2nd copy - Notice to appellant 3rd copy - Notice to appellee JIS Code: OTM Original - Appellate court 1st copy - Trial court/Agency Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY IN THE COURT OF APPEALS CERTIFICATE OF RECORDS TRANSMITTED FOR APPEAL AND NOTICE TO PARTIES CASE/FILE NO. TRIAL COURT: AGENCY: Court telephone no. Court address Plaintiff's/Petitioner's name(s) and address(es) Defendant's/Respondent's name(s) and address(es) Appellant Appellee Appellant Appellee v Defendant's attorney, bar no., address, and telephone no. Plaintiff's attorney, bar no., address, and telephone no. Probate In the matter of CERTIFICATE OF RECORDS TRANSMITTED 1. I certify that the record to be transmitted is the original an accurate reproduction of the original on file in this court or agency. 2. The record to be transmitted to the circuit court Court of Appeals includes: a. the register of actions in the case, b. any exhibits on file except those omitted by written stipulation of the parties or removed by order of the court, c. all documents from the court file, d. all transcripts, e. all opinions, findings, and orders of the court, and f. the order or judgment appealed. 3. (If applicable.) The date of the order allowing appeal is . Date Court clerk/Register/Agency official This section to be completed for appeals to circuit court only. NOTICE TO PARTIES OF RECORD FILED IN CIRCUIT COURT The record on appeal in this case has been filed in the circuit court. Date Circuit court clerk/Register CERTIFICATE OF MAILING I certify that on this date I served a copy of this notice of the filing of the record on appeal in the circuit court on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined in MCR 2.107(C)(3). Date MC 57 (7/12) Circuit court clerk/Register CERTIFICATE OF RECORDS TRANSMITTED FOR APPEAL AND NOTICE TO PARTIES MCR 7.109(G), MCR 7.210(G) American LegalNet, Inc. www.FormsWorkFlow.com