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 TO SUSPEND LICENSE Court address Court telephone no. Plaintiff's name, address, and telephone no. Payer MOTION The friend of the court states: 1. The files in this case have been reviewed and it has been determined that there is an arrearage of: Attorney: v Defendant's name, address, and telephone no. Payer Attorney: 2. The payer holds driver's, occupational, recreational, and/or sporting licenses or is in an occupation requiring a license. 3. a. An order of income withholding is not applicable or has been unsuccessful in assuring regular payments on the support obligation and regular payments on the arrearage. Notice of a proposed license suspension was sent to the payer, and at least 21 days have passed since the notice was sent. The payer has failed to pay the arrearage in full or request a hearing on the proposed license suspension. b. An order of income withholding is not applicable or has been unsuccessful in assuring regular payments on the support obligation and regular payments on the arrearage. Notice of a proposed license suspension was sent to the payer, and at least 21 days have passed since the notice was sent. The payer requested a hearing on the proposed license suspension but failed to appear and has failed to pay the arrearage in full. c. The payer was found in contempt of court and the court entered an order conditionally suspending the payer's license(s) and scheduling the payment of the arrearage. The payer failed to comply with the arrearage payment schedule, was given notice and an opportunity for a hearing, and failed to respond. d. Notice of a proposed license suspension was sent to the payer and the payer has requested a hearing on the proposed suspension. e. At a hearing on the proposed suspension, the court entered an order conditionally suspending the payer's license(s) and scheduling the payment of the arrearage. The payer failed to comply with the arrearage payment schedule. 4. The friend of the court requests the court to issue an order directing that the payer's driver's, occupational, recreational, and/ or sporting licenses be suspended by the licensing agency and occupational regulatory agency. I declare that the statements above are true to the best of my information, knowledge, and belief. Friend of the Court Date CERTIFICATE OF MAILING I certify that on this date I served a copy of this motion on the parties and their attorneys by first class mail addressed to their last known addresses as defined in MCR 3.203 Date FOC 81 (9/05) MOTION TO SUSPEND LICENSE Signature MCL 552.628, MCL 552.633(2) American LegalNet, Inc. www.FormsWorkflow.com