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JULY, 2008

For Stock Legal Forms Full Printing & Mailing Services

Information Management, Inc.

FORM CATALOG

1-800-258-0258

P.O. Box 22003 Lansing, Michigan 48909

For Instant Service Call

Local: (517) 337-1211 Fax: (517) 337-9205 www.targetinfo.com

Catalog Index

Laser Printer Paper ........ p. 3 District & Circuit .............. p. 4-8 Divorce ........................... p. 8 Friend of the Court.......... p. 9-10 Probate ........................... p. 11-14 Juvenile .......................... p. 14-15 Construction Lien............ p. 16 UCC & Deeds ................. p. 16 Praecipes........................ p. 16 Real Estate ..................... p. 16-17 Workers' Comp ............... p. 17 Court Reporter/ Recorder Appeals ........... p. 17 Prices ............................. p. 18 Order Form .................... p. 19

B

etween August 2007 and June 2008 the State Court released 10 new forms and revised an amazing 319 additional forms.

Inside the catalog on pages 2 and 3 you will find a concise index of these new forms and the revisions for which the new revision is or will be required for use. A list of all available forms begins on page 4 with revised forms printed with colored ink. You can order by fax or phone. When you call you will be greeted by a polite, knowledgable operator who can immediately take your order. A typical order takes less than a minute on the phone. Orders of stock forms are shipped on the same day until 4:00 pm for delivery the next business day (in most of Michigan). We want to announce the addition of LASER PRINTER PAPER to our catalog. If you chose to make your own multi-part forms we offer great prices on self imaging blank paper. See the bottom of page 3. We are a full printing and graphic design company with extensive experience serving the legal community. We offer our services to you for whatever you need designed or printed. Your complete satisfaction is our most important goal. As always ... · We provide next day delivery of forms in most cases · Our forms are always current and state approved (where applicable). · We guarantee your satisfaction with our products.

Revision index

REviSiON iNDEX

NEW FORMS:

Form Number

Recently released, or recently added to our line, these forms are now available.

Choice of Formats

CC295 ........................... 3/08 ................ Appeal of Suspension, Revocation, or Denial of Driver's License .......................................................................4 part CC296 ...........................3/08 ................ Petition for Review of Driver's License Denial, Restriction or Suspension for Arrests or Actions Before Oct, 1, 1999 ..............4 part CC297 ...........................3/08 ................ Petition for Review of Driver's License Denial, Restriction or Suspension for Arrests or Actions on or After Oct, 1, 1999 ........4 part CC298 ...........................3/08 ................ Application for Leave to Appeal and Notice of Hearing ......................................................................... 4 part (carbon) CC299 ...........................3/08 ................ Order Following Hearing on Application for Leave to Appeal ...............................................................................4 part CCFD04a.......................9/07 ................ Order For Determining Maternity/Paternity of Surrendered Newborn Child.......................................................pad 50 CCFD07.........................9/07 ................ Petition to Accept Release and Terminate Rights to Surrendered Newborn Child ............................................pad 50 CCFD08.........................9/07 ................ Order After Hearing on Petition to Accept Release and Terminate Rights to Surrendered Newborn Child .......pad 50 PC673............................9/07 ................ Petition and Order to Use Funds (Conservatorship) ..........................................................................................pad 50 PC674............................10/07 .............. Inventory (Conservatorship) ...............................................................................................................................pad 50

Date Approved Description DiStRiCt & CiRCUit

PRObAtE & JUvENiLE

REviSED FORMS:

Form Number Revision Date

Use of the forms listed below was mandatory after December 31, 2007

Description DiStRiCt & CiRCUit Choice of Formats

MC07 .............................5/07 .................Default Request, Affidavit & Entry ..............................................................................................contin., 3 part, carbon PC572............................ 10/07 .............. Letters of Authority for Personal Representative ................................................................................................pad 50 PC577............................ 10/07 .............. Inventory .............................................................................................................................................................pad 50 PC583............................ 10/07 .............. Account of Fiduciary, Short Form .......................................................................................................................pad 50 PC584............................ 10/07 .............. Account of Fiduciary, Long Form ........................................................................................................................pad 50 PC625-1 ........................ 1/08 ................ Petition for Appointment of Guardian of Incapacitated Individual (Part 1) .........................................................pad 50 PC625-2 ........................ 1/08 ................ Petition for Appointment of Guardian of Incapacitated Individual (Part 2) .........................................................pad 50 PC645............................ 10/07 .............. A Guide to Garnishment of Periodic Payments ..................................................................................................pad 50 PC662............................ 10/07 .............. A Guide to Garnishment of Periodic Payments ..................................................................................................pad 50

PRObAtE & JUvENiLE

REviSED FORMS:

Form Number Revision Date

Use of the forms listed below was mandatory after January 5, 2008.

Description DiStRiCt & CiRCUit Choice of Formats

DC213 .......................... 1/08 ..................Advice of Rights ............................................................................................................................. 2 part, carbon, pad 50 MC240 .......................... 1/08 ..................Order for Pretrial Release/Custody ...................................................................................2 part, 4 part, 5 part with MC241 MC241 .......................... 1/08 ..................Bond ..................................................................................................................................................................... 3 part DC243 .......................... 1/08 ..................Order of Probation (Misdemeanor) .....................................................................................6 part carbon, 4 part no carbon

REviSED FORMS:

Form Number Revision Date

Use of the forms listed below will be mandatory after July 24, 2008

Description DiStRiCt & CiRCUit Choice of Formats

MC14*............................3/08 .................Garnishee Disclosure .............................................................................................. contin., 5 part, no carbon, pad 50 *Note: you may not use the new revision until July 24. The prior revision of 7/07 must be used until July 23. P-01 ............................3/08 ................ A Guide to Garnishment of Periodic Payments ..................................................................................4 page pamphlet

REviSED FORMS:

Form Number Revision Date

Use of the forms listed below will be mandatory after September 30, 2008

Description FRiEND OF thE COURt Choice of Formats

2

FOC10/52-1 .................. 3/08 ..................Uniform FOC10/52-2 .................. 3/08 ..................Uniform FOC10/52a-1 ................ 3/08 ..................Uniform FOC10/52a-2 ................ 3/08 ..................Uniform FOC10b-1 ..................... 3/08 ..................Uniform FOC10b-2 ..................... 3/08 ..................Uniform FOC10c-1 ..................... 3/08 ..................Uniform FOC10c-2 ..................... 3/08 ..................Uniform

Child Support Order (page 1, requires page 2) ......................................................................................7 part Child Support Order (page 2) ..................................................................................................................4 part Child Support Order, No FOC Services (page 1, requires page 2) ........................................................7 part Child Support Order, No FOC Services (page 2)....................................................................................4 part Spousal Support Order (page 1, requires page 2)..................................................................................4 part Spousal Support Order (page 2) .............................................................................................................4 part Spousal Support Order, No FOC Services (page 1, requires page 2) ...................................................4 part Spousal Support Order, No FOC Services (page 2) ...............................................................................4 part

Revision index

REviSED FORMS:

Form Number Revision Date

Use of the forms listed below will be mandatory after December 31, 2008

Description DiStRiCt & CiRCUit Choice of Formats

MC39 ............................ 3/08 ..................Judgment, Claim and Delivery ..............................................................................................................................3 part DC90 ............................ 3/08 ..................Petition Regarding Impoundment of Motor Vehicle or Seizure of Motorcycle ......................................................5 part MC321a ........................ 3/08 ..................Juror Qualification Questionnaire with Personal History Questionaire (MC321b) on back ................................ pad 50

REviSED FORMS:

Form Number . Revision Date

The forms listed below have recently been revised, however the previous revisions may still be used if hand corrected.

Description DiStRiCt & CiRCUit Choice of Formats

Previous Revision

. .

MC218 ...............3/08.................. 8/07 ....................Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment ........................................3 part MC227 ...............3/08.................. 5/07 ....................Application to Set Aside Conviction .................................................................................................................6 part MC316 ...............8/07.................. 6/03 ....................Order for Change of Venue ..............................................................................................................................4 part CC380 ...............3/08.................. 3/06 ....................Personal Protection Order Against Stalking (Non Domestic) ...........................................................................7 part CC380M ............3/08.................. 6/04 ....................Personal Protection Order Against Stalking by a Minor (Non Domestic, page 1, requires page 2) ................7 part CC380M-2 .........3/08.................. 6/04 ....................Personal Protection Order Against Stalking by a Minor (Non Domestic, page 2) ...........................................6 part

FOC86 ...............3/08.................. 9/05 ....................Order Rescinding License Suspension (Child Support/Parenting Time) .........................................................5 part PC646................10/07................ 9/06 ....................Petition for Approval of Sale of Real Estate ...................................................................................................pad 50 JC11a-1 .............9/07.................. 9/06 ....................Order After Preliminary Hearing (Child Protective Proceedings) (pages 1 and 2, requires page 3) .............pad 50 JC11a-2 .............9/07.................. 9/06 ....................Order After Preliminary Hearing (Child Protective Proceedings) (page 3) ....................................................pad 50 JC11b-1 .............9/07.................. 9/06 ....................Order After Pretrial Hearing (Child Protective Proceedings) (pages 1 and 2, requires page 3) ....................pad 50 JC11b-2 .............9/07.................. 9/06 ....................Order After Pretrial Hearing (Child Protective Proceedings) (page 3) ...........................................................pad 50 JC17-1 ...............9/07.................. 1/07 ....................Order of Disposition (Child Protective Proceedings) (pages 1 and 2, requires page 3) ................................pad 50 JC17-2 ...............9/07.................. 1/07 ....................Order of Disposition (Child Protective Proceedings) (page 3) .......................................................................pad 50 JC49-1 ...............9/07.................. 12/06 ..................Order of Adjudication (Child Protective Proceedings) (pages 1 and 2, requires page 3) ..............................pad 50 JC49-2 ...............9/07.................. 12/06 ..................Order of Adjudication (Child Protective Proceedings) (page 3) .....................................................................pad 50 JC63 ..................9/07.................. 9/06 ....................Order Terminating Parental Rights (Child Protective Proceedings) ...............................................................pad 50

FRiEND OF thE COURt PRObAtE & JUvENiLE

OthER REviSiONS

Beside the above forms the State Court Administrative Office (SCAO) revised an unbelievable 287 additional forms over this past year but they allow the prior revisions of these be used until supplies are depleted. Last year there were only 78 such forms. The new revisions are too numerous to list here but you can spot them in the full list of forms on the following pages printed with colored ink (red or blue), which indicates a recent revision, and by the revision date followed by this symbol "".

NEW PRODUCT - LASER PRiNtER PAPER

We now offer 8 1/2" x 11" self-imaging paper for use in laser printers and digital copiers. This is coated front and back or what is called CFB so that the back side of each sheet will image onto the face of the next sheet. These are sold in reams of 500, or in cartons of 10 reams. Prices are per thousand (m) sheets. Prices are volatile on paper and may change but current prices are shown below. We offer three types. NCR brand is the original self-imaging paper and is made domestically. It runs great but is pricy. The other two options are imported sheets that you may wish to try.

Weight Partial Carton Full Cartons NCR Xero-Form ii (laser) ...23.0 ................ 85/m .................... 75/m imported laser .....................22.9 ................ 41/m .................... 37/m imported press weight ........21.6 ................ 35/m .................... 32/m

NEW!

helpful information

Image quality decreases as the number of sheets in a set increases. Lighter weight paper (about 21 pound - called "press weight") images slightly better through many sheets than heavier weights. "Laser" paper is heavier weight (about 23 pound) but is specifically designed for laser printers and copiers and accordingly is also more expensive. The laser paper is supposed to run better with less jamming or curling and is guaranteed not to damage rubber rollers in these devices. Still some people prefer the less expensive and thinner press weight paper. For context, standard copier paper is 20 pound and our multiple part forms are made with about 15 pound paper (for better imaging).

3

District, Circuit, & Divorce Court Forms

TO ORDER: Please use the order form on page 19 of this catalog. Photocopy and fax in your order, or call us toll free. Prices and quantity breaks are listed on the back page. Multipart sets are snap apart carbonless sets generally. A few are still carbon sets. Some are available both ways and show a separate " carbon" choice . Some forms are also available in continuous feed self-imaging carbonless sets (contin) or in pads of 50 single sheets (Pad 50). Carbonless forms are black imaging. FORM NUMbER DESCRiPtiON ChOiCE OF FORMAtS

