Original - Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Friend of the court Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY CASE NO. MOTION FOR LIEN Telephone no. Court address Plaintiff's name, address, and telephone no. MOTION 1. A support order was entered as follows. Date of order Attorney: v Payer $ Amount and period of payment Defendant's name, address, and telephone no. 2. The office of the friend of the court has reviewed the files of the payer and determined there is an arrearage of: Attorney: 3. There has been a pattern of overdue support. 4. The plaintiff The defendant is the owner of real property or personal property (description attached). plaintiff's 5. I request that a lien be placed against the defendant's property in an amount sufficient to pay the arrearage at the time of hearing. Include an amount to be posted as a bond to ensure payment of future support and other charges. Friend of the court/Authorized representative Date NOTICE OF HEARING A hearing will be held on the above petition on at Date before Location Judge/Referee Time at . Bar no. If you require special accommodations to use the court because of a disability, or if you require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to make arrangements. When contacting the court, provide your case number(s). CERTIFICATE OF MAILING I certify that on this date I served a copy of this petition and notice of hearing on the plaintiff and the defendant or their attorneys by first-class mail addressed to their last-known addresses as defined in MCR 3.203. Date FOC 45 (3/09) Signature MOTION FOR LIEN MCL 552.625(a), MCR 3.208(B) American LegalNet, Inc. www.FormsWorkFlow.com