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                       FORM CATALOG
800.258.0258                                                                                  NOveMbeR, 2009

                                                Your #1 Source for Michigan Court Forms




District, Circuit, Friend of
the Court & Probate Forms



 Catalog Index                                     Betweenand revised 186 additional forms. State Court released 20 new
                                                    forms
                                                           August 2008 and June 2009 the


                                                   Inside the catalog on pages 2 and 3 you will find a concise index of
 Revision Index ................ p. 2-3            these new forms and the revisions for which the new revision is or will
                                                   be required for use. A list of all available forms begins on page 4 with
 District & Circuit .............. p. 4-8          revised forms printed with colored ink.
 Divorce ........................... p. 8          You can order by fax or phone. When you call you will be greeted by
 Friend of the Court.......... p. 9-10             a polite, knowledgable operator who can immediately take your order.
 Probate ........................... p. 11-14      A typical order takes less than a minute on the phone. Orders of stock
                                                   forms are shipped on the same day until 4:00 pm for delivery the next
 Juvenile .......................... p. 14-15      business day (in most of Michigan).
 Construction Lien............ p. 16
                                                   We are a full printing and graphic design company with extensive
 UCC & Deeds ................. p. 16               experience serving the legal community. We offer our services to you
 Praecipes........................ p. 16           for whatever you need designed or printed. Your complete satisfaction is
                                                   our most important goal.
 Real Estate ..................... p. 16-17
 Workers’ Comp ............... p. 17               We now stock LASER PRINTER PAPER in a number of brands. If you
                                                   choose to make your own multi-part forms we offer great prices on
 Court Reporter/                                   self-imaging blank paper. See the bottom of page 17.
 Recorder Appeals ........... p. 17
 Laser Printer Paper ........ p. 17                As always …
                                                          • We provide next day delivery of forms in most cases
 Prices ............................. p. 18               • Our forms are always current and state approved
 Order Form .................... p. 19                       (where applicable).
                                                          • We guarantee your satisfaction with our products.

       Toll-Free:                    Local:                Fax:                  P.O. Box 22003         www.targetinfo.com
     800.258.0258                517.337.1211          517.337.9205             Lansing, MI 48909        order@targetinfo.com
    Revision index


                                                                                      REviSiON iNDEX
           NEW FORMS:                            Recently released, or recently added to our line, these forms are now available.
       Form                               Date                                                                                                                                                                          Choice of
       Number                             Approved Description                                                                                                                                                           Formats
                                          DiStRiCt & CiRCuit
       CC387 ........................... 3/09 ................ Order Vacating Conviction and Entering New Disposition ...................................................................................5                         part
       CC388 ...........................3/09 ................ Notice of Registration of Out of State Child Custody Determiniation (UCCJEA)(Was FOC99) ...........................6                                                 part
       CC389 ...........................3/09 ................ Order Regarding Registration of Out of State Child Custody Determination (UCCJEA)(Was FOC99a) .............5                                                         part
       MC391 ...........................3/09 ................ Order Cancelling Assignment of Wages ...............................................................................................................3                part
       MC392 ...........................3/09 ................ Order Regarding Destruction of Fingerprints and Arrest Card .............................................................................5                           part
                                          FRiEND OF tHE COuRt
       FOC112 .........................3/09 ................ Order to Remit Prisoner Funds for Child Support ................................................................................................5 part
                                          PRObAtE & JuvENilE
       PC675............................9/08 ................ Petition to Terminate/Modify Guardianship .........................................................................................................pad 50
       PC676............................9/08 ................ Petition to Terminate/Modify Conservatorship ....................................................................................................pad 50
       PC677............................9/08 ................ Petition to Terminate/Modify Guardian for Alleged Developmentally Disabled Individual ..................................pad 50
       JC90 ............................9/08 ................ Order Correcting Identifying Information (Child Protective Proceedings)...........................................................pad 50
       JC91 ............................6/09 ................ Order Appointing Juvenile Guardian...................................................................................................................pad 50
       JC92 ............................6/09 ................ Acceptance of Appointment (Juvenile Guardian) ...............................................................................................pad 50
       JC93 ............................6/09 ................ Letters of Juvenile Guardianship ........................................................................................................................pad 50
       JC94 ............................6/09 ................ Annual Report of Juvenile Guardian on Condition of Child ................................................................................pad 50
       JC95 ............................6/09 ................ Order Appointing Person to Investigate Juvenile Guardianship .........................................................................pad 50
       JC96 ............................6/09 ................ Report After Investigation of Juvenile Guardianship ..........................................................................................pad 50
       JC97 ............................6/09 ................ Order Following Investigation and Report on Juvenile Guardianship ................................................................pad 50
       JC98 ............................6/09 ................ Petition to Terminate Appointment of Juvenile Guardian, Notice of Hearing, and Order For Investigation ......pad 50
       JC99 ............................6/09 ................ Petition to Revoke Juvenile Guardianship, Notice of Hearing, and Order for Investigation...............................pad 50
       JC100 ............................6/09 ................ Order Following Hearing on Petition to Terminate Appointment of Juvenile Guardian ......................................pad 50
       JC101 ............................6/09 ................ Order Regarding Revocation of Juvenile Guardianship .....................................................................................pad 50


          REviSED FORMS:                                  Use of the forms listed below was mandatory after December 31, 2008
       Form                              Revision                                                                                                                                                                      Choice of
       Number                            Date                    Description                                                                                                                                            Formats
                                                                 DiStRiCt & CiRCuit
       MC28 .............................9/08 .................Notice to Prior Court of Proceedings Affecting Minors ......................................................................................pad 50
                                                                 PRObAtE & JuvENilE
       JC04b ............................9/08 ................ Petition (Child Protective Proceedings) ..............................................................................................................pad 50


