Original - Court 1st copy - Friend of the court Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY 2nd copy - Plaintiff 3rd copy - Defendant CASE NO. ORDER DISCHARGING ARREARS Court address Telephone no. Defendant's name, address, and telephone no. Plaintiff's name, address, and telephone no. v Attorney: Attorney: 1. Date of hearing: Judge/Referee: Bar no. THE COURT FINDS: 2. The payer, , requested this court to enter an order for payment plan under Name MCL 552.605e. An order for payment plan was entered on . Date 3. The payer provided notice of this hearing to the other party and his/her attorney and other interested persons. 4. The payer did did not 5. The payer complied appear. substantially complied did not comply with the order for payment plan. 6. Other: IT IS ORDERED: 7. The payer's arrears are discharged. 8. The payer's arrears remain as currently reflected by the records of the friend of the court in this case with no adjustment. 9. Other: Date Judge CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties or their attorneys and other interested persons by first-class mail addressed to their last-known addresses as defined in MCR 3.203. Date FOC 111 (5/10) Signature ORDER DISCHARGING ARREARS MCL 552.605e American LegalNet, Inc. www.FormsWorkFlow.com