REQUEST FOR HEARING ON A MOTION (PRAECIPE) ORDER/JUDGMENT STATE OF MICHIGAN THIRD JUDICIAL CIRCUIT WAYNE COUNTY CASE NO. 2 Woodward Avenue, Detroit, MI 48226 Plaintiff name(s) Defendant name(s) V Plaintiff attorney, bar no., address and telephone no. Defendant attorney, bar no., address and telephone no. List additional attorneys on other side 1. Motion Title: 2. Moving Party: 3. Please place on the motion calendar for: Telephone No. Judge Bar No. Adj. to: Adj. to: 4. Date Time Adj. to: I certify that I have made personal contact with on regarding concurrence in relief sought in this motion and that concurrence has been denied or that I have made reasonable and diligent attempts to contact counsel regarding concurrence with motion. Date Attorney Bar No. P- ORDER / JUDGMENT DATED IT IS ORDERED THAT THIS MOTION IS: DENIED GRANTED IN PART/ DENIED IN PART TAKEN UNDER ADVISEMENT DISMISSED GRANTED AND IT IS FURTHER ORDERED AND ADJUDGED: CIRCUIT JUDGE Approved as to form and substance by Counsel for: Plaintiff Defendant Date FILE EITHER IN PERSON OR BY MAIL WITH: CATHY MARIE GARRETT WAYNE COUNTY CLERK 928 COLEMAN A YOUNG MUNICIPAL CENTER DETROIT, MI 48226 FD/FOC4021 (10/04) PRAECIPE FOR JUDGE HEARING American LegalNet, Inc. www.FormsWorkflow.com