Original - Clerk st 1 Copy - Plaintiff nd 2 Copy – Defendant STATE OF MICHIGAN 54TH JUDICIAL CIRCUIT FAMILY DIVISION TUSCOLA COUNTY CASE NUMBER OBJECTION AND REQUEST FOR HEARING 440 N STATE STREET, CARO MI 48723 PLEASE COMPLETE FULLY. TYPE OR PRINT. FILE WITH THE COUNTY CLERK. Plaintiff’s Name and Address Defendant’s Name and Address V I OBJECT TO AND REQUEST A HEARING REGARDING: Referee’s Recommended Order Friend of the Court’s Recommendation and Proposed Order Complaint for Enforcement of Health Care Expense Payment Friend of the Court’s Parenting Time Determination Friend of the Court’s Parenting Time Abatement. Other _________________________________________ dated: _______________, for to following reason for Please state specifically what you are objecting theand your reason(s) objecting (continue on separate sheet if necessary). Date ______________________ Signature____________________________ ____________________________________ (please print name) CERTIFICATE OF MAILING I certify that on this date I filed the Original copy of this Objection with the Tuscola County Clerk’s Office and mailed a copy to the other party by regular mail addressed to their last known addresses as shown above. Dated: ____________ Signature of Objecting Party ______________________________ 04/14/10 JLP American LegalNet, Inc. www.FormsWorkFlow.com