Original - Court 1st copy - Judgment debtor 2nd copy - Judgment creditor 3rd copy - Return Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT CASE NO. AFFIDAVIT AND NOTICE OF ENTRY OF FOREIGN JUDGMENT Court address Court telephone no. Judgment creditor's name, address, and telephone no. Judgment debtor's name, address, and telephone no. v Judgment debtor's attorney, bar no., address, and telephone no. Judgment creditor's attorney, bar no., address, and telephone no. AFFIDAVIT I am the judgment creditor of the attached authenticated foreign judgment, which is being filed so that it may be enforced and satisfied in this state. The addresses above are the last-known addresses of the judgment creditor and the judgment debtor. Name of state where foreign judgment was issued Name of court that issued foreign judgment Case number Amount of judgment* Date of judgment Judgment creditor/Attorney signature *The amount of judgment does not include interest. Subscribed and sworn to before me on , Date My commission expires: Notary public, County and state or other jurisdiction where acting . Signature: County and state or other jurisdiction where commissioned NOTICE OF ENTRY The authenticated foreign judgment is accepted for filing. Enforcement may begin 21 days after the date notice of the filing of the foreign judgment is mailed. This document must be sealed by the seal of the court. Date Court clerk CERTIFICATE OF MAILING I certify that on this date I served a copy of this affidavit and notice 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 62 (3/08) Signature AFFIDAVIT AND NOTICE OF ENTRY OF FOREIGN JUDGMENT MCL 691.1171 et seq. American LegalNet, Inc. www.FormsWorkFlow.com