           REviSED FORMS:                                  Use of the forms listed below was mandatory after June 1, 2009
       Form                               Revision                                                                                                                                                                      Choice of
       Number                             Date                    Description                                                                                                                                            Formats
                                                                  DiStRiCt & CiRCuit
       DC90 .............................4/09 .................Petition Regarding Impoundment of Motor Vehicle or Seizure of Motorcycle .................................................... 5                                      part
       DC91 .............................4/09 .................Order Regarding Impounding of Motor Vehicle or Seizure of Motorcycle .......................................................... 5                                    part
       MC235 ...........................3/09 ................. Motion and Order for the Destruction of Fingerprints & Arrest Card .................................................................... 3                            part
       MC262 ...........................3/09 ................. Order of Acquittal/Dismissal or Remand .............................................................................................................. 5              part
       MC263 ...........................3/09 ................. Motion/Order of Nolle Prosequi ............................................................................................................................ 5        part
                                                                  FRiEND OF tHE COuRt
       FOC29 ...........................3/09 .................Order Allowing Change of Domicile/Legal Residence ........................................................................................ 4 part
       FOC90 ...........................3/09 .................Notice of Lien ...................................................................................................................................................... 2 part
       FOC92 ...........................3/09 .................Notice to Release Lien ........................................................................................................................................ 4 part


           REviSED FORMS:                                  Use of the forms listed below will be mandatory after December 31, 2009
       Form                               Revision                                                                                                                                                                      Choice of
       Number                             Date                    Description                                                                                                                                            Formats
                                                                  DiStRiCt & CiRCuit
       MC07 ............................ 3/09 ..................Default Request, Affidavit, and Entry ...............................................................................................3 part, carbon, contin.
       MC07a .......................... 3/09 ..................Default Request, Affidavit, Entry, and Judgment (Sum Certain) ...................................................................5 part , contin.
       MC227 .......................... 3/09 .................. Application to Set Aside Conviction (Replaces MC232) .........................................................................................6 part
       MC230 .......................... 3/09 .................. Motion & Order to Show Cause .............................................................................................................................3 part
       MC238 .......................... 3/09 .................. Judgment After Bond Forfeiture .............................................................................................................................3 part
       MC246 .......................... 3/09 .................. Motion and Summons Regarding Probation Violation ............................................................................................4 part
       MC283 .......................... 3/09 .................. Order for DNA Sample ..........................................................................................................................................5 part




2
                                                                                                                                                                                                                    Revision index

Form                               Revision                                                                                                                                                                          Choice of
Number                             Date                    Description                                                                                                                                                Formats
                                                           FRiEND OF tHE COuRt
FOC13a ........................ 3/09 ..................Complaint for Enforcement of Health Care Expense Payment ............................................................................4 part
FOC39/1-2 .................... 3/09 ..................Friend of the Court - Case Questionnaire (pages 1 & 2).................................................................................... pad 50
FOC39/3-4 .................... 3/09 ..................Friend of the Court - Case Questionnaire (pages 3 & 4).................................................................................... pad 50
                                                           PRObAtE & JuvENilE
PC655........................... 9/08 ..................Report for Court Review of Minor Guardianship................................................................................................. pad 50
PC656........................... 9/08 ..................Order Following Hearing on Statement of Minor Guardian ................................................................................ pad 50
PC658-1 ....................... 9/08 ..................Petition for Appointment of Guardian, Individual with Alleged Developmental Disability (Part 1) ...................... pad 50
PC658-2 ....................... 9/08 ..................Petition for Appointment of Guardian, Individual with Alleged Developmental Disability (Part 2) ...................... pad 50
PC660........................... 9/08 ..................Order Appointing Guardian for Individual with a Developmental Disability ........................................................ pad 50
PCM201........................ 9/08 ..................Petition/Application for Hospitalization ................................................................................................................pad 50
JC11a-1 ........................ 6/09 .................. Order After Preliminary Hearing (Child Protective Proceedings) Page 1 and 2 ......................................................... pad 50
JC11a-2 ........................ 6/09 .................. Order After Preliminary Hearing (Child Protective Proceedings) Page 3 .................................................................. pad 50
JC19-1 .......................... 6/09 .................. Order Following Dispositional Review/Perm. Plan. Hearing (Child Protect. Proceedings) Pages 1 and 2 .................. pad 50
JC19-2 .......................... 6/09 .................. Order Following Dispositional Review/Perm. Plan. Hearing (Child Protect. Proceedings) Pages 3 and 4 .................. pad 50
JC63 ............................. 6/09 .................. Order Following Hearing to Terminate Parental Rights (Child Protective Proceedings) ............................................. pad 50
JC75-1 .......................... 6/09 .................. Order Following Emergency Removal Hearing (Child Protective Proceedings) Pages 1 and 2 ................................. pad 50
JC75-2 .......................... 6/09 .................. Order Following Emergency Removal Hearing (Child Protective Proceedings) Pages 3 and 4 ................................. pad 50
JC76 ............................. 6/09 .................. Order After Post-Termination Review/Permanency Planning Hearing (Child Protective Proceedings) Pages 1 and 2 pad 50


                                                    Use of the forms listed below will be mandatory after December 31, 2009                                        but you
    REviSED FORMS:                                  must hand correct the prior revision (prior to 2009) until then. NOTE: The 6/09 revision was preceded briefly by a 3/09
                                                    revision of each form below, which can be used until depleted without correction.

Form                               Revision                                                                                                                                                                         Choice of
Number                             Date                    Description                                                                                                                                               Formats
                                                           DiStRiCt & CiRCuit
MC12 ............................ 6/09 ..................Request and Writ of Garnishment (Periodic) ...................................................................................contin., 5 part, carbon
MC13 ............................ 6/09 ..................Request and Writ of Garnishment (Non Periodic) ...........................................................................contin., 5 part, carbon
MC50 ............................ 6/09 ..................Garnishment Release ................................................................................................................................ contin., 4 part
MC52 ............................ 6/09 ..................Request and Writ for Garnishment (Income Tax Refund/Credit) .....................................................contin., 5 part, carbon



                                                    Use of the forms listed below will be mandatory after December 31, 2009                                    but you
    REviSED FORMS:                                  must use the prior 7/08 revision until then. (The new 3/09 revision is of FOC10 and FOC10a, while FOC52 and FOC52a,
                                                    the attached instructions, remain unchanged. The new forms may not be available until December.)