DiStRiCt, CiRCUit, AND DivORCE COURt FORMS

CIA01............. Notice to Appear, Civil Infraction (Rev. 3/08) ....................................................................................................................................................... 3 part CIA02............. Judgment, Civil Infraction (Rev. 3/08)(8 1/2" x 11") ............................................................................................................................................ 3 part CIA03............. 14 Day Notice, Civil Infraction (Rev. 3/08) ........................................................................................................................................................... 2 part CIA04............. Motion to Set Aside Default Judgment & Order, Civil Infraction (Rev. 5/07)(8 1/2 x 11) ...................................................................................... 3 part CIA05............. Claim of Appeal of Right/Req. to Withdrawl Admission, and Ord. Civil Infraction (Rev. 4/08)(8 1/2 x 11) ......................................................... 4 part CIA06............. Order to Show Cause, Civil Infraction (Rev. 6/98) ............................................................................................................................................... 3 part CIA07-JIS ...... Default Judgment, Civil Infraction (post card) (Rev. 3/08) .......................................................................................1 or 2 part contin. (special order) MC02 ............. Appearance (Rev. 3/08) .................................................................................................................................................................. 3 part, pad 50 MC04 ............. (general blank form) ............................................................................................................................................................................................. pad 50 MC06 ............. Notice to Appear (Rev. 6/96) ............................................................................................................................................................................... 4 part MC11 ............. Subpoena, Order to Appear and/or Produce (Rev. 6/04) ................................................................................ contin., 4 part, carbon, pad 50 DC21 ............. Magistrate's Daily Report (Rev. 5/85)................................................................................................................................................................... pad 50 DC22 ............. Magistrate's Quarterly Report (Rev. 7/85) ............................................................................................................................................................ pad 50 MC24 ............. Taxation of Costs (Rev. 8/89) ............................................................................................................................................................................... pad 50 MC25 ............. Notice of Intent to Escheat Unclaimed Personal Property (Rev.3/08) ................................................................................................................. 2 part MC26 ............. Notice of Intent to Dismiss for No Progress (Rev. 3/08) ...................................................................................................................................... 2 part MC27 ............. Request & Notice for Film & Electronic Media Coverage of Court Proceedings (New 2/89) ................................................................................ 4 part MC28 ............. Notice to Prior Court of Proceedings Affecting Minors (Rev. 3/08) .................................................................................................................... pad 50 MC29 ............. Notice of Intent to Destroy Discovery Materials (New 6/93) .................................................................................................................................. 3 part DC40 ............. Notice of Seizure of Personal Property Sub. to Forfeit. Without Process & Order (New 4/89) ............................................................................. 4 part DC41 ............. Motion and Order to Seize Personal Property Subject to Forfeiture (New 4/89) ................................................................................................... 4 part DC42 ............. Application and Ex Parte Order to File Lien on Real Property Subject to Forfeiture (Rev. 6/04) ........................................................................ 4 part DC43 ............. Notice of Seizure and Intent to Forfeit and Dispose of Property (New 4/89) ......................................................................................................... 3 part DC44 ............. Order for Return of Property or Discharge of Lien in Forfeiture Proceedings (Rev 3/08) ................................................................................... 3 part DC45 ............. Notice of Intent to Forfeit and Dispose of Property (New 4/89) ............................................................................................................................. 3 part DC46 ............. Order Following Forfeiture Proceedings (New 4/89) .............................................................................................................................................. 4 part DC47 ............. Order of Distribution in Forfeiture Proceedings (New 4/89) ................................................................................................................................... 3 part MC63 ............. Motion and Order to Seize Vehicle Subject to Forfeiture (Rev. 3/08) .................................................................................................................. 5 part MC64 ............. Notice of Intent to Forfeit Vehicle (Rev. 6/04) ...................................................................................................................................................... 4 part MC65 ............. Motion for Return of Vehicle Pending Forfeiture Proceedings (Rev. 3/08) .......................................................................................................... 4 part MC66 ............. Order on Motion for Return of Vehicle Pending Forfeiture Proceedings (Rev. 3/08)........................................................................................... 5 part MC67 ............. Claim of Interest on Vehicle Seized for Forfeiture (Rev. 3/08)............................................................................................................................. 4 part MC68 ............. Order on Claim of Interest on Vehicle Seized for Forfeiture (Rev. 3/08) ............................................................................................................. 4 part MC69 ............. Order to Return/Forfeit Vehicle after Sentencing (Rev. 3/08) .............................................................................................................................. 5 part MC70 ............. Request for Accommodations (New 10/97) .......................................................................................................................................................... pad 50 MC72 ............. Petition for Testing of Infectious Disease (Rev. 6/04)......................................................................................................................................... pad 50 MC73 ............. Notice of Hearing on Petition for Testing of Infectious Disease (Rev. 6/04) ...................................................................................................... pad 50 MC74 ............. Order following Hearing on Petition for Testing of Infectious Disease (Rev. 3/08) ............................................................................................ pad 50 MC81 ............. Motion & Order for Appointment of Foreign Language Interpreter (Rev. 3/08).................................................................................................... 5 part MC92 ............. Cash Bond (Rev. 6/05) ......................................................................................................................................................................................... 4 part MC96 ............. Judgment of Contempt (New 5/07) ...................................................................................................................................................................... 3 part MC200 ........... Felony Set, Information (includes warrant set) (Rev. 7/05) ...................................................................................................................6 part (carbon) MC200a ......... Felony Set, (3 part information set only) (Rev. 7/05) ............................................................................................................................................ 3 part MC201 ........... Witness/Juror Certificate (Rev. 4/89) ............................................................................................................................................... 2 part, pad 50 MC202 ........... Certification of Records/Attestation of Exemplified Copies (Rev. 6/03) .............................................................................................................. pad 50 MC203 ........... Writ of Habeas Corpus (Rev. 11/85)....................................................................................................................................................................... 5 part MC204 ........... Order for Competency Examination (Rev. 5/07) .................................................................................................................................................. 5 part MC205 ........... Finding and Order on Competency (Rev. 3/06) ................................................................................................................................................... 6 part MC206 ........... Order for Evaluation Relative to Criminal Responsibility (Rev 6/05) ................................................................................................................... 5 part MC207 ........... Commitment Order, Not Guilty by Reason of Insanity (Rev 5/07) ....................................................................................................................... 6 part MC208 .............Demand/Waiver for Transcript of Preliminary Examination (Rev. 3/08) ............................................................................................................... 6 part MC210 ........... Affidavit & Order for Restricted Driver License (Rev. 5/07).................................................................................................................................. 2 part MC211 ........... Order for Substance Abuse Evaluation (replaces DCY211)(Rev. 3/08) ............................................................................................................... 4 part MC212 ........... Summary of Substance Abuse Assessment Report (replaces DCY212) (Rev. 6/99) .......................................................................................... 2 part DC213 ........... Advice of Rights (for drinking/driving offenses) (Rev. 1/08H) ........................................................................................... 2 part, carbon pad 50 DC213a .......... Advice of Rights (Spanish) (Rev. 1/08H) ...................................................................................................................................................................pad 50 DC213b .......... Advice of Rights (Arabic) (Rev. 1/08H) ............................................................................................................................................... special order, pad 50

CiviL iNFRACtiON ACtiON (blue, N.C.R., 8 1/2" x 5" except as noted)

CiviL AND CRiMiNAL (white, 8 1/2"x11")

For instant Service Call 1-800-258-0258 or Fax to 1-517-337-9205

4

District, Circuit, & Divorce Court Forms FORM NUMbER DESCRiPtiON ChOiCE OF FORMAtS

Notes

DC213c........... Advice of Rights (Russian) (Rev. 1/08H) ................................................................................................................................................special order, pad 50 DCY214 .......... Waiver of Privilege Against Disclosure .......................................................................................................................................................................... pad 50 DC215 ............ Affidavit of Incorrect Address (Rev. 6/04) .................................................................................................................................................................... pad 50 MC216 ............ 14 Day Notice, Traffic (post card) (Rev. 3/08).......................................................................................................................... 2 part contin., (special order) MC216a .......... Notice of Noncompliance, Drinking/Driving Offense (post card) (Rev. 3/08) ........................................................................... 2 part contin., (special order) MC218 ............ Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment (Rev. 3/08) .................................................................................. 3 part MC219 ............ Judgment of Sentence/Commitment to Jail (Rev. 3/08) ............................................................................................................................................... 6 part MC220 ............ Recall of Warrant/Order to Apprehend (Rev. 3/02) ........................................................................................................................................................ 4 part MC221 ............ Statement of Service and Order for Payment of Court Appointed Representative (Rev. 9/03) .................................................................................... 2 part MC222 ............ Petition and Order for Court Appointed Attorney (Rev. 3/00) ........................................................................................................................................ 3 part DC223 ............ Plea by Mail (Rev. 3/06)............................................................................................................................................................................ 2 part, pad 50 MC224 ............ Order and Receipt for Driver's License Held as Security (Rev. 3/08) .......................................................................................................................... 2 part DC225 ............ Complaint, Misdemeanor, (Includes warrant) (Rev. 7/05) ............................................................................................................ contin, 4 part (carbon) DC226 ............ Warrant, Misdemeanor, Traffic/Non-Traffic (Rev 5/07)................................................................................................................................................. pad 50 MC227 ............ Application to Set Aside Conviction (Replaces MC232) (Rev. 3/08) ............................................................................................................................ 6 part MC228 ............ Order on Application to Set Aside Conviction (Replaces MC232) (Rev. 3/08) ............................................................................................................. 5 part MC229 ............ Motion, Affidavit, and Bench Warrant (Rev. 6/05) ...................................................................................................................................... contin., 2 part MC230 ............ Motion & Order to Show Cause (Rev. 6/04) .................................................................................................................................................................. 3 part MC231 ............ Affidavit for Search Warrant, (with Search Warrant) (Rev. 3/08) ....................................................................................................................6 part (carbon) MC231a .......... Affidavit for Search Warrant, (continuation) (Rev 6/04) ................................................................................................................................................. 2 part MC233 ............ Order for Fingerprints (Rev. 5/07) .................................................................................................................................................................................. 3 part MC234 ............ Order for Counseling & Testing for Disease/Infection (Rev. 3/08) ................................................................................................................................ 4 part MC235 ............ Motion and Order for the Destruction of Fingerprints & Arrest Card (Rev. 5/07) .......................................................................................................... 5 part MC238 ............ Judgment After Bond Forfeiture (Rev. 8/07) ................................................................................................................................................................. 3 part MC239 ............ Removal of Entry From Lien (Rev. 3/06) ....................................................................................................................................................................... 4 part MC240 ............ Order For Pretrial Release/Custody (Rev. 1/08H) ............................................................................................................................................4 part (carbon) MC240/2 ......... First Two Pts. (Court & Sheriff/Facility Copies) of MC240 (Ord. For Pretrial Rel./Cust. (Rev. 1/08H)..............................................................2 part (carbon) MC240/5a ....... First Two Parts of Order For Pretrial Release/Custody with Bond (Rev. 1/08H) ..............................................................................................5 part (carbon) MC240/5b ....... Last Two Parts of Order For Pretrial Release/Custody with Bond (Rev. 1/08H) ............................................................................................................ 5 part MC240a .......... Order Extending Bond for Protection of Named Person(s) (Rev. 6/05) .......................................................................................................................... 2 part MC241 ............ Bond (Rev. 1/08H) ........................................................................................................................................................................................................... 3 part MC242 ............ Assignment to Youthful Trainee Status (replaces CC242) (Rev. 5/07) .......................................................................................................................... 5 part DC243 ............ Order of Probation (Misdemeanor) (replaces MC243) (Rev. 1/08H) ................................................................................ 6 part carbon, 4 part no carb. MC244 ............ Petition and Order for Amendment of Order of Probation (replaces DCY244) (Rev. 3/01)........................................................................................... 5 part MC245 ............ Motion and Order for Discharge from Probation (Rev. 5/07) ......................................................................................................................................... 4 part MC246 ............ Motion, Affidavit, and Summons Regarding Probation Violation (Rev. 6/04) ................................................................................................................ 4 part MC247 ............ DNR Complaint, Condemnation and Confiscation (Rev. 3/08) .............................................................................................................2 part (special order) MC248 ............ DNR Order to Show Cause, Condemnation and Confiscation (Rev. 3/08) ...........................................................................................3 part (special order) MC249 ............ DNR Order, Condemnation and Confiscation (Rev. 3/08) .....................................................................................................................3 part (special order) DC250 ............ Felony Register of Actions (Rev. 3/01) ................................................................................................................................. 1 part contin., 1 part cards DC251 ............ Misdemeanor Register of Actions (Rev. 6/03) ..................................................................................................................................................... 1 part cards DC252 ............ Civil Register of Actions (Rev. 8/93) ....................................................................................................................................................................... 1 part card DCY253 .......... Traffic Register of Actions (Rev. 3/83) (41/2"x91/2" envelope) (CUSTOM ORDER ONLY) ............................................................................................ 1 part MC254 ............ Order for Vehicle Impoundment (Rev. 3/08) .................................................................................................................................................................. 4 part DC255 ............ Notice to Prosecuting Official (Victim's Rights Act) (Rev. 6/04) ..................................................................................................................................... 2 part MC256 ............ Summons, Criminal (Rev. 5/07) ..................................................................................................................................................................................... 4 part MC258 ............ Report of Nonpayment of Restitution (Rev. 5/07) .......................................................................................................................................................... 4 part MC260 ............ Waiver of Trial by Jury and Election to be Tried Without Jury (Rev. 3/08) .................................................................................................................... 4 part MC262 ............ Order of Acquittal/Dismissal or Remand (Rev. 5/07) ..................................................................................................................................................... 5 part MC263 ............ Motion/Order of Nolle Prosequi (Rev. 5/07)................................................................................................................................................................... 5 part MC264 ............ Order of Disqualification / Reassignment (Rev. 3/06).................................................................................................................................................. pad 50 MC267 ............ Order for Vehicle Immobilization (Rev. 6/03) ................................................................................................................................................................. 3 part MC270 ............ Order Regarding Extradition (Rev. 3/08) ....................................................................................................................................................................... 6 part MC271 ............ Waiver of Extradition (Rev. 3/08) ................................................................................................................................................................................... 6 part MC272 ............ Remittal of Disqualification (New 9/00) .......................................................................................................................................................................... pad 50 MC273 ............ Personal Service on Prisoner and Affidavit (Rev. 6/05) ................................................................................................................................................ 4 part MC274 ............ Order for Mediation (New 8/00) ...................................................................................................................................................................................... 4 part MC275 ............ Notice Regarding Court Selected Mediator (New 8/00) ................................................................................................................................................. 4 part MC276 ............ Motion to Remove Case From Mediation (Rev. 3/08) .................................................................................................................................................. 3 part MC277 ............ Order on Motion to Remove Case From Mediation (Rev. 3/08)................................................................................................................................... 3 part MC278 ............ Motion to Modify Order for Mediation (Rev. 3/08) ........................................................................................................................................................ 3 part MC279 ............ Stipulation for Mediation (New 8/00) .............................................................................................................................................................................. 4 part MC280 ............ Mediation Status Report (Rev. 3/02)............................................................................................................................................................................. 3 part MC281a .......... Civil Mediator Application (Rev. 3/08) .................................................................................................................................................................2 part (bond) MC281b .......... Domestic Relationsl Mediator Application (Rev. 3/08)........................................................................................................................................2 part (bond) MC282 ............ Domestic Violence Screening for Referral to Mediation (Rev. 3/08) ........................................................................................................................... pad 50

The previous revision may be used until stock is depleted. The previous revision may be used with hand correction until stock is depleted. H The new form must be used after Jan 5, 2008 unless statutory criteria has not been met.

