(2/24/05) STATE OF MICHIGAN COUNTY OF MACOMB CIRCUIT COURT REQUEST FOR HEARING ON A MOTION NOTICE OF HEARING PROOF OF SERVICE Circuit Court No: Plaintiff Name: v Defendant Name: 1. Motion(s): 2. Relief sought: 3. Moving Party: Attorney for moving party: (P ) Phone Number of Attorney/Moving Party: ( ) 4. Responding parties/attorneys (include Bar No.(s)) (P ) (P ) (P ) (P ) (P ) (P ) 5. I certify that I made personal contact with the individual(s) listed below requesting concurrence in the relief sought but it was denied: I certify that I made reasonable and diligent efforts to contact the individual(s) listed below but was unable to do so: Individual(s) contacted Date(s) 6. NOTICE OF HEARING: The above motion(s) will be heard as follows: Judge Date Time Please note: Per LCR 2.119 and MCR 2.116(G)(1)(c) and MCR 2.119(A)(2), a copy of a motion or response must be provided to the office of the judge hearing the motion! Judge's copy must be clearly marked "JUDGE'S COPY." Signature of moving attorney or party Date Motion Fee Paid FOR COURT USE ONLY Adj to: THIS MOTION IS REFERRED TO A FRIEND OF THE COURT REFEREE 7. PROOF OF SERVICE: I certify that I mailed a copy of this document and the motion(s) referred to in paragraph 1 to the attorneys or parties of record by ordinary mail addressed to their last known addresses. I declare that the statements above are true to the best of my information, knowledge and belief. Signature of person serving document Date American LegalNet, Inc. www.FormsWorkFlow.com