Approved, SCAO STATE OF MICHIGAN JUDICIAL CIRCUIT - FAMILY DIVISION FILE NO. SUMMONS COUNTY In the matter of TO: Name and address IN THE NAME OF THE PEOPLE OF THE STATE OF MICHIGAN TAKE NOTICE: A hearing will be held on the attached petition for emancipation on at Time Judge Date at Location before . YOU ARE SUMMONED TO APPEAR at that hearing. If you fail to do so, you may lose your right to object to the granting of the petition. If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to help you fully participate in court proceedings, please contact the court immediately to make arrangements. This summons expires on the date of hearing. Court Clerk: By: Date Name Deputy clerk Do not write below this line - For court use only American LegalNet, Inc. www.FormsWorkFlow.com PC 79 (9/16) SUMMONS MCL 722.4a, MCL 722.4d