Form                               Revision                                                                                                                                                                          Choice of
Number                             Date                    Description                                                                                                                                                Formats
                                                           DiStRiCt & CiRCuit
FOC10/52-1 .................. 3/08 ..................Uniform            Child    Support     Order (page 1) Requires page 2 ......................................................................................7 part
FOC10/52-2 .................. 3/08 ..................Uniform            Child    Support     Order (page 2) .................................................................................................................4 part
FOC10/52a-1 ................ 3/08 ..................Uniform             Child    Support     Order, No FOC Services (page 1) Requires Page 2 .......................................................7 part
FOC10/52a-2 ................ 3/08 ..................Uniform             Child    Support     Order, No FOC Services (page 2)....................................................................................4 part



                                                    The forms listed below have recently been revised, however, the previous
    REviSED FORMS:                                  revision may still be used if hand corrected.

Form                   Revision               Previous                                                                                                                                                              Choice of
Number                 Date                   Revision                Description                                                                                                                                    Formats
.                                                                     DiStRiCt & CiRCuit
MC222 ...............3/09.................. 3/00 ....................Request for Court Appointed Attorney and Order ..........................................................................................3 part
.                                                                     PRObAtE & JuvENilE
PC51..................9/08.................. 5/06 ....................Petition to Change Name .............................................................................................................................pad 50
PC600................9/08.................. 9/04 ....................Notice of Deficiency ......................................................................................................................................pad 50


    OtHER REviSiONS
Beside the above forms the State Court Administrative Office (SCAO) revised 141 additional forms over this past year
but they allow the prior revisions of these be used until supplies are depleted. The new revisions are too numerous
to list here but you can spot them in the full list of forms on the following pages printed with colored ink (red or blue),
which indicates a recent revision, and by the revision date followed by this symbol “†”.



                                                                                                                                                                                                                                         3
    District, Circuit, & Divorce Court Forms




                      DiStRiCt, CiRCuit, AND DivORCE COuRt FORMS
        TO ORDER: Please use the order form on page 19 of this catalog. Photocopy and fax in your order, or call us toll free. Prices and quantity breaks are listed
        on page 18. Multipart sets are snap apart carbonless sets generally. A few are still carbon sets. Some are available both ways and show a separate
        “❏ carbon" choice . Some forms are also available in continuous feed self-imaging carbonless sets (contin) or in pads of 50 single sheets (Pad 50). Carbonless
        forms are black imaging.