CiviL AND CRiMiNAL (continued)

5

District, Circuit, & Divorce Court Forms FORM NUMbER ChOiCE OF FORMAtS

DESCRiPtiON

MC283 ............ Order for DNA Sample (Rev. 6/03) ............................................................................................................................................................................. 4 part MC284-1 ......... Binding Arbitration Award, page 1 of 3 (may require pages 2 and 3) (New 6/03) ........................................................................................................ 3 part MC284-2 ......... Binding Arbitration Award, page 2 of 3 (requires pages 1 and 3) (New 6/03) .............................................................................................................. 3 part MC284-3 ......... Binding Arbitration Award, page 3 of 3 (requires pages 1 and 2) (New 6/03) .............................................................................................................. 3 part MC285 ............ Judgement Regarding Arbitration Award (Rev. 3/08) ................................................................................................................................................. 3 part MC286 ............ Order Requesting Prisoner be Allowed to Participate in Court Proceedings (Rev. 3/08) .......................................................................................... 4 part MC287 ............ Financial Statement (Rev. 3/08) ............................................................................................................................................................................... pad 50 MC288 ............ Order to Remit Prisoner Funds for Fines, Costs & Assessments (Rev. 3/08) ........................................................................................................... 3 part MC289 ............ Order for Assignment of Wages (New 5/07) ............................................................................................................................................................... 3 part MC290 ............ Satisfaction of Financial Obligation (Rev. 3/08).......................................................................................................................................................... 3 part MC292 ............ Disclosure of Employment or Contract in Michigan School System (Rev. 3/08) ....................................................................................................... 4 part MC294 ............ Order Delaying Sentence (New 5/07) ........................................................................................................................................................................... 4 part MC300 ............ Order for Administrative Closing Due to Bankruptcy Stay (Rev. 6/86) ...................................................................................................................... pad 50 MC301 ............ Motion and Order Reopening Case After Bankruptcy (Rev. 3/08) .......................................................................................................................... pad 50 MC302 ............ ·Proof of Mailing (Rev. 3/08)................................................................................................................................................................ contin., pad 50 MC303 ............ Motion and Verification for Alternate Service (Rev. 3/06) ....................................................................................................................... contin., 3 part MC304 ............ Order Regarding Alternate Service (Rev. 3/08) ...................................................................................................................................... contin., 4 part MC306 ............ Substitution of Attorney (Rev. 6/97) ............................................................................................................................................................................ 3 part MC307 ............ Order for Service by Publication/Posting and Notice of Action (Rev. 3/08) ............................................................................................................... 4 part MC309 ............ Order for Adjournment (Rev. 9/01)........................................................................................................................................................... 3 part, pad 50 MC315 ............ Authorization for Release of Medical Information (Rev. 3/06) .................................................................................................................................... 3 part MC316 ............ Order for Change of Venue (Rev. 8/07) ..................................................................................................................................................................... 4 part MC321 a/b....... Juror Qual. Question (MC321a (Rev. 3/08))w/Personal Hist. Question (MC321b) on back (Rev. 3/08) .............................................................. pad 50 MC325 ........... Request for Hearing on a Motion (Rev. 6/05) .......................................................................................................................................................5 part MC326 ........... Notice of Hearing and Motion (Rev. 6/05) .............................................................................................................................................................5 part MC327 ........... Order (Rev. 6/05) ...................................................................................................................................................................................................5 part

CiviL AND CRiMiNAL (continued)

DC53.............. Appeal Worksheet for Application to Leave to Appeal (Rev. 6/05) .....................................................................................................................pad 50 DC54.............. Appeal Worksheet for Claim of Appeal of Right (Rev. 10/03) .............................................................................................................................pad 50 MC55 ............. Claim of Appeal (Rev. 5/07),(Replaces CC266 & PC91) ......................................................................................................................................4 part MC56 ............. Bond on Appeal (Replaces CC267) (Rev. 3/08) ....................................................................................................................................................4 part MC57 ............. Order of Transmittal/Certification of Records to Transmit Record on Appeal (Replaces PC92) (Rev. 3/08) ........................................................4 part MC59 ............. Notice of Intent to Dismiss Appeal (Rev. 3/08) ......................................................................................................................................................3 part MC60 ............. Notice of Record Return from Court of Appeals (Rev. 3/08) .................................................................................................................................3 part MC61 ............. Order Dismissing Appeal (Rev. 3/08) ....................................................................................................................................................................4 part MC35 ............. Complaint, Claim and Delivery (Rev. 6/86) .............................................................................................................................................. contin.,4 MC36 ............. Motion for Possession Pending Judgment, Claim and Delivery (Rev. 3/08) .......................................................................................... contin.,4 MC37 ............. Order of Possession Pending Judgment, Claim and Delivery (Rev. 3/08) ............................................................................................................4 MC38 ............. Bond, Claim and Delivery (Rev. 3/08) ...................................................................................................................................................................4 MC39 ............. Judgment, Claim and Delivery (Rev. 3/08) ...........................................................................................................................................................3

APPEALS (white, 8 1/2"x11")

CLAiM AND DELivERY (yellow, 8 1/2"x11")

MC01 ............. Summons and Comp., (summons section only) (Rev. 3/08) ........................................................................... contin., 4 part, no carb, pad 50 MC01a ........... Summons and Comp.,(complaint section only, blank sheet format ) (Rev. 3/85) ............................................................... contin., 4 part, pad 50 MC01as.......... Summons and Comp./Account Stated,(complaint section only )(not SCAO app.)(Rev. 6/04) ........................................... contin., 4 part, pad 50 MC01wc ......... Summons and Comp.(sum. with acct. stated. comp.)(not SCAO app.) (Rev. 3/08) .......................................... 4 pt. contin., 6 pt. contin., 4 part MC01vas ........ Summons and Comp.(sum. with verified acct. stated. comp.)(not SCAO app.) (Rev. 3/08)............................................................... contin, 4 part MC01b ........... Motion for Second Summons & Order (Rev. 3/06) ............................................................................................................................. contin, 3 part T01................. Pet. & Ord. for Ext. of Time for Service & Reissuance of Summons (New 3/93, not S.C.A.O. apprvd.) ............................................................... 3 part DC03.............. Answer, Civil (Rev. 3/08)................................................................................................................................................................... 3 part, pad 50 MC07 ............. Default Request, Affidavit, and Entry (Rev. 5/07=) ............................................................................................................... contin. 3 part, carbon MC07a.............Default Request, Affidavit, Entry, and Judgment (Sum Certain) (Rev. 3/08) ............................................................ 3 pt. contin., 4 pt. contin. 3 part MC09 ............. Dismissal (with stipulation order) (Rev. 6/97) ...................................................................................................................... contin., 3 part, carbon MC09a ........... Dismissal, Non Service/No Progress (Rev 3/01) ................................................................................................................................................. 3 part MC10 ............. Judgment, Civil (Rev. 3/08) .......................................................................................................................... 4 pt. contin., 3 pt. contin., 3 part, carbon MC17 ............. Certificate of Satisfied Judgement (Rev. 6/04) ................................................................................................................... contin., 3 part, carbon MC19 ............. Request & Order to Seize Property (Rev. 3/06) ............................................................................................................................... contin., 4 part MC20 ............. Affidavit and Order, Suspension of Fees/Costs (Rev. 5/07) ....................................................................................................................3 part (carbon) MC20/O.......... Affidavit and Order, Suspension of Fees/Costs (Rev. 10/91) (For Oakland Co. only, not SCAO approv.) .............................................................3 part MC30 ............. Order for Case Evaluation (Rev. 7/00) ..................................................................................................................................................................4 part MC31 ............. Case Evaluation Notice (Rev. 7/00) ......................................................................................................................................................................4 part MC32 ............. Notice of Case Evaluation and Acceptance or Rejection of Award (Rev. 5/07) ....................................................................................................4 part MC33 ............. Notice of Acceptance/Rejection of Case Evaluation Award (Rev. 3/06) ...............................................................................................................4 part MC34-1 .......... Case Evaluator Application, Pages 1and 2 of 3 (Rev. 3/08) (Requires MC34-2) ............................................................................................... pad 50 MC34-2 .......... Case Evaluator Application, Page 3 of 3 (Rev. 3/08) (Requires MC34-1) .......................................................................................................... pad 50 MC62 ............. Affidavit & Notice of Entry of Foreign Judgment (Rev. 3/08) ............................................................................................................. contin., 4 part

CiviL FORMS, GENERAL(yellow, 8 1/2"x11")

part part part part part

For instant Service Call 1-800-258-0258 or Fax to 1-517-337-9205

6

District, Circuit, & Divorce Court Forms FORM NUMbER ChOiCE OF FORMAtS

DESCRiPtiON

MC82 ............. Payment Receipt and Inventory of Seized Property (Rev. 3/08) ...........................................................................................................................4 part MC83 ............. Report of Collection Activity Under Order to Seize Property (Rev. 3/08) ..............................................................................................................4 part DC90.............. Petition Regarding Impoundment of Motor Vehicle or Seizure of Motorcycle (Rev. 3/08·) .....................................................................................5 part DC91.............. Order Regarding Impounding of Motor Vehicle or Seizure of Motorcycle (Rev. 3/08) ..........................................................................................5 part MC94 ............. Notice of Judgment Lien (Rev. 3/06) ................................................................................................................................................. contin., 5 part MC95 ............. Request for Approval of Bond and Notice (Rev. 3/06) ..........................................................................................................................................4 part DC99 ............. Motion and Affidavit to Set Aside Default (Rev. 3/08)............................................................................................................................................3 part DC99a .............Order Regarding Motion to Set Aside Default (Rev. 3/08) ...................................................................................................................................3 part DC118 ............ Complaint and Summons Regarding Dangerous Animal (Rev. 3/08) ...................................................................................................................4 part DC119 ............ Order Regarding Dangerous Animal (Rev. 3/08) ...................................................................................................................................................4 part MC305 ............Order for Security for Costs ....................................................................................................................................................................................4 part MC12 ..............Request and Writ of Garnishment (Periodic) (Rev. 8a/07) ................................................................................................. contin., 5 part, carbon MC13 ..............Request and Writ of Garnishment (Non Periodic) (Rev. 8a/07) ......................................................................................... contin., 5 part, carbon MC14 ..............Garnishee Disclosure (Rev. 3/08H) ..................................................................................................................... contin., 5 part, no carb. pad 50 MC14a ............Calculation Sheet for Garnishee Disclosure (part 5 of MC14 but in the pad format) (Rev. 3/08H) ..................................................................... pad 50 MC15 ..............Motion for Installment Payments (Rev. 12/05) ........................................................................................................................................................3 part MC15a ............Order Regarding Installment Payments (Rev. 6/04) .............................................................................................................................................4 part MC16 ..............Motion to Set Aside Order for Installment Payments (Rev. 6/04) ..................................................................................................... contin., 3 part MC16a ............Order on Motion to Set Aside Order for Installment Payments (Rev. 6/04)...................................................................................... contin., 4 part MC48 ..............Final Statement on Garnishment of Periodic Payments (Rev. 6/04) .................................................................. contin., 4 part, carbon pad 50 MC49 ..............Objections to Garnishment and Notice of Hearing (Rev. 3/08) .............................................................................................................................4 part MC 50 .............Garnishment Release (Rev. 6/05)..................................................................................................................................................... contin., 4 part MC 51 .............Order on Objections to Garnishment (Rev. 3/08)............................................................................................................................................. 4 part MC 52 .............Request and Writ for Garnishment (Income Tax Refund/Credit) (Rev. 8a/07).................................................................... contin.,. 5 part, carbon P-01 ................A Guide to Garnishment of Periodic Payments (Instructional pamphlet, priced as a 2 part) (Rev. 3/08H) ......................................... 4 page pamphlet DC84 ..............Affidavit and Claim, Small Claims (Same as DC84/5 w/o instruction sheet) (Rev. 3/08) ............................................... contin, 4 part, carbon DC84/5 ...........Affidavit and Claim, Small Claims (with instruction sheet on bottom) (Rev. 6/05) .......................................................................... 5 part, carbon DCI-84 ............Collecting Money from a Small Claims Judg. (Rev. 6/05)(instruct. pamphlet, priced as a 2 part) .......................................... folded pamphlet (white) DC85 ..............Judgment, Small Claims (Rev. 3/08) ................................................................................................................................................ contin., 3 part DC86 ..............Demand and Order for Removal, Small Claims (Rev. 3/08) .................................................................................................................................3 part DC87 ..............Affidavit of Judgment Debtor (Rev. 5/07) (yellow) .................................................................................................................................................3 part DC100a ...........Demand for Possession, Non Payment of Rent, Landlord-Tenant (Rev. 3/08) ...... 2 pt cont., 4 pt cont., 2 pt, 2 pt carb., 3 pt 3 pt carbon DC100b ..........Notice to Quit, Health Hazard/Injury to Premises, Landlord-Tenant (Rev. 3/08) .................................................................................... 2 part carbon DC100c...........Notice to Quit, Termination of Tenancy, Landlord-Tenant (Rev. 3/08) ...................................................................................... contin., 2 part carbon DC100d ............ Notice to Quit, Termination of Tenancy, (Mobile Home Park Just Cause Termination (Rev. 3/08) ...............................................................................2 part carbon DC100e ..........Demand for Possession, Termination of Tenancy Due to Unlawful Drug Activity on Premises, Landlord-Tenant (Rev. 3/08) .............................2 part DC101 ............Forfeiture Notice, Land Contract (Rev. 3/08) ......................................................................................................................................................pad 50 DC102a ..........Complaint, Non Payment of Rent, Landlord-Tenant (Rev 6/97) ..................................................................................... contin., 4 part, carbon DC102b ..........Complaint, Health Hazard, Injury to Premises, Landlord-Tenant (Rev 3/00)........................................................................................................4 part DC102c...........Complaint,Termination of Tenancy, Landlord-Tenant (Rev 6/03)...................................................................................................... contin., 4 part DC102d ..........Complaint,Termination of Tenancy (Mobile Home Park Just Cause Termination) (Rev 3/06) ..............................................................................4 part DC103 ............Complaint for Possession After Land Contract Forfeiture (Rev 6/92) .............................................................................................. contin, 3 part DC104 ............Summons, Landlord-Tenant/Land Contract (Rev. 3/08) .................................................................................................. contin., 5 part, carbon DC105 ............Judgment, Landlord-Tenant (Rev. 3/08) .......................................................................................................................... contin., 4 part, carbon DC105a ..........Judgment, Termination of Tenancy, Mobile Home Park Just Cause Term. (Rev. 3/08) ........................................................................................3 part DC106 ............Judgment of Possession After Land Contract Forfeiture (Rev. 3/08)............................................................................................... contin., 4 part DC107 ............Order of Eviction, Landlord-Tenant, Land Contract (Rev. 6/05) ..................................................................................... contin., 4 part, carbon DCH108 ..........Default, Application, Affidavit, Entry, Landlord-Tenant (replaced by MC07 but still available) (Rev. 6/80) .............................................................2 part DC109 ............Motion and Order for Escrow, Landlord-Tenant (Rev. 6/05) .................................................................................................................................2 part DCH110 ..........Order to Release Escrow, Landlord-Tenant (New 4/87) .........................................................................................................................................2 part CC05 ..............Order to Deposit Funds (New 4/87) ........................................................................................................................................................................3 part CC08 ..............Motion for Consolidation (Rev. 3/08) .....................................................................................................................................................................2 part CC08a ............Order for Consolidation (Rev. 3/08) ......................................................................................................................................................................2 part CC18 ..............Order to Release Funds (New 4/87) .......................................................................................................................................................................3 part CC20a ............Order Regarding Suspension of Prisoner Fees/Costs (Rev. 3/08) .......................................................................................................................4 part CC58 ..............Order to Show Cause Why Appeal Should Not Be Dismissed (Rev. 3/08) .........................................................................................................4 part CC71 ..............Record Production Checklist for Court of Appeals (Rev. 3/08) .............................................................................................................................2 part CC78 ..............Dismissal of Prisoner Civil Action, Frivolous Action (Rev. 3/08) ...........................................................................................................................4 part CC79 ..............Claim of Appeal on Denial of Application for Concealed Weapon License (Rev. 3/08) ........................................................................................4 part CC80 ..............Order Following Appeal on Denial of Application for Concealed Weapon License (Rev. 3/08)............................................................................3 part CC88 ..............Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment (Domestic Relations) (Rev. 3/08)........................................4 part CC89 ..............Judgment After Bond Forfeiture (Domestic Relations) (Rev. 3/08) .......................................................................................................................4 part CC115.............Notice of Foreclosure Sale (Rev. 6/04)(pink) ........................................................................................................................................................3 part CC116.............Clerks Certificate of Sale of Real Estate Pursuant to Judgment (Rev. 3/08)(pink) ..............................................................................................4 part CC117.............County Clerk's Report of Sale (Rev. 3/08)(pink) ...................................................................................................................................................2 part

CiviL FORMS, GENERAL(yellow, 8 1/2"x11") (continued)

GARNiShMENt (yellow, except MC52, which is blue, 8 1/2"x11")

SMALL CLAiMS (green, 8 1/2" x 11" - unless otherwise noted)

SUMMARY PROCEEDiNGS (pink, 8 1/2" x 11")

CiRCUit COURt USE ONLY (white, except as noted, 8 1/2" x 11")

Notes

The previous revision may be used until stock is depleted. The previous revision may be used with hand correction until stock is depleted.

