STATE OF MICHIGAN 17TH CIRCUIT COURT FAMILY DIVISION CASE NO. WAIVER JUDGE: Court Address: 180 Ottawa Ave NW Grand Rapids MI 49503 Plaintiff Name, Address, & Telephone #: Phone: (616) 632-5480 Defendant Name, Address, & Telephone #: V Pursuant to MCR 3.215(E)(8), the parties waive their right to object to the referee's recommendation for an order by consenting in writing to the immediate entry of the recommended order. Therefore, the undersigned acknowledge that signatures by both parties constitute a waiver of the parties’ right to object and allows for an immediate entry of the order/judgment by the Circuit Court Referee and the Family Division Judge. __________________ Date ___________________________________________________ Please print or type plaintiff’s name under signature ____________________________________________________________________ Unless represented by counsel or present at the hearing, the defendant must have his/her signature notarized. __________________ Date _____________________________________________________ Please print or type defendant’s name under signature _____________________________________________________ Subscribed and sworn to before me on _____________, ____________ County, Michigan. Notary public, State of Michigan, County of ______________________ My commission expires: _____________ Signature: ________________________________ (Notary Public) __________________ Date ________________________________________________ Attorney for the plaintiff __________________ Date ________________________________________________ Attorney for the defendant American LegalNet, Inc. www.FormsWorkFlow.com