Notice of Dispute with Friend of the Court Records Monroe County Friend of the Court 1 60 .tS striF .E Monroe, MI 48161 This form must be completed in full before the Friend of the Court auditor will review the account. Please read instructions. I, _________________________________, case number ______________________ hereby allege the Monroe County Friend of the Courts records regarding my case to be incorrect. My records reflect the following: A: Child support/alimony was ordered to begin on _________________________ at a rate of Effective date per the Court order $ ___________________ per _____________________________ . Ordered Amount Week, bi-weekly, monthly, bimonthly, annual B: Since child support/alimony was ordered to be paid through the Monroe County F riend of the Court, __________________________ charges have passed to date. This creates a support number of charges since beginning of case obligation of $ ________________________ life of case to-date. number of charges x o rdered amount C: I have paid a total of $ _____________________ over the life of this cas e. I also have Court Total Payments over Life of Case approved credits and/or adjustments to my account in the amo unt of $ _____________________. Total adjustments to account. D: Therefore, my records show a balance due of $_______________________________________. Total Obligation - Payments - or + Credits and/or adjustments = I have completed this worksheet in full and attached any and all documentation that supports my allegation. I understand a Friend of the Court auditor will review this docu ment and respond. Signed: _____________________________________________ Date: __________ ______________ The Family Court treats any and all disputes with Court records as a ser ious issue. >>>> 2 You must be prepared to defend your allegations in a Court of law.