Forfeiture Notice Land Contract (Form DC 101) American LegalNet, Inc. www.FormsWorkFlow.com Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT Court address FORFEITURE NOTICE Land Contract CASE NO. Court telephone no. 1. You are notified that a certain land contract, dated between Name(s) as seller(s) (party[ies] of the first part), and Name(s) Address or legal description of the premises as purchaser(s) (party[ies] of the second part), concerning the property at is in default because of nonpayment of installments of principal and/or interest, and also because of unpaid taxes. unpaid insurance premiums. other: Explain any other material breach claimed as the basis for forfeiture . 2. You have forfeited your rights under the land contract, and payment is demanded by Name seller. who holds the land contract as assignee of seller. other: 3. The sum of $ is now past due in principal and interest under the land contract, plus the sum of: $ for taxes. $ for insurance. $ other: The dates upon which payments were due are . . . 4. The total amount due, or the material breach(es) of contract, must be cured or paid within days* from the date of the service of notice upon you. (*15 days, unless the parties have by contract agreed to a longer time.) 5. If the total amount due is not paid in full within the time stated, or if the material breach(es) is/are not cured within the time stated, the land contract will be forfeited, as provided in the contract, and you will be required to move out and give up the described property without further notice to you. IF YOU DO NOT MOVE OR PAY VOLUNTARILY, THE CONTRACT HOLDER MAY TAKE YOU TO COURT TO EVICT YOU. Date Signature (To be copied, if necessary, to attach to the Complaint) MCL 600.5728, MCL 600.5730 American LegalNet, Inc. www.FormsWorkFlow.com DC 101 (3/12) FORFEITURE NOTICE, LAND CONTRACT PROOF OF SERVICE I, I served the above notice on: Defendant Complete address of service Day, date, time state: Defendant Complete address of service Day, date, time by personal service. substitute service. first-class mail addressed to the defendant's last-known address as defined in MCR 2.107(C)(3). I could not serve by one of the above methods. Service was made by publication. Signature PROOF OF PUBLICATION the publisher the agent of the publisher I, , state that I am of , a qualified newspaper. Attached is a copy of a notice of forfeiture of land contract taken from the newspaper. The dates of publication were: a. , b. Signature , and c. . Subscribed and sworn to before me on My commission expires: Date Date , Signature: County, Michigan. Notary public, State of Michigan, County of American LegalNet, Inc. www.FormsWorkFlow.com