Plaintiff222s/Petitioner222s name(s) and address(es) � Appellant � AppelleevDefendant222s/Respondent222s name(s) and address(es) � Appellant � � AppelleePlaintiff222s attorney, bar no., address, and telephone no.Defendant222s attorney, bar no., address, and telephone no. Probate � In the matter of Other interested party(ies) of probate matter Approved, SCAO � Original - Court of Appeals/Circuit court1st copy - Trial courtJIS CODE: COA2nd copy - Appellee3rd copy - AppellantSTATE OF MICHIGANJUDICIAL CIRCUIT � DISTRICT COUNTY IN THE COURT OF APPEALS CLAIM OF APPEALCASE NO.CIRCUITDISTRICTPROBATECourt addressCourt telephone no.1. � Name claims an appeal from a final judgment or order entered on � Date in the Court name and number or county Court of the State of Michigan, � by � district judge � circuit judge � probate judge � district court magistrate � Name of judge or district court magistrate Bar no. .2. � Bond on appeal is � filed. � attached. � waived. � not required.3. � � a. � The transcript has been ordered. � � b. � The transcript has been filed. � � c. � No record was made. � 4. � THIS CASE INVOLVES � � a. � A CONTEST AS TO THE CUSTODY OF A MINOR CHILD. � � b. � AN ADULT OR MINOR GUARDIANSHIP UNDER THE ESTATES AND PROTECTED INDIVIDUALS CODE OR � UNDER THE MENTAL HEALTH CODE. � � c. � AN INVOLUNTARY MENTAL HEALTH TREATMENT CASE UNDER THE MENTAL HEALTH CODE. � � d. � A RULING THAT A PROVISION OF THE MICHIGAN CONSTITUTION, A MICHIGAN STATUTE, A RULE OR � REGULATION INCLUDED IN THE MICHIGAN ADMINISTRATIVE CODE, OR ANY OTHER ACTION OF THE � LEGISLATIVE OR EXECUTIVE BRANCH OF STATE GOVERNMENT IS INVALID. Date � Appellant/Attorney signatureI certifiy that copies of this claim of appeal and bond (if required) were served on � Name on Date by � personal service. � first-class mail. Name on Date by � personal service. � first-class mail. Name on Date by � personal service. � first-class mail. Date � SignaturePROOF OF SERVICE American LegalNet, Inc. www.FormsWorkFlow.com