Approved, SCAO Original - Court 1st copy - Plaintiff 2nd copy - Defendant STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT Court address CASE NO. JUDGMENT Civil Court telephone no. Plaintiff(s) Defendant(s) v Plaintiff's/Plaintiff's attorney name, address, and telephone no. JUDGMENT For: Against: Trial Summary Disposition Consent Default* Defendant's/Defendant's attorney name, address, and telephone no. DISMISSAL Without prejudice With prejudice No cause of action *For a defendant on active military duty, default judgment shall not be entered except as provided by the Servicemembers Civil Relief Act. ORDER OF JUDGMENT NOT INCLUDING STATUTORY INTEREST Damages: Costs (fees): filing $ jury $ motion $ service $ Attorney fee: statutory other (specify) Total judgment amount (This judgment will earn interest at statutory rates, computed from the filing date of the complaint.): $ $ $ $ The defendant shall pay the judgment in installment payments of $ each starting until the judgment is paid in full. The plaintiff shall not issue a periodic garnishment as long as payment is made. Other conditions, if any: Approved as to form, notice of entry waived. IT IS ORDERED that this judgment is granted. This judgment resolves the last pending claim and closes the case unless checked here. Judgment date Plaintiff/Attorney Judge/Court clerk Defendant/Attorney Bar no. Judgment has been entered and will be final unless within 21 days of judgment date a motion for new trial or an appeal is filed. STATUTORY INTEREST The judgment interest accrued from the filing of the complaint to judgment is $ (If additional rates apply, attach a separate sheet.) and is based on: to to to . and . the statutory rate of the statutory 6-month rate(s) of % from % from % from CERTIFICATE OF MAILING I certify that on this date I served a copy of this judgment 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 10 (3/13) Signature JUDGMENT, CIVIL MCL 600.2441, MCL 600.5759, MCL 600.6013, MCL 600.8375, MCR 2.601, MCR 2.602, MCR 2.603, 50 USC 521 American LegalNet, Inc. www.FormsWorkFlow.com