    FORM                                                                                                                                                                                                                     CHOiCE OF
    NuMbER               DESCRiPtiON                                                                                                                                                                                          FORMAtS
                         Civil iNFRACtiON ACtiON (blue, N.C.R., 8 1/2” x 5” except as noted)
    CIA01............. Notice to Appear, Civil Infraction (Rev. 3/08†)........................................................................................................................................................ 3 part
    CIA02............. Judgment, Civil Infraction (Rev. 3/09†)(8 1/2” x 11”) ............................................................................................................................................ 3 part
    CIA03............. 14 Day Notice, Civil Infraction (Rev. 3/09†) ........................................................................................................................................................... 2 part
    CIA04............. Motion to Set Aside Default Judgment & Order, Civil Infraction (Rev. 3/09†)(8 1/2 x 11) ..................................................................................... 3 part
    CIA05............. Claim of Appeal of Right/Req. to Withdrawl Admission, and Ord. Civil Infraction (Rev. 4/08†)(8 1/2 x 11) ......................................................... 4 part
    CIA06............. Order to Show Cause, Civil Infraction (Rev. 6/98†) ............................................................................................................................................... 3 part
    CIA07-JIS ...... Default Judgment, Civil Infraction (post card) (Rev. 3/08†) .......................................................................................1 or 2 part contin. (special order)
    ....................... Civil AND CRiMiNAl (white, 8 1/2”x11”)
    MC02 ............. Appearance (Rev. 3/08†)................................................................................................................................................................... ❏ 3 part, ❏ pad 50
    MC04 ............. (general blank form) ............................................................................................................................................................................................. pad 50
    MC06 ............. Notice to Appear (Rev. 6/96†) ............................................................................................................................................................................... 4 part
    MC11 ............. Subpoena, Order to Appear and/or Produce (Rev. 6/04†) ................................................................................ ❏ contin., ❏4 part, ❏carbon, ❏ pad 50
    DC21 ............. Magistrate’s Daily Report (Rev. 5/85)................................................................................................................................................................... pad 50
    DC22 ............. Magistrate’s Quarterly Report (Rev. 7/85) ............................................................................................................................................................ pad 50
    MC24 ............. Taxation of Costs (Rev. 8/89) ............................................................................................................................................................................... pad 50
    MC25 ............. Notice of Intent to Escheat Unclaimed Personal Property (Rev.3/08†) ................................................................................................................. 2 part
    MC26 ............. Notice of Intent to Dismiss for No Progress (Rev. 3/08†) ...................................................................................................................................... 2 part
    MC27 ............. Request & Notice for Film & Electronic Media Coverage of Court Proceedings (New 2/89) ................................................................................ 4 part
    MC28 ............. Notice to Prior Court of Proceedings Affecting Minors (Rev. 9/08❋) ................................................................................................................... pad 50
    MC29 ............. Notice of Intent to Destroy Discovery Materials (New 6/93) .................................................................................................................................. 3 part
    DC40 ............. Notice of Seizure of Personal Property Sub. to Forfeit. Without Process & Order (Rev. 3/09†) ........................................................................... 4 part
    DC41 ............. Motion and Order to Seize Personal Property Subject to Forfeiture (Rev. 3/09†)................................................................................................. 4 part
    DC42 ............. Application and Ex Parte Order to File Lien on Real Property Subject to Forfeiture (Rev. 3/09†) ........................................................................ 4 part
    DC43 ............. Notice of Seizure and Intent to Forfeit and Dispose of Property (Rev. 3/09†)....................................................................................................... 3 part
    DC44 ............. Order for Return of Property or Discharge of Lien in Forfeiture Proceedings (Rev. 3/09†) .................................................................................. 3 part
    DC45 ............. Notice of Intent to Forfeit and Dispose of Property (Rev. 3/09†) ........................................................................................................................... 3 part
    DC46 ............. Order Following Forfeiture Proceedings (Rev. 3/09†)............................................................................................................................................ 4 part
    DC47 ............. Order of Distribution in Forfeiture Proceedings (Rev. 3/09†) ................................................................................................................................. 3 part
    MC63 ............. Motion and Order to Seize Vehicle Subject to Forfeiture (Rev. 3/08†) ................................................................................................................. 5 part
    MC64 ............. Notice of Intent to Forfeit Vehicle (Rev. 6/04†) ...................................................................................................................................................... 4 part
    MC65 ............. Motion for Return of Vehicle Pending Forfeiture Proceedings (Rev. 3/08†) .......................................................................................................... 4 part
    MC66 ............. Order on Motion for Return of Vehicle Pending Forfeiture Proceedings (Rev. 3/08†) ........................................................................................... 5 part
    MC67 ............. Claim of Interest on Vehicle Seized for Forfeiture (Rev. 3/08†) ............................................................................................................................. 4 part
    MC68 ............. Order on Claim of Interest on Vehicle Seized for Forfeiture (Rev. 3/08†) ............................................................................................................. 4 part
    MC69 ............. Order to Return/Forfeit Vehicle after Sentencing (Rev. 3/08†) .............................................................................................................................. 5 part
    MC70 ............. Request for Accommodations (New 10/97) .......................................................................................................................................................... pad 50
    MC72 ............. Petition for Testing of Infectious Disease (Rev. 3/09†) ........................................................................................................................................ pad 50
    MC73 ............. Notice of Hearing on Petition for Testing of Infectious Disease (Rev. 6/04†) ...................................................................................................... pad 50
    MC74 ............. Order following Hearing on Petition for Testing of Infectious Disease (Rev. 3/08†) ............................................................................................ pad 50
    MC81 ............. Motion & Order for Appointment of Foreign Language Interpreter (Rev. 3/08†) .................................................................................................... 5 part
    MC92 ............. Cash Bond (Rev. 6/05†) ......................................................................................................................................................................................... 4 part
    MC96 ............. Judgment of Contempt (New 5/07†) ...................................................................................................................................................................... 3 part
    MC200 ........... Felony Set, Information (includes warrant set) (Rev. 7/05†) ...................................................................................................................6 part (carbon)
    MC200a ......... Felony Set, (3 part information set only) (Rev. 7/05†) ............................................................................................................................................ 3 part
    MC201 ........... Witness/Juror Certificate (Rev. 4/89†) ............................................................................................................................................... ❏ 2 part, ❏ pad 50
    MC202 ........... Certification of Records/Attestation of Exemplified Copies (Rev. 6/03†) .............................................................................................................. pad 50
    MC203 ........... Writ of Habeas Corpus (Rev. 11/85)....................................................................................................................................................................... 5 part
    MC204 ........... Order for Competency Examination (Rev. 5/07†) .................................................................................................................................................. 5 part
    MC205 ........... Finding and Order on Competency (Rev. 3/06†) ................................................................................................................................................... 6 part
    MC206 ........... Order for Evaluation Relative to Criminal Responsibility (Rev 3/09†) ................................................................................................................... 5 part
    MC207 ........... Commitment Order, Not Guilty by Reason of Insanity (Rev 5/07†) ....................................................................................................................... 6 part
    MC208 .............Demand/Waiver for Transcript of Preliminary Examination (Rev. 3/08†) ............................................................................................................... 6 part
    MC210 ........... Affidavit & Order for Restricted Driver License (Rev. 5/07†).................................................................................................................................. 2 part
    MC211 ........... Order for Substance Abuse Evaluation (replaces DCY211)(Rev. 3/08†) ............................................................................................................... 4 part
    MC212 ........... Summary of Substance Abuse Assessment Report (replaces DCY212) (Rev. 6/99✝) .......................................................................................... 2 part
    DC213 ........... Advice of Rights (for drinking/driving offenses) (Rev. 1/08) .............................................................................................. ❏ 2 part, ❏ carbon ❏ pad 50
    DC213a .......... Advice of Rights (Spanish) (Rev. 1/08) ......................................................................................................................................................................pad 50
    DC213b .......... Advice of Rights (Arabic) (Rev. 1/08) .................................................................................................................................................. special order, pad 50


            For instant Service Call 1-800-258-0258, Fax to 1-517-337-9205 or email: order@targetinfo.com

4
                                                                                                                                                                                           District, Circuit, & Divorce Court Forms