= The new form must be used after December 31, 2007. H The new form must be used after July 24, 2008. The new form must be used after December 31, 2008.

7

District, Circuit, & Divorce Court Forms FORM ChOiCE OF NUMbER DESCRiPtiON FORMAtS DLAD217 ........Wayne County Order to Issue Restricted Driver License (not SCAO approved) (Rev. 4/93) ..............................................................................pad 50 CC219b ..........Judgment of Sentence, Commitment to Department of Corrections (Rev. 3/08) .................................................................................................6 part CC236 ............Order Committing Juvenile to Department of Human Services (Rev. 3/08) ........................................................................................................6 part CC243a ..........Order of Probation, (Felony) (replaces MC243) (Rev. 1/08H) ............................................................................................................................. 6 part CC257 ............Motion for Relief from Judgment (Rev. 3/08) ......................................................................................................................................... 4 part (carbon) CC259a ..........Docketing Statement (1st two pages - CC259b required with CC259a) (Rev 6/98) ............................................................................................pad 50 CC259b ..........Docketing Statement (Pages 3 & 4 - CC259a required with CC259b) (Rev 6/98) ...............................................................................................pad 50 CC261 ............Waiver of Arraignment and Election to Stand Mute or Enter Not Guilty Plea (Rev. 3/08)....................................................................................3 part CC265 ............Notice of Right to Appellate Review and Request for Appt. of Attorney (Rev. 5/07)..................................................................................... 4 part (carbon) CC268 ............Ord. Regarding Driver License Restoration (Rev. 3/08) ........................................................................................................................ 4 part (carbon) CC269 ............Ord. Regarding Driver License After Review of the Record (Rev. 3/08) .............................................................................................. 4 part (carbon) CC291 ............Advice of Rights (Circuit Court Plea) (Rev. 1/06) ...................................................................................................................................................2 part CC293 ............Affidavit Concerning Financial Status - Leave to Appeal Granted by Supreme Court (New 5/07) ........................................................................3 part CC295 ............Appeal of Suspension, Revocation, or Denial of Driver's License (New 3/08) ......................................................................................................4 part CC296 ............Peition for Review of Driver's License Denial, Restriction or Suspension for Arrests or Actions Before October 1, 1999 (New 3/08) .................4 part CC297 ............Peition for Review of Driver's License Denial, Restriction or Suspension for Arrests or Actions on or After October 1, 1999 (New 3/08) ...........4 part CC298 ............Application for Leave to Appeal and Notice of Hearing (New 3/08) .......................................................................................................................4 part CC299 ............Order Following Hearing on Application for Leave to Appeal (New 3/08) ..............................................................................................................4 part CC350 ............Complaint Regarding Paternity and Notice of Right to Attorney (Rev. 6/98) ........................................................................................................5 part CC351 ............Order for Blood Tests (Paternity) (Rev. 6/97)........................................................................................................................................................4 part CC352 ............Order of Filiation & Support, Page 1 (Paternity) (Rev. 6/97) ................................................................................................................................5 part CC352a ..........Order of Filiation & Support, Page 2 (Paternity) (Rev. 6/99) ................................................................................................................................5 part CC375 ............Petition for Personal Protection Order (Domestic Relationship) (Rev. 6/04) ........................................................................................................6 part CC375M .........Petition for Personal Protection Order Against a Minor (Domestic Relationship) (Rev. 6/04) ..............................................................................6 part CC376 ............Personal Protection Order (Domestic Relationship) (Rev. 1/08H) .........................................................................................................................7 part CC376M .........Personal Protection Order Against a Minor (Domestic Relationship) (requires CC376M-2) (Rev. 02/08H) ..........................................................7 part CC376M-2 ......Personal Protect. Ord. Against a Minor (Domestic Relation., Pg. 2) (Must have w/CC376M) (Rev. 02/08H) .......................................................6 part CC377 ............Petition for Personal Protection Order Against Stalking (Non Domestic) (Rev. 6/04) ..........................................................................................6 part CC377M .........Petition for Personal Protection Order Against Stalking by a Minor (Non Domestic) (Rev. 6/04) ........................................................................6 part CC378 ............Motion and Order to Dismiss Action for Personal Protection Order (Rev. 8/97) ....................................................................................................6 part CC379 ............Motion to Modify, Extend or Terminate Personal Protection Order (Rev. 6/04) ....................................................................................................6 part CC380 ............Personal Protection Order Against Stalking (Non Domestic) (Rev. 3/08) ............................................................................................................7 part CC380M .........Personal Protection Order Against Stalking by a Minor (Non Domestic) (requires CC380M-2) (Rev. 3/08) .......................................................7 part CC380M-2 ......Personal Protect. Ord. Against Stalking by a Minor (Non Domestic, Pg.2) (Must have w/CC380M) (Rev. 3/08) ................................................6 part CC381 ............Notice of Hearing on Petition for Personal Protection Order (Rev. 3/08) ...........................................................................................................6 part CC382 ............Motion and Order to Show Cause for Violating Valid Personal/Foreign Protection Order (Rev. 3/08) ...............................................................6 part CC382a ..........Order After Hearing on Show Cause for Violating Valid Personal/Foreign Protection Order (Rev. 3/08) ...........................................................5 part CC383 ............Order Denying or Dismissing Petition for Personal Protection Order (Rev. 3/08) ...............................................................................................3 part CC384 ............Order After Hearing on Violation of Valid Personal/Foreign Protection Order (Rev. 3/08) ...................................................................................4 part CC385 ............Order on Motion to Modify, Extend, or Terminate Personal Protection Order(Rev. 3/08) ...................................................................................4 part CC386 ............Proof of Service/Oral Notice Regarding Personal Protection Order (Rev. 6/04) ..................................................................................................2 part CC402 ............Order Regarding Appointment of Appellate Counsel & Transcript (Rev. 6/05) .....................................................................................................6 part CC403 ............Claim of Appeal & Order Appointing Counsel (Rev. 3/08) ...................................................................................................................................7 part CC404 ............Notice to Prisoner on Application For Leave to Appeal Decision of Parole Board (Rev. 3/08) ...........................................................................6 part P-02 ................Instruct. for Personal Protect. Ords.(Instructional pamphlet -- call for prices)(Rev. 6/04) .................................................................8 page pamphlet CC415 ............Complaint for Divorce (page 1) (Rev. 1/06) .......................................................................................................................................................... 5 part MC416 ............Uniform Child Custody Jurisdiction Enforcement Act Affidavit (Rev. 3/08) ..........................................................................................................4 part CC417a ..........Custody/Visitation/Support Order, page 1 (Rev. 5/93) Use FOC 89 and FOC 10/52-1 (or 10/52a-1) .............................................. 5 part, pad 50 CC417b ..........Custody/Visitation/Support Order, page 2 (Rev. 5/93) Use FOC 89 and FOC 10/52-2 (or 10/52a-2) .............................................. 5 part, pad 50 CC418a ..........Spousal Support Order, page 1 (Rev. 5/93) Use FOC 10b (or 10c) -1 ............................................................................................ 5 part, pad 50 CC418b ..........Spousal Support Order, page 2 (Rev. 5/93) Use FOC 10b (or 10c) -2 ............................................................................................ 5 part, pad 50 CC419 ............Notice of Hearing & Motion for Mutual Temp. Restrain. Order Conserving Property(Rev. 5/93) ..................................................... 4 part, pad 50 CC420 ............Mutual Temporary Restraining Order Conserving Property (Rev. 5/93) ........................................................................................... 5 part, pad 50 CC427a ..........Judgment of Divorce, page 1 (Rev. 8/07) ...............................................................................................................................................................4 part CC427b ..........Judgment of Divorce, page 2 (Rev. 5/00) ............................................................................................................................................................. 4 part CC427c...........Judgment of Divorce, final page (Rev. 11/91) ....................................................................................................................................................... 4 part CC428 ............Default Application and Non-military Affidavit and Entry (Domestic Relations) (Rev. 7/04) ............................................................. 6 part, pad 50 CC429 ............Notice of Hearing (For Divorce Cases Only -- Not SCAO approved) (7/07) ....................................................................................................... 4 part MC427 ............Ex-Parte Interim Order (Rev. 9/94) (not S.C.A.O. approved, used in Macomb County) ...................................................................................... 4 part DCH-0838.......Record of Divorce or Annulment (Health Dept. Form, priced as a two part)(AKA: B42)(Rev. 11/99) .................................................................. 1 part DIV.SET ..........Complete set of 30 different divorce forms & 2 Booklets ........................................................................................................... 4 part, 5 part & 6 part CUST.SET ......Set of 19 forms to File for Custody ......................................................................................................................................................... 3, 4, and 5 part 1052................Certif. on Behalf of Plaintiff Regard. Ex Parte Interim Support Ord.(Wayne Co., Not SCAO Appr.)(Rev.5/93,Yellow) ......................................pad 50 1225................Certificate of Conformity for Domestic Relations Order or Judgement ............................................................................................................... pad 50

DivORCE FORMS (white, 8 1/2" x 11")

Notes

The previous revision may be used until stock is depleted. The previous revision may be used with hand correction until stock is depleted.

H The new form must be used after January 5, 2008 unless statutory criteria has not been met.

For instant Service Call 1-800-258-0258 or Fax to 1-517-337-9205

8

F.O.C., Probate, & Juvenile Court Forms

F.O.C., PRObAtE, AND JUvENiLE COURt FORMS

TO ORDER: Please use the order form on page 19 of this catalog. Photocopy and fax in your order, or call us toll free. Prices and quantity breaks are listed on page 18. Multipart sets are snap apart carbonless sets generally. A few are still carbon sets. Some forms are in pads of 50 single sheets (Pad 50). Carbonless forms are black imaging. Bond forms are not self imaging, usually a few pages of instructions plus one copy of the form. FORM NUMbER ChOiCE OF FORMAt

FOC1a ............Friend of the Court Grievance (Rev. 3/08) .......................................................................................................................................................... 4 part FOC1b ............Grievance Response (Rev. 3/08)......................................................................................................................................................................... 4 part FOC2 ..............Motion & Order to Show Cause for Contempt (Support) (Rev. 10/04v) ............................................................................................................... 4 part FOC2a ............Motion & Order to Show Cause for Contempt (Medical) (Rev. 9/05) .................................................................................................................... 4 part FOC4 ..............Cash Performance Bond (Civil Contempt) (Rev. 3/08) ........................................................................................................................................ 5 part FOC5 ..............Order Regarding Income Withholding (Rev. 3/08)............................................................................................................................................... 5 part FOC5z ............Mandatory Income Withholding Order, (for Oakland Co. - not S.C.A.O. approved) (Rev. 12/00) ......................................................................... 5 part FOC6-1 ...........Enforcement Order, page 1 (Rev. 3/08) Requires page 2 ................................................................................................................................... 4 part FOC6-2 ...........Enforcement Order, page 2 (Rev. 3/08)............................................................................................................................................................... 4 part FOC7 ..............Notice of Hearing (Rev. 3/08) .............................................................................................................................................................................. 4 part FOC8 ..............Order for Release for Work or to Seek Work (Rev. 6/03) .................................................................................................................................... 4 part FOC10/52-1 ....Uniform Child Support Order (page 1) (Rev. 3/08H) Requires Page 2 ................................................................................................................. 7 part FOC10/52-2 ....Uniform Child Support Order (page 2) (Rev. 3/08H) ............................................................................................................................................. 4 part FOC10/52a1 ...Uniform Child Support Order, No FOC Services (page 1) (Rev. 3/08H) Requires Page 2................................................................................... 7 part FOC10/52a2 ...Uniform Child Support Order, No FOC Services (page 2) (Rev. 3/08H) ............................................................................................................... 4 part FOC10b-1 .......Uniform Spousal Support Order, (page 1) (Rev. 3/08H) Requires Page 2 ........................................................................................................... 4 part FOC10b-2 .......Uniform Spousal Support Order, (page 2) (Rev. 3/08H) ....................................................................................................................................... 4 part FOC10c-1 .......Uniform Spousal Support Order, No FOC Services, (page 1) (Rev. 3/08H) Requires Page 2 ............................................................................. 4 part FOC10c-2 .......Uniform Spousal Support Order, No FOC Services, (page 2) (Rev. 3/08H) ......................................................................................................... 4 part FOC12 ............Order (general order for visitation referral and mediation matters) (Rev. 3/08) .................................................................................................. 4 part FOC13 ............Request for Health Care Expense Payment (Rev. 6/03) ..................................................................................................................................... 3 part FOC13a ..........Complaint for Enforcement of Health Care Expense Payment (Rev. 10/04)....................................................................................................... 4 part FOC14 ............Bench Warrant (Rev. 5/07)................................................................................................................................................................................... 3 part FOC15 ............General Blank Form for Second Sheets (Rev. 3/85) ............................................................................................................................................pad 50 FOC16 ............21 Day Notice to Alleged Violator of Custody or Parenting Time Provision (Rev. 3/08) ..................................................................................... 3 part FOC17 ............Friend of the Court Annual Statutory Review (Rev. 3/08) ..................................................................................................................... 3 part (carbon) FOC18 ............Publication & Notice of Friend of the Court Annual Statutory Review (Rev. 3/08) .............................................................................................pad 50 FOC19 ............Motion & Order to Show Cause for Contempt (Custody/Parenting Time) (Rev. 5/07) ........................................................................................ 4 part FOC21 ............Motion & Order for Disclosure of Income & Health Insurance Information (Rev. 6/03) ....................................................................................... 3 part FOC22 ............Employer's Disclosure of Income & Health Insurance Information (Rev. 3/08) ..................................................................................................pad 50 FOC22a ..........Employer's Disclosure of Health Insurance Information (top 1/2 of FOC22) (Rev. 3/08)...................................................................................pad 50 FOC22b ..........Employment Status Disclosure (Rev. 3/08) ........................................................................................................................................................pad 50 FOC23 ............Verified Statement and Application for IV-D Services (Rev. 3/08) ....................................................................................................................... 3 part FOC23J ..........Verified Statement and IV-D Application, (for St. Joseph Co., not S.C.A.O. app.) (Rev. 5/93) ............................................................................ 3 part FOC23K..........Verified Statement and IV-D Application, (for Kalamazoo Co., not S.C.A.O. app.) (Rev. 2/03) ........................................................................... 3 part FOC23W.........Verified Statement (not S.C.A.O. app., use in Wayne & Oakland Co.) (Rev. 4/93) (aka. FTE 84852) ................................................................. 4 part FOC24 ............Motion/ Stipulation for Transferring Case (Post Judgment) (Rev. 6/98) ............................................................................................................... 5 part FOC25 ............Order Changing Venue and Transferring Case (Post Judgment) (Rev. 10/04) ................................................................................................... 5 part FOC29 ............Order Allowing Change of Domicile/Legal Residence (Rev. 3/08) ...................................................................................................................... 4 part FOC30 ............Notice of Registration of Out of State Support Order (uifsa) (Rev. 3/08) ............................................................................................................ 6 part FOC30a ..........Order Vacating/Confirming Registration of Out of State Support Order (uifsa) (Rev. 9/06v) ............................................................................... 6 part FOC39a/b .......Friend of the Court - Case Questionnaire page 1 & 2 (Rev. 9/06) .....................................................................................................................pad 50 FOC39c/d .......Friend of the Court - Case Questionnaire page 3 & 4 (Rev. 9/06) .....................................................................................................................pad 50 FOC39e ..........Child Care Verification (New 9/88)........................................................................................................................................................................pad 50 FOC40 ............Motion to Require a Bond to Secure Future Support (Rev. 10/04) ..................................................................................................................... 4 part FOC41 ............Order for Bond to Secure Future Support (Rev. 10/04) ....................................................................................................................................... 4 part FOC43 ............Motion to Release Bond to Secure Future Support (Rev. 9/06) .......................................................................................................................... 4 part FOC44 ............Order Releasing or Forfeiting Bond to Secure Future Support (Rev. 10/04) ...................................................................................................... 4 part FOC45 ............Petition for Lien (Rev 6/97) .................................................................................................................................................................................... 4 part FOC46 ............Lien Order (Rev. 3/08) ......................................................................................................................................................................................... 4 part FOC47 ............Petition to Release Lien (Rev 6/97) ....................................................................................................................................................................... 4 part FOC48 ............Order to Release Lien (Rev. 3/08) ....................................................................................................................................................................... 4 part FOC50 ............Motion Regarding Support (Rev. 12/96) ................................................................................................................................................................ 4 part FOC51 ............Response to Motion Regarding Support (Rev. 12/96) ........................................................................................................................................... 4 part FOC53 ............Notice of Hearing to Enter Order (Rev. 3/08) ........................................................................................................................................... 4 part (bond) FOC54 ............Notice to Enter Order Without Hearing (Rev. 3/08) ..................................................................................................................................4 part (Bond) FOC55 ............Statement of Account (Rev. 10/04v) ..................................................................................................................................................................... 4 part FOC56 ............Referee Find. & Reco. for Ord. After Hear. on Bench Warrant/Show Cause (Support) Pg. 1 (Rev. 1/05).......................................................... 4 part FOC56/2 .........Referee Find. & Reco. for Ord. After Hear. on Bench Warrant/Show Cause (Support) Pg. 2 (Rev. 1/05).......................................................... 4 part

