Probate JIS Code: NAM, NRM 2nd copy - Defendant/Attorney Additional copies - Case evaluators Original - Court (sealed) 1st copy - Plaintiff/Attorney Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE CASE NO. NOTICE OF ACCEPTANCE/REJECTION OF CASE EVALUATION AWARD Court address Court telephone no. Plaintiff(s)/Petitioner(s) Defendant(s)/Respondent(s) v Probate In the matter of 1. The Attorney name, bar no., address, and telephone no. plaintiff/petitioner, defendant/respondent, Name (type or print) filed an Attorney for: Attorney name, bar no., address, and telephone no. 2. The Attorney for: acceptance. rejection. acceptance conditioned on the acceptance of all opposing parties. acceptance conditioned on the acceptance by the opposing parties as to (names of coparties): plaintiff/petitioner, defendant/respondent, Attorney name, bar no., address, and telephone no. Name (type or print) filed an Attorney for: 3. The filed an Date plaintiff/petitioner, defendant/respondent, acceptance. rejection. acceptance conditioned on the acceptance of all opposing parties. acceptance conditioned on the acceptance by the opposing parties as to (names of coparties): Name (type or print) acceptance. rejection. acceptance conditioned on the acceptance of all opposing parties. acceptance conditioned on the acceptance by the opposing parties as to (names of coparties): ADR clerk CERTIFICATE OF MAILING I certify that on this date a copy of this notice was mailed to the parties/attorneys by ordinary mail at the addresses stated above. Date MC 33 (3/06) Signature NOTICE OF ACCEPTANCE/REJECTION OF CASE EVALUATION AWARD MCR 2.403(L)(2), (M), (N) American LegalNet, Inc. www.FormsWorkflow.com