    FORM                                                                                                                                                                                                                                CHOICE OF
    NUMBER                DESCRIPTION                                                                                                                                                                                                    FORMATS
                          Civil AND CRiMiNAl (continued)
    DC213c........... Advice of Rights (Russian) (Rev. 1/08) ...................................................................................................................................................special order, pad 50
    DCY214 .......... Waiver of Privilege Against Disclosure .......................................................................................................................................................................... pad 50
    DC215 ............ Affidavit of Incorrect Address (Rev. 6/04†) .................................................................................................................................................................... pad 50
    MC216 ............ 14 Day Notice, Traffic (post card) (Rev. 3/08†) .......................................................................................................................... 2 part contin., (special order)
    MC216a .......... Notice of Noncompliance, Drinking/Driving Offense (post card) (Rev. 3/08†) ........................................................................... 2 part contin., (special order)
    MC218 ............ Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment (Rev. 3/08‡) .................................................................................. 3 part
    MC219 ............ Judgment of Sentence/Commitment to Jail (Rev. 3/08†)................................................................................................................................................ 6 part
    MC220 ............ Recall of Warrant/Order to Apprehend (Rev. 3/02†) ........................................................................................................................................................ 4 part
    MC221 ............ Statement of Service and Order for Payment of Court Appointed Representative (Rev. 3/09†).................................................................................... 2 part
    MC222 ............ Request for Court Appointed Attorney and Order (Rev. 3/09‡) ....................................................................................................................................... 3 part
    DC223 ............ Plea by Mail (Rev. 3/06†)............................................................................................................................................................................ ❏ 2 part, ❏ pad 50
    MC224 ............ Order and Receipt for Driver’s License Held as Security (Rev. 3/08†)........................................................................................................................... 2 part
    DC225 ............ Complaint, Misdemeanor, (Includes warrant) (Rev. 7/05†) ............................................................................................................ ❏ contin, ❏ 4 part (carbon)
    DC226 ............ Warrant, Misdemeanor, Traffic/Non-Traffic (Rev 5/07†)................................................................................................................................................. pad 50
    MC227 ............ Application to Set Aside Conviction (Replaces MC232) (Rev. 3/09=) ........................................................................................................................... 6 part
    MC228 ............ Order on Application to Set Aside Conviction (Replaces MC232) (Rev. 3/08†).............................................................................................................. 5 part
    MC229 ............ Motion, Affidavit, and Bench Warrant (Rev. 6/05†) ......................................................................................................................................❏ contin., ❏ 2 part
    MC230 ............ Motion & Order to Show Cause (Rev. 3/09=) ................................................................................................................................................................ 3 part
    MC231 ............ Affidavit for Search Warrant, (with Search Warrant) (Rev. 3/08†) ....................................................................................................................6 part (carbon)
    MC231a .......... Affidavit for Search Warrant, (continuation) (Rev 6/04†) ................................................................................................................................................. 2 part
    MC233 ............ Order for Fingerprints (Rev. 5/07†) .................................................................................................................................................................................. 3 part
    MC234 ............ Order for Counseling & Testing for Disease/Infection (Rev. 3/08†) ................................................................................................................................ 4 part
    MC235 ............ Motion and Order for the Destruction of Fingerprints & Arrest Card (Rev. 3/09H) ......................................................................................................... 5 part
    MC238 ............ Judgment After Bond Forfeiture (Rev. 3/09=) ................................................................................................................................................................ 3 part
    MC239 ............ Removal of Entry From Lien (Rev. 3/06†) ....................................................................................................................................................................... 4 part
    MC240 ............ Order For Pretrial Release/Custody (Rev. 1/08)................................................................................................................................................4 part (carbon)
    MC240/2 ......... First Two Pts. (Court & Sheriff/Facility Copies) of MC240 (Ord. For Pretrial Rel./Cust. (Rev. 1/08) .................................................................2 part (carbon)
    MC240/5a ....... First Two Parts of Order For Pretrial Release/Custody with Bond (Rev. 1/08) .................................................................................................5 part (carbon)
    MC240/5b ....... Last Two Parts of Order For Pretrial Release/Custody with Bond (Rev. 1/08) ............................................................................................................... 5 part
    MC240a .......... Order Extending Bond for Protection of Named Person(s) (Rev. 6/05) .......................................................................................................................... 2 part
    MC241 ............ Bond (Rev. 1/08) ..............................................................................................................................................................................................................3 part
    MC242 ............ Assignment to Youthful Trainee Status (replaces CC242) (Rev. 5/07†) .......................................................................................................................... 5 part
    DC243 ............ Order of Probation (Misdemeanor) (replaces MC243) (Rev. 1/08) ...................................................................................❏ 6 part carbon, ❏ 4 part no carb.
    MC244 ............ Petition and Order for Amendment of Order of Probation (replaces DCY244) (Rev. 3/01†)........................................................................................... 5 part
    MC245 ............ Motion and Order for Discharge from Probation (Rev. 5/07‡) ......................................................................................................................................... 4 part
    MC246 ............ Motion and Summons Regarding Probation Violation (Rev. 3/09=) .............................................................................................................................. 4 part
    MC247 ............ DNR Complaint, Condemnation and Confiscation (Rev. 3/09) ................................................................................................................2 part (special order)
    MC248 ............ DNR Order to Show Cause, Condemnation and Confiscation (Rev. 3/08†) ...........................................................................................3 part (special order)
    MC249 ............ DNR Order, Condemnation and Confiscation (Rev. 3/08†) .....................................................................................................................3 part (special order)
    DC250 ............ Felony Register of Actions (Rev. 3/01†) ................................................................................................................................. ❏ 1 part contin.,❏ 1 part cards
    DC251 ............ Misdemeanor Register of Actions (Rev. 6/03†) ..................................................................................................................................................... 1 part cards
    DC252 ............ Civil Register of Actions (Rev. 8/93) ....................................................................................................................................................................... 1 part card
    DCY253 .......... Traffic Register of Actions (Rev. 3/83) (41/2”x91/2” envelope) (CUSTOM ORDER ONLY) ............................................................................................ 1 part
    MC254 ............ Order for Vehicle Impoundment (Rev. 3/09†) .................................................................................................................................................................. 4 part
    DC255 ............ Notice to Prosecuting Official (Victim’s Rights Act) (Rev. 6/04†) ..................................................................................................................................... 2 part
    MC256 ............ Summons, Criminal (Rev. 5/07†) ..................................................................................................................................................................................... 4 part
    MC258 ............ Report of Nonpayment of Restitution (Rev. 6/09†).......................................................................................................................................................... 4 part
    MC260 ............ Waiver of Trial by Jury and Election to be Tried Without Jury (Rev. 3/08†) .................................................................................................................... 4 part
    MC262 ............ Order of Acquittal/Dismissal or Remand (Rev. 3/09H) .................................................................................................................................................... 5 part
    MC263 ............ Motion/Order of Nolle Prosequi (Rev. 3/09H) ................................................................................................................................................................. 5 part
    MC264 ............ Order of Disqualification / Reassignment (Rev. 3/06†).................................................................................................................................................. pad 50
    MC267 ............ Order for Vehicle Immobilization (Rev. 6/03†) ................................................................................................................................................................. 3 part
    MC270 ............ Order Regarding Extradition (Rev. 3/09†) ....................................................................................................................................................................... 6 part
    MC271 ............ Waiver of Extradition (Rev. 3/09†) ................................................................................................................................................................................... 6 part
    MC272 ............ Remittal of Disqualification (New 9/00) .......................................................................................................................................................................... pad 50
    MC273 ............ Personal Service on Prisoner and Affidavit (Rev. 3/09†) ............................................................................................................................................... 4 part
    MC274 ............ Order for Mediation (Rev. 3/09†) .................................................................................................................................................................................... 4 part
    MC275 ............ Notice Regarding Court Selected Mediator (New 8/00) ................................................................................................................................................. 4 part
    MC276 ............ Motion to Remove Case From Mediation (Rev. 3/08†) .................................................................................................................................................. 3 part
    MC277 ............ Order on Motion to Remove Case From Mediation (Rev. 3/08†) ................................................................................................................................... 3 part
    MC278 ............ Motion to Modify Order for Mediation (Rev. 3/08†) ........................................................................................................................................................ 3 part
    MC279 ............ Stipulation for Mediation (New 8/00) .............................................................................................................................................................................. 4 part
    MC280 ............ Mediation Status Report (Rev. 3/02†)............................................................................................................................................................................. 3 part
    MC281a .......... Civil Mediator Application (Rev. 3/08†) .................................................................................................................................................................2 part (bond)
    MC281b .......... Domestic Relationsl Mediator Application (Rev. 3/09†)........................................................................................................................................2 part (bond)
    MC282 ............ Domestic Violence Screening for Referral to Mediation (Rev. 3/08†) ........................................................................................................................... pad 50
Notes                             † The previous revision may be used until stock is depleted.                                               ❋ The new form must be used after December 31, 2008.
                                  ‡ The previous revision may be used with hand correction until stock is depleted.                          H The new form must be used after Jan 5, 2008 unless statutory criteria has not been met.
	                 	               	            	            	            	             	             	             	                         = The new form must be used after December 31, 2009.