FRiEND OF thE COURt (white, 8 1/2" x 11")

DESCRiPtiON

see footnotes on p. 10

9

F.O.C., Probate, & Juvenile Court Forms FORM NUMbER ChOiCE OF FORMAtS

DESCRiPtiON

FOC57 ............Referee Find. & Reco. for Ord. After Hearing on Alleged Custody/Parenting Time Violation (Rev. 10/04)......................................................... 4 part FOC58 ............Order After Hearing on Alleged Custody/Parenting Time Violation (Rev. 3/08) .................................................................................................. 4 part FOC60 ............Referee Finding & Recommendation for Order After Hearing on Modification of Support (Rev. 3/08) .............................................................. 4 part FOC61 ............Objection to Ex Parte Order & Motion to Rescind or Modify (Rev. 6/98) ............................................................................................................ 4 part FOC62 ............Order Modifying Ex Parte Order (Rev. 3/08) ....................................................................................................................................................... 4 part FOC63 ............Agreement Suspending Immediate Income Withholding (Rev. 3/08) .................................................................................................................. 4 part FOC64 ............Order Suspending Immediate Income Withholding (Rev. 3/08) .......................................................................................................................... 4 part FOC65 ............Motion Regarding Parenting Time (Rev. 11/02) ................................................................................................................................................... 4 part FOC66 ............Response to Motion Regarding Parenting Time (New 12/96) ............................................................................................................................... 4 part FOC67 ............Order Regarding Parenting Time (Rev. 3/08) ...................................................................................................................................................... 4 part FOC68 ............Objection to Referee's Recommended Order (Rev. 6/98) ........................................................................................................................4 part (Bond) FOC69 ............Notice of Review on Arrearage (Consumer Reporting Agency) (Rev. 3/08) ....................................................................................................... 3 part FOC70 ............Determination on Arrearage (Rev. 10/04v) ........................................................................................................................................................... 3 part FOC71 ............Notice of Child Support Review (Rev. 3/08) ........................................................................................................................................................ 4 part FOC72 ............Request to Access Friend of the Court Records & Decision (Rev. 3/08) ............................................................................................................ 3 part FOC72a ..........Citizen Advisory Committee Request to Access Friend of the Court Records (New 4/01) ................................................................................... 6 part FOC76a, FOC76b, and FOC77 (Replaced by Federal Forms OMB-0970-0222 and OMB-1210-0113) FOC78 ............Objection to Proposed Order (New 12/96) ............................................................................................................................................................ 4 part FOC79 ............Objection to Child Support Review (Rev. 10/04) ................................................................................................................................................... 6 part FOC80 ............Notice of Proposed License Suspension and Request for Hearing (Rev. 3/08) ................................................................................................. 4 part FOC81 ............Motion to Suspend License (Rev. 9/05) ............................................................................................................................................................... 4 part FOC82 ............Order Regarding Payment of Arrearage (License Suspension) (Rev. 3/08) ....................................................................................................... 4 part FOC83 ............Notice Following Order for Payment of Arrearage (License Suspension) (Rev. 3/08) ........................................................................................ 4 part FOC84 ............Order Suspending License (Child Support/Parenting Time) (Rev. 3/08) ............................................................................................................. 6 part FOC85 ............Motion to Rescind License Suspension (Rev. 6/03) .............................................................................................................................................. 4 part FOC86 ............Order Rescinding License Suspension (Child Support/Parenting Time) (Rev. 3/08) .......................................................................................... 5 part FOC87 ............Motion Regarding Custody (Rev. 6/03) ................................................................................................................................................................ 4 part FOC88 ............Response to Motion Regarding Custody (Rev. 6/03) .......................................................................................................................................... 4 part FOC89 ............Order Regarding Custody & Parenting Time (Requires FOC 10/52 or 10/52a) (Rev. 3/08) ....................................................................4 part (Bond) FOC90 ............Notice of Lien (Rev. 10/04) .................................................................................................................................................................................... 6 part FOC91 ............Notice of Perfection of Lien (Rev. 3/08) ............................................................................................................................................................... 4 part FOC92 ............Notice to Release Lien (Rev. 9/05) ...................................................................................................................................................................... 4 part FOC93 ............Notice of Intent to Levy (Rev. 3/08) ..................................................................................................................................................................... 4 part FOC94 ............Order Correcting Omission in Order (Rev. 3/08) ................................................................................................................................................. 4 part FOC95 ............Finding and Report on Arrearage Payment Amount (Rev. 9/05) ......................................................................................................................... 4 part FOC99 ............Notice of Registration of Out of State Child Custody Determination (UCCJEA) (Rev. 3/08) .............................................................................. 6 part FOC99a ..........Order Confirming Registration of Out of State Child Custody Determination (UCCJEA) (Rev. 3/08) ................................................................. 5 part FOC100-1 .......Domestic Relationship Judgment Information, (page 1) (Rev. 9/06) requires page 2 ......................................................................................... 2 part FOC100-2 .......Domestic Relationship Judgment Information, (page 2) (Rev. 9/06) ................................................................................................................... 2 part FOC101-1 .......Advice of Rights Regarding Use of Friend of the Court Services, (page 1) (Rev. 9/06) requires page 2 ........................................................... 2 part FOC101-2 .......Advice of Rights Regarding Use of Friend of the Court Services, (page 2) (Rev. 9/06) ..................................................................................... 2 part FOC102-1 .......Order Exempting Case from Friend of the Court Services (page 1) (Rev. 9/06) requires page 2 ...................................................................... 4 part FOC102-2 .......Order Exempting Case from Friend of the Court Services (page 2) (Rev. 9/06) ................................................................................................ 4 part FOC103 ..........Notice of Closure of Friend of the Court Case (Rev. 9/06) .................................................................................................................................. 5 part FOC104 ..........Request to Reopen Friend of the Court Case (Rev. 9/06) .................................................................................................................................. 4 part FOC106 ..........Notice of Redirection or Abatement of Child Support (Rev. 9/05) ......................................................................................................................... 3 part FOC107 ..........Notice of Objection to Proposed Redirection or Abatement of Child Support (New 10/04) .................................................................................. 3 part FOC108 ..........Change in Personal Information (Rev. 3/08) ....................................................................................................................................................... 2 part FOC109-1 .......Motion for Payment Plan (part 1) (Rev. 9/06) Requires page 2 .......................................................................................................................... 4 part FOC109-2 .......Motion for Payment Plan (part 2) (Rev. 9/06) ...................................................................................................................................................... 4 part FOC110 ..........Order for Payment Plan (New 9/05) ...................................................................................................................................................................... 4 part FOC111 ..........Order Discharging Arrears (New 9/05) .................................................................................................................................................................. 4 part FOC113 ..........Motion to Permit Foreign Travel (New 5/07) ......................................................................................................................................................... 4 part FOC114 ..........Order Regarding Foreign Travel (New 5/07) ........................................................................................................................................................ 4 part SCAO28 .........Friend of the Court Grievance Record ..................................................................................................................................................................pad 50 SCAO41 .........Office of the Friend of the Court Statistical Report ...............................................................................................................................................pad 50 FC-OFC .............Ord. of Ref. to FOC Family Counsel Unit for Cust./Parent. Time Invest. (for Oakland Co.-not SCAO approv) (Rev. 2/98)...................................................................4 part FC-OFH ..........Ord. of Ref for Referee Hearing (for Oakland Co.-not SCAO approved) (Rev. 2/98) ........................................................................................... 4 part FC-OFS ..........Ord. of Ref to Friend of the Court for Support Investigation (for Oakland Co.-not SCAO approved) (Rev. 2/98) ................................................ 4 part

FRiEND OF thE COURt (continued)

Notes:

The previous revision may be used until stock is depleted The previous revision may be used with hand correction until stock is depleted.

H

v The previous revision may be used until changed on MiCSES The new form must be used after September 30, 2008

For instant Service Call 1-800-258-0258 or Fax to 1-517-337-9205

10

F.O.C., Probate, & Juvenile Court Forms

PRObAtE COURt FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted)

C-6568 ............Michigan Inheritance Tax Payment Notice (Rev. 7/93)(3 part) 2356................Request for Certification of No MI Estate Tax Liability (Rev. 4/97)(3 part) PC51...............Petition to Change Name (Rev. 9/03)PC51a Special Instructions for Name Change (Rev. 9/03) PC52...............Order Following Hearing on Petition to Change Name (Rev. 5/06) PC79...............Summons (Rev. 9/97) PC100.............Petition for Emancipation, Affidavit, and Waiver of Notice (Rev. 11/05) PC101.............Order Following Hearing on Petition for Emancipation (Rev. 11/05) PC102.............Petition to Rescind Order of Emancipation (Rev. 9/97) PC103.............Order Following Hearing on Petition to Rescind Order of Emancipation (Rev. 9/97) PC104.............Petition for Treatment of Infectious Disease (Rev. 6/98) PC105.............Notice of Hearing on Petition for Treatment of Infectious Disease (Rev. 6/98) PC106.............Order Following Hearing on Petition for Treatment of Infectious Disease (Rev. 6/98) PC107.............Order Appointing Commitmentment Review Panel (Rev. 6/98) PC108.............Recommendation of Commitmentment Review Panel (Rev. 6/98) PC109.............Affidavit to Accompany Petition for Transport and/or Temporary Detention (Rev. 6/98) PC110 .............Petition and Ex Parte Order for Transport and/or Temporary Detention (Rev. 6/98) PC111 .............Notice of Hearing on Petition for Temporary Detention (Rev. 6/98) PC112 .............Order Following Hearing on Petition to Cont. Temporary Deten. (Rev. 6/98) PC113 .............Appeal of Commitment and Order to Recon. Commitment. Review Panel (Rev. 6/98) PC114 .............Order Following Appl. of Commitment. for Treatment of Infectious Diease (Rev. 6/98) PC115 .............Petition for Continued Commitment for Treatment of Infectious Disease and Order to Reconvene Commitment Review Panel (Rev 6/98) PC116 .............Order Following Hearing on Petition for Continued Commitment for Treatment of Infectious Disease (Rev. 6/98) PC117 .............Notice to Minor of Rights Regarding Waiver of Parental Consent for an Abortion (Rev. 9/97) PC118 ..........Request & Order for Court Appointed Attorney/Guardien Ad Litem for Waiver of Parental Consent (Rev. 9/97) PC119 .............Petition for Waiver of Parental Consent for an Abortion (Rev. 9/97) PC120.............Order Grant./Deny Waiver of Parental Consent for an Abortion (Rev. 1/06*) PC121.............Appeal of Order Deny Petition for Waiver of Parental Consent (Rev. 9/97) 5 part PC122.............Confidential Information for Proceedings Concerning Waiver of Parental Consent (Rev. 9/97) PC548.............Authorization to Release Will Held For Safekeeping (Rev. 9/07) PC549.............Petition to Establish Death of Accident or Disaster Victim (Rev. 9/05) PC550.............Order to Establish Death of Accident or Disaster Victim (Rev. 9/05) PC551.............Petition and Order to Open Safe Deposit Box to Locate Will or Burial Deed (Rev. 9/07) PC552.............Safe Deposit Box Certificate and Receipt (Rev. 9/06) PC553.............Petition to Determine Heirs, Separate Proceed. (Rev. 9/07) PC554.............Order Determining Heirs, Separate Proceed. (Rev. 9/07) PC555.............Demand for Notice (Rev. 9/07) PC556.............Petition and Order for Assignment (Rev. 9/07) PC557.............Notice of Intent to Request Infomal Appointment of Personal Representative (Rev. 9/06) PC558.............Application for Informal Probate and/or Appointment of Personal Representative (Testate/Intestate) (Rev. 9/07) PC559.............Petition for Probate and/or Appointment of Personal Representative (Testate/Intestate) (Rev. 9/07) PC560.............Petition for Supervised Administration After Previous Adjudication (Rev. 9/07) PC561.............Waiver and Consent (Rev. 9/07) PC562.............Notice of Hearing (Rev. 9/07) PC563.............Publication of Notice of Hearing (Rev. 9/07) PC563a...........Publication of Notice (Rev. 9/07) PC564.............Proof of Service (Rev. 9/05) PC565.............Testimony, Interested Persons (Rev. 9/05) PC566.............Supplemental Testimony, Interested Persons, Testate Estate (Rev. 9/07) PC567.............Renunciation of Right to Appointment, Nomination of Personal Representation and Waiver of Notice (Rev. 9/04) PC568.............Register's Statement (Rev. 9/05) PC569.............Order of Formal Proceedings (Rev. 9/05) PC570.............Bond of Fiduciary (Rev. 9/05) PC571.............Acceptance of Appointment (Rev. 9/06) PC572.............Letters of Authority for Personal Representative (Rev. 10/07H) PC573.............Notice of Appt and Duties of Personal Representative (Rev. 9/06) PC574.............Notice to Creditors, Decedent's Estate (Rev. 9/05) PC575.............Notice to Informal Probate (Rev. 9/04) PC576.............Notice Regarding Attorney Fees (Rev 9/03) PC577.............Inventory (Rev. 10/07H) PC578.............Notice to Known Creditors (Rev 9/03) PC579.............Statement and Proof of Claim (Rev. 9/07) PC580.............Notice of Disallowance of Claim (Rev. 9/07) PC581.............Notice to Spouse of Rights of Election and Allowances, Proof of Service, and Election (Rev. 9/04) PC582.............Selection of Homestead Allowance and Exempt Property (Rev. 9/05*) PC583.............Account of Fiduciary, Short Form (Rev. 10/07H) PC584.............Account of Fiduciary, Long Form (Rev. 10/07H) PC585a...........Petition to Allow Account(s) (Rev. 9/07) PC585b...........Order Allowing Account(s) (Rev. 9/07) PC586.............Petition and Order (Rev. 9/05) PC587.............Notice of Continued Administration (Rev. 9/06) PC588.............Receipt of Distributive Share, Personal Property (Rev. 9/07) PC589.............Notice of Intent to Close Estate Administration and Terminate Personal Representative's Authority (Rev. 9/02) PC590.............Sworn Closing Statement, Summary Proceedings, Small Estates (Rev. 9/07) PC591.............Sworn Statement to Close Unsupervised Administration (Rev. 9/07)

