PLEASE ATTACH THIS PRAECIPE TO COMPLAINT, COUNTERCLAIM OR MOTION CASE NO. PRAECIPE FOR MOTION NOTICE OF HEARING CERTIFICATE OF SERVICE STATE OF MICHIGAN COUNTY OF WAYNE THIRD JUDICIAL CIRCUIT FAMILY DIVISION Court address: Penobscot Building--645 Griswold, Detroit, Michigan 48226 Court telephone no. (313) 224-5300 FILE WITH FRIEND OF THE COURT ONLY CERTIFICATION ________________________________________________ Plaintiff I certify that the attached pleading is in compliance with MCR 2.114. ________________________________________________ Street and No. City/State/Zip Telephone No.: ___________________________________ (Signature): _______________________________________ Attorney for Petitioner Employer: ________________________________________ Date: _______________________________ 20_________ Address:_________________________________________ Social Security No.: _ __ VS. _ One of the parties is incarcerated. Defendant ________________________________________________ Street and No. City/State/Zip Telephone No.: ___________________________________ Employer: ________________________________________ Address:_________________________________________ Social Security No.: ________________________________ TO OFFICE OF FRIEND OF THE COURT, 645 GRISWOLD, DETROIT, MICHIGAN 48226 Please place a Motion for (state Motion title) on Domestic Relations Motion Calendar for This action has been assigned to JUDGE at (Date) (Name) or REFEREE . (Time) (Name) . . Where to be heard Atty. for Petitioner: NOTICE TO ATTORNEYS: The notice of hearing on MISCELLANEOUS motions and Attorneys’ orders to show cause shall give the time, date and place of hearing. A proof of service of the motion and notice of the hearing shall be available at the time of hearing. Please attach copy of Complaint, Counterclaim or Motion, to Praecipe. Adjourned to: Address: Telephone No.: FAX No.: Atty. for Opposite Party: Address: Telephone No.: FAX No.: Disposition: Adjourned to: Adjourned to: FD/FOC4004 (09/03) PRAECIPE FOR MOTION / NOTICE OF HEARING / CERTIFICATE OF SERVICE American LegalNet, Inc. www.FormsWorkflow.com