                                                                                                                                                                                                                                                           5
    District, Circuit, & Divorce Court Forms


    FORM                                                                                                                                                                                                                       CHOICE OF
    NUMBER               DESCRIPTION                                                                                                                                                                                            FORMATS
                         Civil AND CRiMiNAl (continued)
    MC283 ............ Order for DNA Sample (Rev. 3/09=) ........................................................................................................................................................................... 5 part
    MC284-1 ......... Binding Arbitration Award, page 1 of 3 (may require pages 2 and 3) (Rev 3/09†) ...................................................................................................... 3 part
    MC284-2 ......... Binding Arbitration Award, page 2 of 3 (requires pages 1 and 3) (Rev 3/09†) ............................................................................................................ 3 part
    MC284-3 ......... Binding Arbitration Award, page 3 of 3 (requires pages 1 and 2) (Rev 3/09†) ............................................................................................................ 3 part
    MC285 ............ Judgement Regarding Arbitration Award (Rev. 3/08†) ................................................................................................................................................. 3 part
    MC286 ............ Order Requesting Prisoner be Allowed to Participate in Court Proceedings (Rev. 3/08†)........................................................................................... 4 part
    MC287 ............ Financial Statement (Rev. 3/09†) ............................................................................................................................................................................... pad 50
    MC288 ............ Order to Remit Prisoner Funds for Fines, Costs & Assessments (Rev. 9/08†)............................................................................................................ 3 part
    MC289 ............ Order for Assignment of Wages (New 5/07†) ............................................................................................................................................................... 3 part
    MC290 ............ Satisfaction of Financial Obligation (Rev. 9/08†) .......................................................................................................................................................... 3 part
    MC292 ............ Disclosure of Employment or Contract in Michigan School System (Rev. 3/08†) ........................................................................................................ 4 part
    MC294 ............ Order Delaying Sentence (New 5/07) ........................................................................................................................................................................... 4 part
    MC300 ............ Order for Administrative Closing Due to Bankruptcy Stay (Rev. 6/86) ...................................................................................................................... pad 50
    MC301 ............ Motion and Order Reopening Case After Bankruptcy (Rev. 3/08†) .......................................................................................................................... pad 50
    MC302 ............ •Proof of Mailing (Rev. 3/08†) ................................................................................................................................................................ ❏ contin., ❏ pad 50
    MC303 ............ Motion and Verification for Alternate Service (Rev. 3/06†) .......................................................................................................................❏ contin., ❏ 3 part
    MC304 ............ Order Regarding Alternate Service (Rev. 9/09†) ......................................................................................................................................❏ contin., ❏ 4 part
    MC306 ............ Substitution of Attorney (Rev. 6/97†) ............................................................................................................................................................................ 3 part
    MC307 ............ Order for Service by Publication/Posting and Notice of Action (Rev. 9/09†) ............................................................................................................... 4 part
    MC309 ............ Order for Adjournment (Rev. 9/01)........................................................................................................................................................... ❏ 3 part, ❏ pad 50
    MC315 ............ Authorization for Release of Medical Information (Rev. 3/06†) .................................................................................................................................... 3 part
    MC316 ............ Order for Change of Venue (Rev. 8/07‡) ...................................................................................................................................................................... 4 part
    MC321 a/b....... Juror Qual. Question (MC321a (Rev. 3/08❋))w/Personal Hist. Question (MC321b) on back (Rev. 3/09†) .............................................................. pad 50
    MC325 ........... Request for Hearing on a Motion (Rev. 6/05†) .......................................................................................................................................................5 part
    MC326 ........... Notice of Hearing and Motion (Rev. 6/05†) .............................................................................................................................................................5 part
    MC327 ........... Order (Rev. 6/05†) ...................................................................................................................................................................................................5 part
    MC391 ........... Order Cancelling Assignment of Wages (New 3/09)...............................................................................................................................................3 part
    MC392 ........... Order Regarding Destruction of Fingerprints and Arrest Card (New 3/09) .............................................................................................................5 part
                         APPEAlS (white, 8 1/2”x11”)
    DC53.............. Appeal Worksheet for Application to Leave to Appeal (Rev. 6/05†) .....................................................................................................................pad 50
    DC54.............. Appeal Worksheet for Claim of Appeal of Right (Rev. 10/03‡) .............................................................................................................................pad 50