Notes: The previous revision may be used until stock is depleted. The previous revision may be used with hand correction until stock is depleted The new revision must be used after December 31, 2005. v The new revision must be used after March 31, 2007 The new revision must be used after December 31, 2007

*

11

F.O.C., Probate, & Juvenile Court Forms

PRObAtE FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted) (continued)

PC592.............Certificate of Completion (Rev. 9/02) PC593.............Petition for Complete Estate Settlement, Testacy Previously Adjucated (Rev. 9/05) PC594.............Petition for Adjudication of Testacy and Complete Estate Settlement (Rev. 9/07) PC595.............Order for Complete Estate Settlement (Rev. 9/05) PC596.............Schedule of Distributions and Payment of Claims (Rev. 9/07) PC597.............Order of Discharge (Rev. 9/03) PC598.............Affidavit of Decedent's Successor for Delivery of Certain Assets Owned by Decedent (Rev. 9/05) PC599.............Memorandum of Administrative Closing (Rev. 9/03) PC600.............Notice of Deficiency (Rev. 9/04) PC601.............Memorandum of Conference to Correct Deficiency (Rev. 9/02) PC602.............Order Appointing Special Fiduciary and/or Suspending Powers of Fiduciary (Rev. 9/02) PC603.............Petition and Order for Reinstatement (Estate Not Closed)(Rev. 9/05) PC604.............Petition for Removal of Personal Representative and Appointment of Successor (Estate Not Closed) (Rev. 9/07) PC605.............Order Regarding Appointment of Personal Representative (Rev. 9/07) PC606.............Appearance of Parent of Minor (Rev. 9/04) PC607.............Application/Petition to Reopen Estate (Rev. 9/07) PC608.............Petition and Order to Change Venue (Rev. 9/05) PC609.............Order (general) (New 3/00) PC610.............Registration of Trust (Rev. 9/04) PC611 .............Petition for Substance Abuse Treatment and Rehabilitation Services (Rev. 9/07) PC612.............Order Following Hearing on Petition for Substance Abuse Treatment (Rev. 9/02) PC613.............Objection of Minor to Substance Abuse Treatment Plan (Rev. 9/07) PC614.............Order Sustaining Objection of Minor to Substance Abuse Treatment (Rev. 9/07) PC615.............Dismissal of Minor's Objection to Substance Abuse Treatment (Rev. 9/07) PC616.............Inheritance Tax Order, (MI Dep. of Treas. form C-6504)(Rev. 1/94)(Was PC49) PC617.............Declaration of Intent to Give Notice by Publication (Rev. 9/05) PC618.............Personal Representative Notice to Friend of the Court (New 9/06) PC619.............Notice of Ancillary Administration Filing (New 9/06) PC624.............Request for Notice (Rev. 9/07) PC625-1 .........Petition for Appointment of Guardian of Incapacitated Individual (Rev. 1/08) (Part 1; Instructions are Part 2) PC625-2 .........Petition for Appointment of Guardian of Incapacitated Individual (Rev. 1/08) (Part 1; Instructions for Part 1) PC626.............Notice to Alleged Incapacitated Individual on Petition to Appoint Guardian (Rev. 9/07) PC627.............Acceptance of Appointment and Report of Guardian Ad Litem of Alleged Incapacitated Individual (Rev. 9/06) PC628.............Order Appointing Attorney (Rev. 9/07) PC629.............Order Appointing Physician/Visitor/Mental Health Professional (Rev. 9/07) PC630.............Statement of Physician/Mental Health Professional (Rev. 1/04) PC631.............Order Regarding Appointment of Guardian of Incapacitated Individual (Rev. 9/06) PC632.............Order Appointing Temporary Guardian of Incapacitated Individual (Rev. 9/07) PC633.............Letters of Guardianship (Rev. 9/05) PC634.............Annual Report of Guardian on Condition of Legally Incapacitated Individual (Rev. 9/05) PC635.............Order Appointing Person to Review/Investigate Guardian. (Rev. 9/06) PC636.............Report on Review of Guardianship of Incapacitated Individual (Rev. 9/07) PC637.............Order Following Review of Guardianship (Rev. 9/05) PC638.............Petition to Terminate or Modify Guardianship/Conservatorship (Rev. 9/07) PC638a...........Order Regarding Appointment of Guardian for Minor or LII/Conservator (Rev. 9/07) PC638b...........Order Regarding Appointment of Guardian for Individual with Developmental Disability (Rev. 9/07) PC639-1 .........Petition for Appointment of Conservator and/or Protective Order (Rev. 12/06) (Part 1; Instructions are Part 2) PC639-2 .........Petition for Appointment of Conservator and/or Protective Order (Rev. 12/06) (Part 2; Instructions for Part 1) PC640.............Order Regarding Appointment of Conservator (Rev. 9/07) PC641.............Petition for Appointment of Guardian Ad Litem/ Attorney/Lawyer Guardian Ad Litem (Rev. 9/05) PC642.............Order Appointing Guardian Ad Litem/Attorney/Lawyer - Guardian Ad Litem (Rev. 9/07) PC643.............Acceptance of Apptointment and Report of Guardian Ad Litem (Rev. 9/07) PC644.............Order Regarding Petition for Protective Order (Rev. 9/07) PC645.............Letters of Conservatorship (Rev. 10/07) PC646.............Petition for Approval of Sale of Real Estate (Rev. 10/07) PC647.............Order Regarding Sale of Real Estate (Rev. 9/07) PC648.............Minor Conservatorship - Final Account, Waiver and Consent and Order (Rev. 9/06) PC649.............Receipt of Ward and Discharge (New 3/00) PC650.............Petition for Appointment of Limited Guardian of Minor (Rev. 9/06) PC651.............Petition for Appointment of Guardian of Minor (Rev. 9/06) PC652.............Limited Guardianship Placement Plan (Rev. 9/05) PC653.............Order Regarding Appointment of Guardian/Limited Guardian of a Minor (Rev. 9/05) PC654.............Annual Report of Guardian on Condition of Minor (Rev. 1/06) PC655.............Report for Court Review of Minor Guardianship (Rev. 9/06) PC656.............Order Following Hearing on Statement of of Minor Guardian. (Rev. 4/00) PC657.............Order Following Hearing to Terminate Minor Guardianship (Rev. 9/06) PC658-1 .........Petition for Appointment of Guardian, Individual with Alleged Developmental Disability (Rev. 9/07) (Part 1; Instructions are Part 2) PC658-2 .........Petition for Appointment of Guardian, Individual with Alleged Developmental Disability (Rev. 9/07) (Part 2; Instructions for Part 1) PC659.............Report to Accompany Petition to Appoint, Modify or Discharge Guardian of Individual with Developmental Disability (New 3/00) PC660.............Order Appointing Guardian for Individual with Developmental Disability (Rev. 9/05) PC661.............Notice of Right to Request Dismissal of Guardian or Modification of Guardian Order (Rev. 9/07) PC662.............Letters of Guardianship of Individual with Developmental Disability (Rev. 10/07) PC663.............Report of Guardianship on Condition of Individual with Developmental Disablity (Rev. 1/06) PC664.............Petition for Authority to Place Individual with Developmental Disability in a Facility (Rev. 9/07)

For instant Service Call 1-800-258-0258 or Fax to 1-517-337-9205

12

F.O.C., Probate, & Juvenile Court Forms

PC665.............Order for Placement of Individual with Developmental Disability (Rev. 9/07) PC666.............What you Need to Know Before Filing a Petition to Appoint a Guardian for an Incapacitated Adult (Rev. 11/02) (Trifold Brochure - priced as 2 part) PC667.............What you Need to Know Before Filing a Petition to Appoint a Conservator (Rev. 11/02) (Trifold Brochure - priced as a 2 part) PC668.............Notice on Petition for Conservator or Protective Order (New 9/04) PC669.............Proof of Restricted Account & Annual Verification of Funds on Deposit (Conservatorship of Minor) (Rev. 9/06) PC670.............Minor Guardianship Social History (New 11/05) PC671.............Order for Administrative Closing (Conservatorship) (New 1/06) PC672.............Notice of Appointment of Temporary Guardian for Minor and of Right to Object (New 1/07) PC673.............Petition and Order to Use Funds (Conservatorship) (New 9/07) PC674.............Inventory (Conservatorship) (New 10/07) PCM201..........Petition/Application for Hospitalization (Rev. 9/07) PCM202..........Objection to Hospitalization of a Minor (Rev. 9/07) PCM203..........Objection to Administrative Admission (Individual with Developmental Disability) (Rev. 9/07) PCM204..........Notice of Hearing and Appointment of Attorney on Objection to Hospitilization or Admission (Rev. 3/05) PCM205..........Order Following Hearing on Objection by Minor to Hospitalization/Administrative Admission (Rev. 9/07) PCM208..........Clinical Certificate (Rev. 9/07) PCM208a........Supplement to Clinical Certificate on Appeal of Return to Hospital (Rev. 9/97) PCM209..........Supplemental Petition to Application for Hospitalization and Order for Examination (Rev. 9/06) PCM209a........Supplemental Petition for Examination/Hospitalization and Order (Rev. 9/06) PCM211 ..........Notice of Hospitalization & Certification of Service (Rev. 9/07) PCM212..........Notice of Hearing on Petition for Hospitalization / Assisted Outpatient Treatment / Judicial Admission (Rev. 9/07) PCM214..........Initial Order Following Hearing on Petition for Admission (Rev. 9/06) PCM214a........Order Following Hearing on Petition for Judicial Admission (Rev. 9/07) PCM215..........Order for Report on Petition for Judicial Admission (Rev. 9/07) PCM215a........Certification & Report on Petition for Judicial Admission (Rev. 9/07) PCM216..........Order for Report on Alternative Treatment and Report (Rev. 9/07) PCM217a........Order to Modify Order for Alt. Treatment or Combined Hospitalization and Alternative Treatment (Rev. 9/07) PCM217b........Order to Modify Second or Continuing Order (Rev. 9/03) PCM218..........Petition for Second or Continuing Treatment Order (Rev. 3/05) PCM219..........Second or Continuing Order for Treatment (Rev. 9/07) PCM220..........Petition for Discharge from Treatment (Rev. 9/07) PCM222..........Order Following Hearing on Petition for Discharge from Treatment (Rev. 9/07) PCM223..........Certificate of Legal Counsel/Waiver of Attendance(Rev. 9/07) PCM224..........Petition for Judicial Admission (Rev. 9/07) PCM225..........Order Dismissing Petition for Discharge From Judicial Admission (Rev. 9/07) PCM226..........Six Month Review Report (Rev. 9/06) PCM227..........Notice to Attorney of Return to Hospital/Center from Authorized Leave (Rev. 9/07) PCM230..........Notification of Non-compliance and Request for Modified Order (Rev. 9/06) PCM231..........Order for Report After Notification and Report (Rev. 9/07) PCM232..........Order Following Hearing on Appeal of Return to Hospital/Center from Authorized Leave (Rev. 9/07) PCM233..........Notice of Right to Appeal Return, and Appeal of Return From Authorized Leave (Rev. 9/07) PCM234..........Order Following Hearing on Objecton to Return to Hospital (Rev. 9/07) PCM235..........Request to Defer Hearing on Commitment (Rev. 9/07) PCM236..........Demand for Hearing (Rev. 9/07) PCM237..........Petition for Continued Hospitalization of Minor (Rev. 9/06) PCM238..........Notice of Hearing and Appointment of Attorney on Petition for Continued Hospilization of Minor (Rev. 9/05) PCM239..........Order Following Hearing on Petition for Continued Hospitalization of Minor (Rev. 9/02) PCM240..........Petition and Order to Transport Minor (Rev. 9/07) PCM241..........Notice of Right to Object to Hospitalization, Objection & Demand for Hearing (Rev. 9/06) PCM242..........Petition for Assisted Outpatient Treatment (New 3/05) PCM243..........Initial Order Following Hearing on Petition for Assisted Outpatient Treatment (Rev. 9/07) PCM244..........Order Following Notice of Noncompliance with Assisted Outpatient Treatment or Comb. Hospital and Assisted Out. Treatment Order (Rev. 9/07) PCA301 ..........Petition for Adoption (Rev. 9/07) PCA301a ........Petition for Direct Placement Adoption (Rev. 3/06) PCA302 ..........Supplemental Petition and Affidavit to Terminate Parental Rights of Non-Custodial Parent (Rev. 11/05) PCA303 ..........Notice of Hearing, Termination of Parental Rights (Rev. 9/07) PCA304 ..........Order Terminating Rights of Non-Custodial Parent (Rev. 9/07) PCA305 ..........Release of Child by Parent (Rev. 11/05) PCA305a ........Release of Child by Guardian (Rev. 9/07) PCA306 ..........Release of Child by Child Placing Agency (Rev. 11/05) PCA307 ..........Consent to Adoption by Adoptee (Rev. 9/07) PCA308 ..........Consent to Adoption by Parent (Rev. 11/05) PCA308a ........Consent to Adoption by Guardian (Rev. 9/07) PCA309 ..........Consent to Adoption by Agency/Court (Rev. 9/07) PCA310 ..........Petition for Hearing to Identify Father & Determine or Terminate His Rights (Rev. 9/07) PCA311 ..........Notice of Hearing to Identify Father & Determine or Terminate His Rights (Rev. 9/07) PCA312 ..........Order Terminating Rights of Father WIthout Release or Consent (Rev. 9/07) PCA313 ..........Petition to Issue Notice of Intent to Release or Consent (Rev. 9/07) PCA314 ..........Notice of Intent to Release or Consent (Rev. 9/07) PCA315 ..........Declaration of Inability to Identify/Locate Father (Rev. 9/07) PCA316 ..........Notice to Putative Father and Custody Statement (Rev. 9/06) PCA318 ..........Order Terminating Parental Rights After Release or Consent (Rev. 9/07) PCA319 ..........Order Placing Child (Step-Parent Adoption) (Rev. 9/07) PCA320 ..........Order Placing Child After Consent (Rev. 9/07)

Notes: The previous revision may be used until stock is depleted. The previous revision may be used with hand correction until stock is depleted v The new revision must be used after March 30, 2007. The new revision must be used after December 31, 2007.

