Approved, SCAO Original - Court, Part 1 1st copy - Plaintiff, Part 1 2nd copy - Defendant, Part 1 3rd copy - Friend of the court, Part 2 4th copy - Licensing agency, Part 2 5th copy - Return of service STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY COURT CODE Court address CASE NO. ORDER SUSPENDING LICENSE Court telephone no. Plaintiff's name, address, and telephone no. licensee Defendant's name, address, and telephone no. licensee v Attorney: Attorney: THE COURT FINDS: 1. The licensee a. failed to respond to a notice of proposed license suspension in a timely manner and also failed to pay the entire arrearage. b. requested a hearing based on a notice of proposed license suspension but failed to appear at the scheduled hearing and failed to pay the entire arrearage. c. failed to comply with an order for payment of arrearage. d. failed to comply with an order for payment of arrearage following a contempt finding at a show-cause hearing. e. failed to comply with a makeup and ongoing parenting-time schedule. f. failed to appear at a show-cause hearing. IT IS ORDERED: 2. Within 7 business days after receiving this order, the licensing agency shall suspend and not issue to the licensee named above an occupational license a recreational license a sporting license until further order of the court. 3. After receiving notice under MCL 257.321c, the Secretary of State shall immediately suspend the driver's/chauffeur's license. Date Judge Bar no. CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties or their attorneys and the licensing agency(ies) by first-class mail addressed to their last-known addresses as defined in MCR 3.203. Date Signature PART 1 FOC 84 (3/15) MCL 552.602(h), MCL 552.629(4), MCL 552.630, MCL 552.631(1)(c), MCL 552.633(2), MCL 552.645(1) American LegalNet, Inc. www.FormsWorkFlow.com ORDER SUSPENDING LICENSE Approved, SCAO Original - Court, Part 1 1st copy - Plaintiff, Part 1 2nd copy - Defendant, Part 1 3rd copy - Friend of the court, Part 2 4th copy - Licensing agency, Part 2 5th copy - Return of service STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY COURT CODE Court address CASE NO. ORDER SUSPENDING LICENSE Court telephone no. Plaintiff's name, address, and telephone no. licensee Defendant's name, address, and telephone no. licensee v Attorney: Date of birth Driver's license no. Occupational license no. Known professional licenses Attorney: This information may be confidential and should only be distributed to the friend of the court and licensing agency. THE COURT FINDS: 1. The licensee a. failed to respond to a notice of proposed license suspension in a timely manner and also failed to pay the entire arrearage. b. requested a hearing based on a notice of proposed license suspension but failed to appear at the scheduled hearing and failed to pay the entire arrearage. c. failed to comply with an order for payment of arrearage. d. failed to comply with an order for payment of arrearage following a contempt finding at a show-cause hearing. e. failed to comply with a makeup and ongoing parenting-time schedule. f. failed to appear at a show-cause hearing. IT IS ORDERED: 2. Within 7 business days after receiving this order, the licensing agency shall suspend and not issue to the licensee named above an occupational license a recreational license a sporting license until further order of the court. 3. After receiving notice under MCL 257.321c, the Secretary of State shall immediately suspend the driver's/chauffeur's license. Date Judge Bar no. CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties or their attorneys and the licensing agency(ies) by first-class mail addressed to their last-known addresses as defined in MCR 3.203. Date Signature PART 2 FOC 84 (3/15) MCL 552.602(h), MCL 552.629(4), MCL 552.630, MCL 552.631(1)(c), MCL 552.633(2), MCL 552.645(1) American LegalNet, Inc. www.FormsWorkFlow.com ORDER SUSPENDING LICENSE