Approved, SCAO JIS CODE: NHT STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION FILE NO. NOTICE OF HEARING TERMINATION OF PARENTAL RIGHTS COUNTY In the matter of TO: , adoptee adoptee is an Indian child TAKE NOTICE: On Building Date Street address at Time , in the City State courtroom , Zip before Name , Title a hearing will be held on the PETITION TO TERMINATE YOUR PARENTAL RIGHTS. The law provides that you should be notified of this hearing. If you fail to appear at this hearing YOUR PARENTAL RIGHTS MAY BE TERMINATED. If you choose to attend this hearing and you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to make arrangements. Date Attorney name Attorney address City, state, zip Telephone no. Bar no. Petitioner name Address City, state, zip Telephone no. Complete this portion if this is to be published. PUBLISH ABOVE INFORMATION ONLY Publish one time in Forward proof of publication to Forward statement for publication charges to Do not write below this line - For court use only American LegalNet, Inc. www.FormsWorkFlow.com PCA 303 (2/15) NOTICE OF HEARING, TERMINATION OF PARENTAL RIGHTS MCL 712B.9, MCR 3.801, MCR 3.802, MCR 3.803