PRObAtE FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted) (continued)

*

The new revision must be used after December 31, 2005.

13

F.O.C., Probate, & Juvenile Court Forms

PCA321 ..........Order of Adoption (Rev. 9/07) PCA321a ........Order of Adoption, (altern. format for framing) (Rev. 9/07) PCA321b ........Order of Adoption, (alternat certificate format for framing)(Rev. 9/98) PCA322 ..........Order Committing to Agency/Department of Human Services (Rev. 9/07) PCA323 ..........Advice of Rights After Order Terminating Parental Rights(Adoption Code) (Rev. 9/07) PCA325 ..........Notice to Adopting Parent on Pending or Potential Appeal/Rehearing (Rev. 9/07) PCA326 ..........Order Authorizing Foster Care Funding After Release (Rev. 9/07) PCA327 ..........Petition for Adoption Information & Order (Rev. 9/07) PCA328 ..........Certificate of Adoptive Information (Rev. 9/97) (Replaces JC52) PCA329 ..........Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoption (Rev. 9/07) PCA330 ..........Statement of Parent/Guardian Transferring Physical Custody of Child for Adoption (Rev. 9/06) PCA331 ..........Statement of Child Placing Agency Transferring Physical Custody of Child for Adoption (Rev. 9/06) PCA332 ..........Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption (Rev. 9/07) PCA332a ........Statement of Nonresident Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption (New 9/06) PCA333 ..........Follow up Report after Temporary Placement of Child for Adoption (Rev. 9/06) PCA334 ..........Clerk's Report to Prosecuting Attorney (Rev. 9/07) PCA335 ..........Petition to Determine Custody of Child Temporary Placed for Adoption (Rev. 9/07) PCA336 ..........Order to Determine Custody of Child Temporary Placed for Adoption (Rev. 9/07) PCA337 ..........Petition by Parent/Guardian for Return of Child and Ex Parte Order (Rev. 9/07) PCA338 ..........Statement to Accompany Release (Rev. 9/07) PCA339 ..........Statement to Accom. Consent in Direct Placement (Rev. 9/07) PCA340 ..........Statement of Identifying Information (Rev. 9/07) PCA341 ..........Final Order Allowing Fees and Costs (Rev. 9/07) PCA342 ..........Petition and Order to Appoint Confidential Intermediary (Rev. 9/07) PCA343 ..........Petition and Order for Approval of Confidential Intermediary Fee (Rev. 9/07) PCA344 ..........Petition and Order for Release of Information from Confidential Intermediary and Court (Rev. 9/07) PCA345 ..........Statement of Services Performed by Agency/ Department of Human Services (Rev. 9/07) PCA346 ..........Statement of Services Performed by Attorney (Rev. 9/07) PCA347 ..........Petitioner's Verified Accounting (Rev. 9/07) PCA348 ..........Parent or Guardian's Verified Accounting for Adoption Release or Direct Placement Consent (Rev. 9/07) PCA349 ..........Petition for Rescission of Adoption and Order (Rev. 9/07) PCA350 ..........Motion and Order for Delayed Registration of Foreign Birth (Rev. 9/07) PCA351 ..........Order Following Hearing on Review of Adoption Placement (IV-E EligibilityCompliance) (Rev. 9/07) PC4024...........Reciept for Will (With Auth. to Rel. on Back) (not SCAO app.)

Notes: The previous revision may be used until stock is depleted. The previous revision may be used with hand correction until stock is depleted.

PRObAtE FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted) (continued)

* The new revision must be used after December 31, 2005.

v The new revision must be used after March 30, 2007.

Many forms used in District & Circuit Courts are also used in Probate and Juvenile Courts.

CCFD01..........Petition for Placement Order of Surrendered Newborn (New 1/01) CCFD02..........Order Placing Surrendered Newborn with Prospective Adaptive Parents (Rev. 9/07) CCFD03..........Petition of Parent for Custody of Surrendered Newborn Child (New 1/01) CCFD04..........Order for Blood or Tissue Typing or DNA Profile (Rev. 9/07) CCFD04a........Order Determining Maternity/Paternity of Surrendered Newborn Child (New 9/07) CCFD05..........Motion Objectiong to DNA Identification or Blood/Tissue Typing Summary Report (New 1/01) CCFD06..........Order Determining Custody of Surrendered Newborn Child (Rev. 9/07) CCFD07..........Petition to Accept Release and Terminate Rights to Surrendered Newborn Child (Rev. 9/07) CCFD08..........Order After Hearing on Petition to Accept Release and Terminate Rights to Surrendered Newborn Child (Rev. 9/07)

CiRCUit COURt, FAMiLY DiviSiON FORMS (8 1/2"X11" - Pads of 50 sheets, unless otherwise noted)

JUvENiLE COURt FORMS (8 1/2"X11" - Pads of 50 sheets, unless otherwise noted)

JC01 .......... Complaint (Request for Action), Delinquency Proceedings, Pages 1 & 2 (Rev. 9/06) JC02 .......... Complaint (Request for Action) Child Protective Proceedings, Pages 1 & 2 (Rev. 9/06) JC03 .......... Order Appointing Attorney/Guardian Ad Litem (Rev. 9/03) JC04a ........ Petition (Delinquency Proceedings) (Rev. 9/07) JC04b ........ Petition (Child Protective Proceedings) Pages 1 & 2 (Rev. 9/06) JC05a-1 ..... Order to Apprehend/Detain (Delinquency Proceedings/Minor Personal Protection) page 1 (requires page 2) (Rev. 9/06) JC05a-2 ..... Order to Apprehend/Detain (Delinquency Proceedings/Minor Personal Protection) page 2 (Rev. 9/06) JC05b-1 ..... Order to Take Child(ren) Into Protective Custody (Child Protection Proceedings) page 1 (requires page2) (Rev. 9/06) JC05b-2 ..... Order to Take Child(ren) Into Protective Custody (Child Protection Proceedings) page 2 (Rev. 9/06) JC06 .......... Waiver of Attorney or Request for Appointment of Attorney (Rev. 11/05) JC07 .......... Appearance of Attorney/Guardian Ad Litem (Rev. 6/03) JC08 .......... Bond for Appearance (Rev. 11/05v) JC10 .......... Order After Preliminary Hearing/Inquiry (Delinq./Personal Protection) pages 1 and 2 (Rev. 9/06) JC11a-1 ..... Order After Preliminary Hearing (Child Protective Proceedings) Page 1 and 2 (requires JC11a-2)(Rev. 9/07) JC11a-2 ..... Order After Preliminary Hearing (Child Protective Proceedings) Page 3 (requires JC11a-1)(Rev. 9/07) JC11b-1 ..... Order After Pretrial Hearing (Child Protective Proceedings) Page 1 and 2 (Requires JC11b-2)(Rev. 9/07) JC11b-2 ..... Order After Pretrial Hearing (Child Protective Proceedings) Page 3 (Requires JC11b-1)(Rev. 9/07) JC12a ........ Proof of Service/Non-Service (Rev. 9/06) JC12b ........ Proof of Service/Non-Service, (Alternative Style) (Rev. 9/06)

For instant Service Call 1-800-258-0258 or Fax to 1-517-337-9205

14

F.O.C., Probate, & Juvenile Court Forms

JUvENiLE COURt FORMS (8 1/2"X11" - Pads of 50 sheets, unless otherwise noted) (continued)

JC13 .......... Record of Trial/Plea DELETED 1/06 JC14a ........ Order of Disposition in Home (Delinquency Proceedings) (New 9/06) JC14b ........ Order of Disposition Out of Home (Delinquency Proceedings) Pages 1 and 2 (Rev. 9/06) JC15 .......... Motion and Authorization/Denial (Rev. 6/03) JC16 .......... Req. & Ord. for Finger./Photo./Show up Present.(Rev. 6/03) JC17-1 ....... Order of Disposition (Child Protective Proceedings) Pages 1 and 2 (Requires Page 3) (Rev. 9/07) JC17-2 ....... Order of Disposition (Child Protective Proceedings) Page3 (Rev. 9/07) JC17a ........ Order of Disposition, Child in Home (Child Protective Proceedings) (New 9/06) JC18 .......... Motion to Waive Jurisdiction and Notice (Rev. 6/03) JC19-1 ....... Order Following Dispositional Review/Perm. Plan. Hearing (Child Protect. Proceedings) Pages 1 and 2 (Requires Pages 3 and 4) (Rev. 9/07) JC19-2 ....... Order Following Dispositional Review/Perm. Plan. Hearing (Child Protect. Proceedings) Pages 3 and 4 (Rev. 9/07) JC20 .......... Summons: Order to Appear, (Delinquency Proceedings)/(Personal Protection Proceedings) (Rev. 11/05) JC21 .......... Sum.: Order to Appear, (Child Protective Proceeding) (Rev. 11/05) JC22 .......... General Blank Form (Rev. 6/03, not SCAO approved) JC23 .......... Waiver of Summons/Notice of Hearing (Rev. 11/05) JC24 .......... Petition and Order to Show cause (Rev. 5/85) JC25 .......... Order of Disposition Commitment or Referral to Dept. of Human Services (Delinquency Proceedings), pages 1 and 2 (Rev. 9/07) JC26 .......... Order of Disposition, Child Removed from Home (Child Protect Proceedings) (Rev. 6/03) DELETED 1/06 (merged with JC17) JC29 .......... Order to Transfer Case (Rev. 6/03) JC31 .......... Authorization for Return of Bond (Rev. 9/06) JC32 .......... Publication of Hearing (Rev. 9/07) JC33 .......... Motion and Order to Destroy Files (Rev. 9/06) JC34 .......... Financial Statement (Rev. 6/03) JC36 .......... Request and Order Terminating Court Jurisdiction (Rev. 9/06) JC37 .......... Request for Financial Information (Rev. 9/07) JC38 .......... Order for Reimbursement (Rev. 6/03) JC39 .......... Order for Assignment of Wages (Rev. 6/03) JC40 .......... Order for Contempt of Court (Rev. 6/03) JC41 .......... Motion and Order to Close Proceedings to Public (Rev. 11/05) JC42 .......... Request and Order for Review of Ref. Recommendations (Rev. 6/03) JC44 .......... Advice of Rights After Order Terminating Parental Rights (Rev. 11/05) JC45 .......... Notice of Hearing (Rev. 9/07) JC46 .......... Motion for Alternate Service (Rev. 6/03) JC47 .......... Order for Alternate Service (Rev. 9/07) JC48 .......... Notice of Proceedings Concerning American Indian Child (Rev. 9/07) (2 part) JC49-1 ....... Order of Adjudication (Child Protective Proceedings) Pages 1 and 2 (Requires pages 3 and 4) (Rev. 9/07) JC49-2 ....... Order of Adjudication (Child Protective Proceedings) Pages 3 and 4 (Rev. 9/07) JC50 .......... Request for Confidentiality (Rev. 11/05) JC51 .......... Statement of Preference (Rev. 6/03) JC52 .......... Motion and Order for Modification or Cancellation of Minimum State Costs Owed (New 11/05) JC53 .......... Notice to Putative Father (Rev. 11/05) JC54 .......... Mot. & Ord. for Modif. or Cancel. of Restitution Owed (Rev. 11/05) JC55 .......... Diversion Record (Rev. 6/03) JC56 .......... Notice of Diversion Conference (Rev. 6/03) JC57 .......... Supplemental Order of Disposition Following Review Hearing (Delinquency Proceedings) Pages 1 and 2 (Rev. 9/07) JC58 .......... Order Cancelling Wage Assignment (Rev. 6/03) JC59 .......... Order of Adjudication (Delinquency Proceedings) Pages 1 and 2 (Rev. 9/07) JC60 .......... Not. of Intent to Intercept State Income Tax (Rev. 6/03) (2 part) JC61 .......... Order to Intercept State Income Tax (Rev. 6/03) (3 part) JC62 .......... Order to Cancel State Income Tax Intercept (Rev. 6/03)(3 part) JC63 .......... Order Terminating Parental Rights (Child Protective Proceedings) (Rev. 9/07) JC65 .......... Ord. Remov. Alleged Abuser from Child's Home (Child Prot. Proc.) (Rev. 9/07) (3 part) JC66 .......... Application to Set Aside Adjudication & Order (Rev. 9/06) JC67 .......... Notice of Hearing (Designated Case) (Rev. 9/06) JC68 .......... Order After Designation Hearing (Rev. 11/05) JC69 .......... Order After Preliminary Examination (Designated Case) (Rev. 9/06) JC70 .......... Judgment of Conviction (Designated Case) (Rev. 1/08) (3 part) JC71 .......... Judgment of Sentence/Committment to Jail (Rev. 11/05) (5 part) JC72 .......... Judgment of Sentence/Commitment to Department of Corrections (Designated Case) (Rev. 11/05) (5 part) JC73 .......... Order Delaying Sentence (Designated Case) (Rev. 11/05) (4 part) JC74 .......... Order of Probation (Designated Case) (Rev. 1/08) (6 part) JC75-1 ....... Order Following Emergency Removal Hearing (Child Protective Proceedings) Pages 1 and 2, (requires Page 3) (Rev. 9/06v) JC75-2 ....... Order Following Emergency Removal Hearing (Child Protective Proceedings) Page 3 (Rev. 9/06v) JC76 .......... Order After Post-Termination Review/Permanency Planning Hearing (Child Protective Proceedings) Pages 1 and 2 (Rev. 9/06) JC77 .......... Waiver and Consent to Enter Teen Court (Plea Under Advise.)(Rev. 9/07) JC78 .......... Waiver and Consent to Enter Teen Court (Diversion) (Rev. 9/07) JC79 .......... Publication of Hearing, Notice to Putative Father (New 6/03) JC80 .......... Notice of Hearing on Probation Violation (New 6/03) JC81 .......... Request and Order for Court Appointed Appellate Counsel (Rev. 11/05) JC82 .......... Affidavit of Service Performed by Lawyer/Guardian Ad Litem (Rev. 9/07) JC83 .......... Affidavit of Efforts to Locate Absent Parent (Rev. 11/05*) JC84 .......... Claim of Appeal & Order Appointing Appellate Counsel (Rev. 11/05v) JC85 .......... Order Denying Appointment of Appellate Counsel (Rev. 9/07) JC86 .......... Order After First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings) (New 11/05) JC87 .......... Order After Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings) (New 11/05) JC88 .......... Order Appointing Next Friend (Personal Protection Proceedings) (New 11/05) JC89 .......... Order Transferring Petition from Formal Calendar to Consent Calendar (Delinquency) (New 9/06)

Notes: The previous revision may be used until stock is depleted.

