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Certificate Of Overdue Support Form. This is a Michigan form and can be use in Domestic Relations Statewide.
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Tags: Certificate Of Overdue Support, FOC 55, Michigan Statewide, Domestic Relations
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
Original - Court
:
Index No.
1st copy - Requesting party
Approved, SCAO
:
STATE OF MICHIGAN
JUDICIAL CIRCUIT
COUNTY
Friend of the Court address
Calendar No.
CERTIFICATE OF
OVERDUE SUPPORT :
CASE NO.
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
2nd copy - Other party
3rd copy - Friend of the Court
:
Court telephone no.
:
Plaintiff's name and address
:
Defendant(s)
:
......................................................
v
Defendant's name and address
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
1. Name of payer:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
2. Date of support order:
located at
County of
in that as
, on the
day of
, overdueat
, support and otherin the
o'clock obligationsnoon, and at any recessed
3. I certify room of
the 20
on the records of the friend
or adjourned Date to testify and give evidence as a witness in this action on the part of the
date,
of the court were:
Frequency
Your failure
Type of Payment
to comply with this subpoena is punishable as a contempt of court and will make you liable to
Current Amount
of Payment
Overdue Amount
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
a. Child Support
b. Spousal Support
Witness, Honorable
Court Fixed Obligation County,
c. in
, one of the Justices of the
day of
, 20
d. Confinement/
Medical Expenses
(Attorney must sign above and type name below)
e. Service Fees
f. Other
Attorney(s) for
Total
Signature Office
Date
and P.O. Address
Name (type or print)
Telephone No.:
Facsimile No.:
E-Mail Address:
The support order in this case requires payment through the State Disbursement Unit. The friend of the court (at the above
Mobile Tel.
address) should be notified of any collections made as a result of this certification. No.:
Title
FOC 55 (4/01)
CERTIFICATE OF OVERDUE SUPPORT
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