COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY Index No. Calendar No. Original - Friend of the Court 1st copy - Plaintiff 2nd copy - Defendant 3rd copy - Return CASE NO. : Plaintiff(s) NOTICE OF ARREARAGE JUDICIAL SUBPOENA (CONSUMER REPORTING AGENCY) -against: Friend of the Court address Telephone no. FAX no. : : Plaintiff name, address, and telephone no. TO: Defendant(s) Payer : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (This notice is for the payer. A copy is sent to the payee for his/her information only) 1. Date of notice: THE PEOPLE OF THE STATE OF NEW YORK 2. The Office of the Friend of the Court has reviewed your files and determined there is an arrearage of: TODefendant name, address, and telephone no. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of Arrearages reported are only at any that can be in room , on the day of , 20 , at o'clock in the noon, and those recessed reported according or adjourned date, to testify and give evidence as a witness in this action on the part of the to the definition of support. 3. a. Michigan law requires support information for payers with 2 or more months arrearage to be made available to a consumer reporting agency. Once your support information is reported, it will continue to be provided to the consumer reporting agency on a monthly basis until your support arrearage is eliminated.a contempt of court and will make you liable to Your failure to comply with this subpoena is punishable as the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a b.resultFriend of failure to comply. The of your the Court has received a request from a consumer reporting agency for information regarding your support account. Under Michigan law, the Friend of the Court is required to provide current support information. Witness, Honorable Court in County, , one of the Justices of the 4. Your support information will be reported to a consumer reporting agency unless you: day of , 20 a. pay the entire arrearage within 21 days after the date this notice is sent. (applies only if item 3.a. above is checked) b. request a review within 21 days after the date this notice is sent. You may request a review only if there is a mistake of (Attorney must sign above and type name below) fact about the amount of arrearage or the identity of the payer. c. obtain an order exempting your support order from enforcement. Attorney(s) for FRIEND OF THE COURT Check this box if you want to request a review. Then date and sign the request and return it to the friend of the court. REQUEST FOR REVIEW Office and P.O. Address I request a review because a. I am not the payer named in the notice. b. my arrearage is listed incorrectly. My arrearage is $ Date Telephone No.: Facsimile No.: . E-Mail Address: Mobile Tel. No.: Signature American LegalNet, Inc. www.USCourtForms.com FOC 3a (11/02) NOTICE OF ARREARAGE (CONSUMER REPORTING AGENCY) MCL 552.512, MCL 552.602(o), MCR 3.208(B)