6 TH STATE OF MICHIGAN JUDICIAL CIRCUIT COURT OAKLAND COUNTY CASE NO. STATEMENT of OBJECTION HON. _____________________ (Referee Hearing) Plaintiff name, address, telephone number Defendant name, address, telephone number Attorney for Plaintiff, address, telephone number Attorney for Defendant, address, telephone number Type of referee hearing to be reviewed: Results of a referee hearing following an order of reference Results of a referee hearing that was initiated by the FOC or a party on your case Date of referee hearing:______________________ Review at the request of: Plaintiff Defendant FOC Specific Objection to FOC recommendation (attach additional page if necessary): _________________________________ NOTE: Your objection must be clear and concise as to your objections regarding the findings of fact or law made by the referee. The court may prohibit a party from presenting evidence on findings of fact to which no objection was filed. The court may also determine that the referee’s finding was conclusive as to a fact to which no objection was filed. The court may prohibit a party from introducing new evidence unless there is a showing that the evidence was not available at the referee hearing, or the court may impose any other reasonable restrictions and conditions to conserve the resources of the parties and the court. Type of review requested: a review of the record created by the referee, a review of the evidence presented to the referee, a new hearing with the judge, or in part a review of the record but supplemented by evidence that was not introduced at the previous hearing. I declare that the statements above are true to the best of my information, knowledge and belief. ________________________ _________________________________________ Date Signature of objecting party NOTICE OF HEARING A hearing on this will be held before Hon. ___________________________________ on _________________ Judge date at_______________________ at ______________________ time place CERTIFICATE OF MAILING I certify that on this date I mailed a copy of this objection and notice of hearing on the other party by ordinary mail at the above address. ________________________ _________________________________________ Date Signature of objecting party American LegalNet, Inc. www.FormsWorkflow.com