    MC55 ............. Claim of Appeal (Rev. 5/07‡),(Replaces CC266 & PC91) ......................................................................................................................................4 part
    MC56 ............. Bond on Appeal (Replaces CC267) (Rev. 3/08†) ....................................................................................................................................................4 part
    MC57 ............. Order of Transmittal/Certification of Records to Transmit Record on Appeal (Replaces PC92) (Rev. 3/08†)                                                                                                  4 part
    MC59 ............. Notice of Intent to Dismiss Appeal (Rev. 3/08†) ......................................................................................................................................................3 part
    MC60 ............. Notice of Record Return from Court of Appeals (Rev. 3/08†) .................................................................................................................................3 part
    MC61 ............. Order Dismissing Appeal (Rev. 3/08†).....................................................................................................................................................................4 part
    ....................... ClAiM AND DElivERY (yellow, 8 1/2”x11”)
    MC35 ............. Complaint, Claim and Delivery (Rev. 3/09†) ............................................................................................................................................❏ contin.,4 part
    MC36 ............. Motion for Possession Pending Judgment, Claim and Delivery (Rev. 3/08†) ..........................................................................................❏ contin.,4 part
    MC37 ............. Order of Possession Pending Judgment, Claim and Delivery (Rev. 3/08†) ............................................................................................................4 part
    MC38 ............. Bond, Claim and Delivery (Rev. 3/08†) ...................................................................................................................................................................4 part
    MC39 ............. Judgment, Claim and Delivery (Rev. 3/09†) ............................................................................................................................................................3 part
                         Civil FORMS, GENERAl(yellow, 8 1/2”x11”)
    MC01 ............. Summons and Comp., (summons section only) (Rev. 3/08†) ........................................................................... ❏ contin., ❏ 4 part, ❏ no carb, ❏ pad 50
    MC01a ........... Summons and Comp.,(complaint section only, blank sheet format ) (Rev. 3/85) ...............................................................❏ contin., ❏ 4 part, ❏ pad 50
    MC01as.......... Summons and Comp./Account Stated,(complaint section only )(not SCAO app.)(Rev. 6/04†) ...........................................❏ contin.,❏ 4 part, ❏ pad 50
    MC01wc ......... Summons and Comp.(sum. with acct. stated. comp.)(not SCAO app.) (Rev. 3/08†) .......................................... ❏ 4 pt. contin.,❏ 6 pt. contin., ❏ 4 part
    MC01vas ........ Summons and Comp.(sum. with verified acct. stated. comp.)(not SCAO app.) (Rev. 3/08†) ............................................................... ❏ contin, ❏4 part
    MC01b ........... Motion for Second Summons & Order (Rev.6/09†) ..............................................................................................................................❏ contin, ❏3 part
    T01................. Pet. & Ord. for Ext. of Time for Service & Reissuance of Summons (New 3/93, not S.C.A.O. apprvd.) ............................................................... 3 part
    DC03.............. Answer, Civil (Rev. 3/08†) ................................................................................................................................................................... ❏ 3 part, ❏ pad 50
    MC07 ............. Default Request, Affidavit, and Entry (Rev. 3/09=) .............................................................................................................. ❏contin. ❏ 3 part,❏ carbon
    MC07a.............Default Request, Affidavit, Entry, and Judgment (Sum Certain) (Rev. 3/09=) .......................................................... ❏ 3 pt. contin., ❏ 4 pt. contin. ❏ 3 part
    MC09 ............. Dismissal (with stipulation order) (Rev. 6/97†) ...................................................................................................................... ❏ contin., ❏ 3 part, ❏ carbon
    MC09a ........... Dismissal, Non Service/No Progress (Rev 3/01†) ................................................................................................................................................. 3 part
    MC10 ............. Judgment, Civil (Rev. 8/08†) ........................................................................................................................... ❏ 4 pt. contin., ❏ 3 pt. contin., ❏ 3 part, ❏ carbon
    MC17 ............. Certificate of Satisfied Judgement (Rev. 6/04†) ................................................................................................................... ❏ contin., ❏ 3 part, ❏ carbon
    MC19 ............. Request & Order to Seize Property (Rev. 3/09†)............................................................................................................................... ❏ contin., ❏ 4 part
    MC20 ............. Affidavit and Order, Suspension of Fees/Costs (Rev. 5/07†) ....................................................................................................................3 part (carbon)
    MC20/O.......... Affidavit and Order, Suspension of Fees/Costs (Rev. 10/91) (For Oakland Co. only, not SCAO approv.)                                                                                                           3 part
    MC30 ............. Order for Case Evaluation (Rev. 7/00†) ..................................................................................................................................................................4 part
    MC31 ............. Case Evaluation Notice (Rev. 7/00†) ......................................................................................................................................................................4 part
    MC32 ............. Notice of Case Evaluation and Acceptance or Rejection of Award (Rev. 5/07†) ....................................................................................................4 part
    MC33 ............. Notice of Acceptance/Rejection of Case Evaluation Award (Rev. 3/06†) ...............................................................................................................4 part
    MC34-1 .......... Case Evaluator Application, Pages 1and 2 of 3 (Rev. 3/08†) (Requires MC34-2) ................................................................................................ pad 50
    MC34-2 .......... Case Evaluator Application, Page 3 of 3 (Rev. 3/08†) (Requires MC34-1)........................................................................................................... pad 50
    MC62 ............. Affidavit & Notice of Entry of Foreign Judgment (Rev. 3/08†) ............................................................................................................. ❏ contin., ❏ 4 part



