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Approved, SCAO Original - Court file 1st copy - Assignment Clerk/Extra 2nd copy - Friend of the Court/Extra 3rd copy - Opposing party 4th copy - Moving party STATE OF MICHIGAN JUDICIAL CIRCUIT JUDICIAL DISTRICT COUNTY Court address CASE NO. REQUEST FOR HEARING ON A MOTION Court telephone no. Plaintiff name(s) Plaintiff's attorney, bar no., address, and telephone no. Defendant name(s) v Defendant's attorney, bar no., address, and telephone no. 1. Motion title: 2. Moving party: 3. Please place the following on the motion calendar for: Judge Hearing location Bar no. Date Time Court address above 4. I certify that I have made personal contact with on regarding concurrence in the relief sought in this motion and that concurrence has been denied or that I have made reasonable and diligent attempts to contact counsel requesting concurrence with this motion. Date Attorney Bar no. 5. DOMESTIC RELATIONS MOTIONS ONLY a. A recommendation from the Friend of the Court b. All necessary information has has not is is not requested. been submitted to the Friend of the Court. 6. Clerk's record of decision: MC 325 (6/05) Granted Denied Not heard REQUEST FOR HEARING ON A MOTION Date Clerk American LegalNet, Inc. www.USCourtForms.com