Original - Friend of the court 1st copy - Lien recorder 2nd copy - Plaintiff 3rd copy - Defendant Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY CASE NO. (Claimant's Case Number) NOTICE TO RELEASE LIEN Friend of the court address TO: FAX no. Lien recorder Telephone no. Plaintiff name, address, and telephone no. obligor v Defendant name, address, and telephone no. FROM: Friend of the Court - Claimant obligor (address above) 1. A lien arose against obligor's property by operation of law in the amount of past-due support. The Notice of Lien is attached. 2. You are notified that the lien has been terminated by the friend of the court under Obligor's date of birth MCL 552.625a(1), MCL 552.625b(9), and/or MCL 552.625b(14). 3. The friend of the court has determined that the lien should be terminated because the support arrearage has been paid in full. a payment agreement satisfactory to the friend of the court office has been entered. other: 4. In accordance with law, this notice releases the previously perfected lien upon receipt by the lien recorder named above. I declare that I am the authorized agent of the friend of the court and that the above representations have been made on behalf of the friend of the court. Signature of friend of the court authorized representative Name (type or print) Subscribed and sworn to before me on My commission expires: , Date Date Signature: County, Michigan. Notary public Notary public, State of Michigan, County of Name (type or print) CERTIFICATE OF MAILING I certify that on this date I served a copy of this notice and a copy of the perfected Notice of Lien on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined in MCR 3.203. Date FOC 92 (3/09) Signature NOTICE TO RELEASE LIEN MCL 552.625a, MCL 552.625b American LegalNet, Inc. www.FormsWorkFlow.com