The previous revision may be used with hand correction until stock is depleted

v The new revision must be used after December 31, 2006. H The new form must be used after Jan 5, 2008 unless statutory criteria has not been met.

* The new revision must be used after February 1, 2006

15

Additional Forms & Supplies

ADDitiONAL FORMS AND SUPPLiES

tO ORDER: Please use the order form on page 19 of this catalog. Photocopy and fax in your order, or call us toll free. Prices and quantity breaks are listed on page 18 (pad prices are listed below). Multipart sets are snap apart sets either interleaved with carbon, or are self-imaging carbonless paper (no carb). Some are available both ways. Some forms are also available in continuous feed self-imaging carbonless sets (contin) or in pads of 50 single sheets (Pad 50). Carbonless forms are black imaging.

FORM NUMbER

COL01 .............Notice of Commencement (Rev. 1/00) .................................................................................................................................................................pad COL02 .............Notice of Furnishing (Proof of Service on back) (8 1/2" x 14") (Rev. 3/97) .........................................................................................................pad COL03 .............Sworn Statement (Rev. 1/83) ...............................................................................................................................................................................pad COL04 .............Partial Conditional Waiver of Lien (Rev. 1/83) .....................................................................................................................................................pad COL05 .............Partial Unconditional Waiver of Lien (Rev. 1/83) .................................................................................................................................................pad COL06 .............Full Conditional Waiver of Lien (Rev. 1/83)..........................................................................................................................................................pad COL07 .............Full Unconditional Waiver of Lien (Rev. 1/83) ......................................................................................................................................................pad COL08 .............Claim of Lien (Proof of Service on back) (8 1/2" x 14") (Rev. 9/99) ....................................................................................................................pad COL09 .............Demand to Inspect & Copy Contract & Receive Written Statement (Rev. 1/83) .................................................................................................pad COL10 .............Demand for Statement from Lien Claimant (Rev. 1/83) .......................................................................................................................................pad COL11 .............Second Sheet (for use when additional sheets needed) (Rev. 1/83) ..................................................................................................................pad COL12 .............Release & Discharge of Construction Lien (8 1/2" x 14") (Rev. 9/99) .................................................................................................................pad

CONStRUCtiON LiEN (white, 8 1/2" x 11" except as noted)

DESCRiPtiON

ChOiCE OF FORMAtS

50 50 50 50 50 50 50 50 50 50 50 50

Michigan now uses the National UCC forms listed below except for the UCC-11, which is newly revised, adapted for Michigan from the new National form UCC-11 ............Information or Copy Request (Rev. 10/19/01) ...................................................................................................................................................... 3 part UCC1 ...............UCC Financing Statement (Rev. 5/22/02)............................................................................................................................................................. 5 part UCC1Ad ..........UCC Financing Statement Addendum (Rev. 5/22/02) .......................................................................................................................................... 5 part UCC1AP ..........UCC Financing Statement Additional Party (New 5/22/02) .................................................................................................................................. 5 part UCC3 ...............UCC Financing Statement Amendment (Rev. 5/22/02) (continuation, termination, etc.)...................................................................................... 4 part UCC3Ad ..........National Financing Statement Amendment Addendum (Rev. 7/29/98)................................................................................................................. 4 part UCC3AP ..........UCC Financing Statement Amendment Additonal Party (New 5/22/02) ............................................................................................................... 4 part UCC5 ...............National Correction Statement (Rev. 5/27/04) ...................................................................................................................................................... 4 part These State Bar of Michigan Deeds, printed on 25% cotton 8 1/2" x 14" bond, are padded (50 sheets per pad.) Cotton bond prices are slightly higher as shown. 861...................Warranty Deed (Rev. 5/03) 861R ................Warranty Deed, Rural (Rev. 5/03) No. of pads 862...................Warranty Deed for Corporation (Rev. 5/03) 1 -4 863...................Quit-Claim Deed (Rev. 5/03) 5 -9 863R ................Quit-Claim Deed, Rural (Rev. 5/03) 10 - 19 864...................Quit-Claim Deed for General Partnership (Rev. 5/03) 20 - 30 865...................Quit-Claim Deed for Corporation (Rev. 5/03) 866...................Warranty Deed for General Partnership (Rev. 5/03) 891...................Warranty Deed, Short (old style form with title panel on back) (Rev. 5/03) 893...................Quit-Claim Deed, Short (old style form with title panel on back) (Rev. 5/03) 895...................Warranty Deed, For Tenants by the Entirety (Rev. 5/03)

MiChiGAN UCC FORMS (white, 8 1/2" x 11")

NAtiONAL UCC FORMS (white, 8 1/2" x 11", NCR)

DEEDS

Price per pad $6.00 $5.80 $5.60 $5.40

C10 ..................Praecipe for Motion and Misc. Docket, (for the Circuit Court of Oakland County) (8 1/2"x7" white) (Rev. 12/99) .............................................pad 50 1016.................Praecipe for Motion in Domestic Relations Act., (for Wayne Co. F.O.C., 3rd Jud. Cir. Ct.) (yellow, 8 1/2"x11") .................................................pad 50 D100 ................Request for Hearing on a Motion (Praecipe) Order/Judgment (for Wayne County) ............................................................................................pad 50 1120 .................At Issue Praecipe, Wayne Co. (Rev. 7/88) (white, 5 1/2"x8 1/2", 70 lb) ..............................................................................................................pad 50 DC-4C..............Motion and Notice of Hearing (for 68th Dist. Court) (white 8 1/2"x11") ................................................................................................................ 3 part MC-288 ............Request for Hearing on a Motion (for Macomb County) (8 1/2"x11" white) (Rev. 4/26/99) ................................................................................pad 50 GC-400 ............Motion and Notice of Hearing (for Genesee County) (white 8 1/2"x11") .............................................................................................................. 5 part 36DC-68SU .....Motion to Reinstate Cause of Action (for 36thDC) (Rev. 4/02) ............................................................................................................................. 3 part 36DC-73MS .....Motion Scheduling and Order Form (Praecipe) (Rev. 4/02) ................................................................................................................................. 4 part 1225.................Certificate of Conformity (Wayne Co. 3rd Circuit Court) (Rev. 9/91) ...................................................................................................................pad 50

PRAECiPES AND OthER FORMS FOR SPECiFiC COURtS

bANKRUPtCY SEtS

We have discontinued carrying bankruptcy sets. They may be available from Wolcott's Forms, Inc. in California. Call (800) 421-2220. B10 ..................Proof of Claim (Replaces 2020) (Rev. 4/04) ........................................................................................................................................................pad 50 B11A ................General Power of Attorney (Rev. 6/90) ................................................................................................................................................................pad 50

Orders processed upon receipt

OthER bANKRUPtCY FORMS (Priced as Standard Pads)

LOW PRiCES - PROMPt RELiAbLE SERviCE

terms: net 30 days Shipped via UPS

16

Additional Forms & Supplies

FORM NUMbER

B11B ................Special Power of Attorney (Rev. 6/90) ..................................................................................................................................................................pad 50 B240 ................Reaffirmation Agreement (Pages 1 & 2) (Rev. 11/99) (Requires B240a, Pages 3 & 4) .......................................................................................pad 50 B240a ..............Continuation of B240 (Pages 3 & 4) .....................................................................................................................................................................pad 50 BB7 ..................Blue Cover Sheet Chapter 7 (8 1/2" x 12", sold in single [email protected] .25 each) (Rev. 6/90) ................................................................................... sheets BB11 ................Blue Cover Sheet Chapter 11 (8 1/2" x 12", sold in single [email protected] .25 each) (Rev. 6/90) ................................................................................. sheets BB12 ................Blue Cover Sheet Chapter 12 (8 1/2" x 12", sold in single [email protected] .25 each) (Rev. 6/90) ................................................................................. sheets BB13 ................Blue Cover Sheet Chapter 13 (8 1/2" x 12", sold in single [email protected] .25 each) (Rev. 6/90) ................................................................................. sheets BCN .................Bad Check Notice (8 1/2 x 11") (Rev. 9/99) ........................................................................................................................................................... 3 part C-45 .................Certificate of Persons Conducting Business Under Assumed Name (8 1/2" x 14", 25% cotton) ..................................................................................... pad 50 C-46 .................Certificate of Co-Partnership (8 1/2" x 11") ............................................................................................................................................................ 4 part 881...................Security Agreement (for Individual, Partnership, or Corporation) (8 1/2" x 11", 25% cotton) (Rev. 12/99) ..........................................................pad 50 901...................Security Agreement Note (8 1/2" x 11", 25% cotton) ............................................................................................................................................pad 50 954...................Assignment of stock (8 1/2" x 7", 25% Cotton) .....................................................................................................................................................pad 50 1024.................Durable Power of Attorney (Rev. 8/06)(8 1/2" x 14", 25% Cotton) .......................................................................................................................pad 50 RL100 ..............Rental Application (Rev. 2006) ..............................................................................................................................................................................pad 50 RL105 ..............Residential Lease, (short form) (Requires the use of RL110, Inventory Check list,sold separately) (Rev. 9/99) ........................................................pad 50 RL106 ..............Residential Lease (long form, 2 pages) (Requires use of RL110, InventoryCheck List, sold separately) (Rev. 9/04) ......................... priced as a 2 part RL107 ..............Disclosure of Information on Lead Based Paint (for housing rentals)(Rev. 7/06).................................................................................................pad 50 RL110 ..............Inventory Check List, (8 1/2" x 14") (1988) ............................................................................................................................................................ 2 part RL111 ..............Inventory Check List & Condition Report, (8 1/2" x 11") (Rev. 1/00) ..................................................................................................................... 2 part RL112 ..............Inventory Check List, Mobile Home Park, (8 1/2" x 11") (Rev. 1/02) .................................................................................................................... 3 part RL120 ..............Land Contract (8 1/2" x 14", 25% Cotton) (Rev. 9/99) ............................................................................................................ pad 50, priced like deeds RL121 ..............Payment Record for Land Contracts or Mortgages (Rev. 7/96) ...........................................................................................................................pad 50 RL130 ..............Residential Lease with Option, Real Estate (Rev. 2007) ......................................................................................................................................pad 50 RL131 ..............Commercial Lease with Option, Real Estate (Rev. 12/99) ...................................................................................................................................pad 50 RL200 ..............Bill of Sale, (25% cotton) (Rev. 12/99) .................................................................................................................................... pad 50, priced like deeds RL207 ..............Disclosure of Information on Lead Based Paint (for housing sales) (Rev. 10/06) ................................................................................................pad 50 RL210 ..............Memorandum of Land Contract, (8 1/2" x 14", 25% cotton) (Rev. 5/03) ................................................................................ pad 50, priced like deeds C&S111 ............Retailer Application for Certificate of Manufactured Home Ownership (Rev. 4/07) (Green) ................................................................................pad 50 SDS .................Sellers Disclosure Statement (Rev. 1/06) .............................................................................................................................................................pad 50 2368.................Homestead Exemption Affidavit (Rev. 6/99) (Was T-1056) ...................................................................................................................................pad 50 2602.................Request to Rescind/Withdraw Homestead Exemption (Rev. 6/99) (Was T-1067)................................................................................................pad 50 L-4258 (2705) .. Real Estate Transfer Tax Valuation Affidavit (Rev. 3/95) ......................................................................................................................................pad 50 L-4259 (2765) .. State Real Estate Transfer Tax Exemption Affidavit (Rev. 1/95) ..........................................................................................................................pad 50 L-4260 (2766) .. Property Transfer Affidavit (Rev. 10/07) ...............................................................................................................................................................pad 50 L-4260A(3278) Notice to Assessor of Transfer of the Right to make a Division of Land (Rev. 12/98) .........................................................................................pad 50 MLM910........... Notice to Tenant (Commencement of Tenancy) .................................................................................................................................................... 2 part MLM912........... Security Deposit Notice to Tenant (After Termination of Tenancy) (Rev. 12/99) ................................................................................................... 2 part WC-1 ............... Waiver of Seniority..................................................................................................................................... pad 50 NCR (priced like deeds), 4 part WC-2 ............... Agreement to Redeem Liability ................................................................................................................. pad 50 NCR (priced like deeds), 4 part MC501 ............. Reporter/Recorder Certificate of Ordering of Transcript on Appeal (Rev. 3/05) ................................................................................................... 5 part MC502 ............. Notice of Filing of Transcript & Affidavit of Mailing (Rev. 3/08) ........................................................................................................................... 5 part MC503 ............. Motion to Extend Time for Filing Transcript on Appeal (Rev. 6/01) ....................................................................................................................... 5 part

OthER bANKRUPtCY FORMS (Priced as Standard Pads) (continued)

DESCRiPtiON

ChOiCE OF FORMAtS

MiSCELLANEOUS FORMS (25% cotton forms are priced like deeds above)

REAL EStAtE FORMS (white 8 1/2" x 11" unless otherwise noted)

WORKER'S COMPENSAtiON FORMS (white, 8 1/2" x 11", NCR)

CRt. REPORtER/RECORDER APPEALS (white, 8 1/2" x 11", NCR)

17

Additional Forms & Supplies Order Form & Pricing

18

Order Form & Pricing

Stock Form Order Form

You may wish to photo copy this page before filling it in

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Carbon No Contin. Carbon Pad

Fill in the blanks above and fax this page to us at (517) 337-9205 or get instant service by calling us toll-free at (800) 258-0258 and speak with one of our friendly operators. You can also mail it to P.O. box 22003 Lansing, Mi 48909.

Firm Name Shipping Address City, State & Zip Telephone No. Purchase Order No. (if applicable) To The Attention Of: Customer No.

_________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________

Date

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terms: net 30 days Shipped via UPS

19

P.O. Box 22003 Lansing, MI 48909 Toll Free: (800) 258-0258

Prsrt Std U.S. Postage PAiD Okemos, MI Permit No. 13

WORK SmaRT! Free Yourself ...

... from needless typing by using our Preprinting Service.

Your Court Number Your Court Address and Telephone Number Your Company's Name, Address and Telephone Number Your Attorney's Name, Address and Telephone Number Any additional information you add, including "X"s. (No added charge for extra lines of type) Save Time No Mistakes Less Waste Professional Appearance

Preprinting charges are in addition to the basic price of our forms shown on page 18. QUANtitY 500 1000 EXtRA 1000s 2 $47 $54 $7 NUMbER OF PARtS 3 4 5 $54 $62 $71 $63 $73 $84 $9 $11 $13 6 $81 $96 $15 7 $92 $109 $17

EFFICIENT PREPRINTING COST*

*Prices include 2 plates and one color for color bands. Extra plates, for an additional $10.00 each, are required for forms with multiple faces or backers (including: MC12, MC13, MC14, DC 84, DC104, MC200, MC229, MC240)

TaRGET INFORmaTION maNaGEmENT, INC.

P.O. Box 22003 · Lansing, Michigan 48909 · (517) 337-1211 · (800) 258-0258 · Fax: (517) 337-9205

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