Distribution of form: Approved, SCAO Original - Appellate court 1st copy - Trial court 2nd copy - Appellee/Attorney 3rd copy - Appellant/Attorney 4th copy - Reporter/Recorder JIS Code: RRC STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE Court address REPORTER/RECORDER CERTIFICATE OF ORDERING TRANSCRIPT ON APPEAL Appeal to: Court of Appeals Circuit CASE NO. Court telephone no. Plaintiff's/Petitioner's name(s) and address(es) Appellant Appellee v Defendant's/Respondent's name(s) and address(es) Appellant Appellee Plaintiff's attorney, bar no., address, and telephone no. Defendant's attorney, bar no., address, and telephone no. Probate In the matter of This certificate must be filed by the appellant or the reporter/recorder within 7 days after the transcript is ordered on appeals to the Court of Appeals. This certificate must be filed by the appellant within 7 days after the transcript is ordered on appeals to the circuit court. I am a certified court reporter/recorder for the court designated above and I certify that: 1. On Date a portion of the the complete on Date(s) transcript of proceedings, taken in this case , was ordered by . before Hon. a. Attorney name (type or print) , attorney for Name (type or print) Name (type or print) b. the appellant, . c. the appellee, Name (type or print) . d. the court. 2. Payment has been secured and the transcript will be furnished by me on or about Estimated number of pages is . . Estimated date of completion 3. The transcript has been filed with the court and furnished as requested. Date filed: 4. There is no record to be transcribed. Date Reporter/Recorder signature Name (type or print) Certification designation and number Business address City, state, zip Telephone no. List names, certification designations and numbers, and dates of each proceeding of each reporter or recorder who reported or recorded or transcribed any part of the proceedings: REPORTER/RECORDER CERTIFICATE OF ORDERING TRANSCRIPT ON APPEAL MCR 7.109(B)(3)(a), MCR 7.210(B)(3)(a) American LegalNet, Inc. www.FormsWorkFlow.com MC 501 (3/13)