'S SIGNATURE AS WITNESS JUDGE'S SIGNATURE

X ,fb\ CU, /T> t-L 0,je CoMM- DATE: // / £ //9 X DATE: l\ ((&1 (/)

• lit ' ■ j / WA