Approved, SCAO JIS CODE: FOA FILE NO. STATE OF MICHIGAN FINAL ORDER ALLOWING FEES AND COSTS JUDICIAL CIRCUIT - FAMILY DIVISION COUNTY In the matter of adoptee DOB: Full name of child 1. Date of hearing: Judge: Bar no. 2. A petition for the adoption of the adoptee has been filed with the court. 3. A verified accounting itemizing payments and disbursements, and updated as required by law, has been filed by the adopting parents. 4. A verified statement of services and fees, updated as required by law, has been filed by the attorney for each adopting parent. 5. A verified statement of services and fees, updated as required by law, has been filed by the attorney for each parent of the adoptee. 6. A verified statement of services and fees, updated as required by law, has been filed by the child-placing agency or the Michigan Department of Human Services. THE COURT FINDS: 7. The final order of adoption should be entered. 8. The fees and costs should be allowed in whole or in part. IT IS ORDERED: 9. Fees and costs are approved as follows: a. Fees and costs of the attorney for petitioner are allowed as submitted except: b. Fees and costs of the attorney for the parent(s) are allowed as submitted except: c. Fees and costs of the child-placing agency or Michigan Department of Human Services are allowed as submitted except: 10. Payments or disbursements made or agreed upon by petitioner as itemized in the accounting are approved except: Judge Date Do not write below this line - For court use only PCA 341 (9/07) FINAL ORDER ALLOWING FEES AND COSTS MCL 710.54(10) American LegalNet, Inc. www.FormsWorkflow.com