3rd copy - Petitioner 4th copy - Friend of the court 5th copy - Return (proof of service) Original - Court 1st copy - Respondent 2nd copy - Respondent (return) Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY NOTICE OF REGISTRATION OF OUT-OF-STATE CHILD-CUSTODY DETERMINATION (UCCJEA) Court address TO: CASE NO. Court telephone no. Respondent's name, address, and telephone no. (nonregistering party) 1. Date of registration: 2. Date of notice: 3. An order for custody parenting time, Petitioner's name issued by a court in Issuing tribunal and state , has been registered with the county clerk of this county. v Respondent's name 4. Two copies, including one certified copy of the registered child-custody determination and other related documents are attached to this notice. 5. A registered child-custody determination is enforceable, as of the date of the registration, in the same manner as a child-custody determination issued by a court of this state. 6. A hearing to contest the validity of the registered child-custody determination must be requested within 21 days after service of notice by completing the request for hearing on the bottom of this notice and returning it to the court address above. 7. Failure to contest the registration will result in confirmation of the child-custody determination and preclude further contest of that child-custody determination with respect to a matter that could have been asserted. 8. If you request a hearing, you will be notified of the date, time, and location of the hearing, by first-class mail sent to the address you provide. Check this box to request a hearing. Complete the request and return it to the court at the above address. REQUEST FOR HEARING I request a hearing on the validity of the registration of a custody/parenting time order for the following reason(s). (Check all that apply.) The issuing state did not have personal jurisdiction over me. The child-custody determination sought to be registered has been vacated, stayed, or modified by a court of a state having jurisdiction to do so. I did not receive proper notice before the child-custody determination was issued. My address, if different from above, is Date . Signature CERTIFICATE OF MAILING I certify that on this date I served a copy of this notice on the parties or their attorneys by first-class mail addressed to their last- known addresses as defined in MCR 3.203. Date FOC 99 (3/08) Signature NOTICE OF REGISTRATION OF OUT-OF-STATE CHILD-CUSTODY DETERMINATION (UCCJEA) MCL 722.1304 American LegalNet, Inc. www.FormsWorkflow.com