             For instant Service Call 1-800-258-0258, Fax to 1-517-337-9205 or email: order@targetinfo.com

6
                                                                                                                                                                            District, Circuit, & Divorce Court Forms


FORM                                                                                                                                                                                                                  CHOICE OF
NUMBER               DESCRIPTION                                                                                                                                                                                       FORMATS
                     Civil FORMS, GENERAl(yellow, 8 1/2”x11”) (continued)
MC82 ............. Payment Receipt and Inventory of Seized Property (Rev. 3/08†) ...........................................................................................................................4 part
MC83 ............. Report of Collection Activity Under Order to Seize Property (Rev. 3/08†) ..............................................................................................................4 part
DC90.............. Petition Regarding Impoundment of Motor Vehicle or Seizure of Motorcycle (Rev. 4/09H) ...................................................................................5 part
DC91.............. Order Regarding Impounding of Motor Vehicle or Seizure of Motorcycle (Rev. 4/09H) .........................................................................................5 part
MC94 ............. Notice of Judgment Lien (Rev. 3/06†) ................................................................................................................................................. ❏ contin., ❏ 5 part
MC95 ............. Request for Approval of Bond and Notice (Rev. 3/06†) ..........................................................................................................................................4 part
DC99 ............. Motion and Affidavit to Set Aside Default (Rev. 3/08†) ............................................................................................................................................3 part
DC99a ............ Order Regarding Motion to Set Aside Default (Rev. 3/08†) ...................................................................................................................................3 part
DC118 ............ Complaint and Summons Regarding Dangerous Animal (Rev. 3/09†) ...................................................................................................................4 part
DC119 ............ Order Regarding Dangerous Animal (Rev. 3/08†) ...................................................................................................................................................4 part
MC305 ........... Order for Security for Costs ....................................................................................................................................................................................4 part
                     GARNiSHMENt (yellow, except MC52, which is blue, 8 1/2”x11”)
MC12 ............. Request and Writ of Garnishment (Periodic) (Rev. 6/09❋) .................................................................................................. ❏ contin., ❏ 5 part, ❏ carbon
MC13 ............. Request and Writ of Garnishment (Non Periodic) (Rev. 6/09❋)..............................................................                                              ❏ contin., ❏ 5 part, ❏ carbon
MC14 ............. Garnishee Disclosure (Rev. 5/09†) ....................................................................................................................... ❏ contin., ❏ 5 part, ❏ no carb.❏ pad 50
MC14a ........... Calculation Sheet for Garnishee Disclosure (part 5 of MC14 but in the pad format) (Rev. 5/09†) ....................................................................... pad 50
MC15 ............. Motion for Installment Payments (Rev. 12/05) ........................................................................................................................................................3 part
MC15a ........... Order Regarding Installment Payments (Rev. 6/04†) .............................................................................................................................................4 part
MC16 ............. Motion to Set Aside Order for Installment Payments (Rev. 6/04†) ..................................................................................................... ❏ contin., ❏ 3 part
MC16a ........... Order on Motion to Set Aside Order for Installment Payments (Rev. 6/04†) ...................................................................................... ❏ contin., ❏ 4 part
MC48 ............. Final Statement on Garnishment of Periodic Payments (Rev. 6/04†)................................................................... ❏ contin., ❏ 4 part, ❏ carbon ❏ pad 50
MC49 ............. Objections to Garnishment and Notice of Hearing (Rev. 3/08†) .............................................................................................................................4 part
MC 50 ............ Garnishment Release (Rev. 6/09❋) .................................................................................................................................................... ❏ contin., ❏ 4 part
MC 51 ............ Order on Objections to Garnishment (Rev. 3/08†) ............................................................................................................................................. ❏ 4 part
MC 52 ............ Request and Writ for Garnishment (Income Tax Refund/Credit) (Rev. 6/09❋) .....................................................................❏ contin.,.❏ 5 part, ❏ carbon
P-01 ............... A Guide to Garnishment of Periodic Payments (Instructional pamphlet, priced as a 2 part) (Rev. 3/08) ............................................ 4 page pamphlet
                     SMAll ClAiMS (green, 8 1/2” x 11” - unless otherwise noted)
DC84 ............. Affidavit and Claim, Small Claims (Same as DC84/5 w/o instruction sheet) (Rev. 3/09†)................................................ ❏ contin, ❏ 4 part, ❏ carbon
DC84/5 .......... Affidavit and Claim, Small Claims (with instruction sheet on bottom) (Rev. 3/09†) .......................................................................... ❏ 5 part, ❏ carbon
DCI-84 ........... Collecting Money from a Small Claims Judg. (Rev. 6/05†)(instruct. pamphlet, priced as a 2 part)........................................... folded pamphlet (white)
DC85 ............. Judgment, Small Claims (Rev. 3/08†) ................................................................................................................................................ ❏ contin., ❏ 3 part
DC86 ............. Demand and Order for Removal, Small Claims (Rev. 3/08†)..................................................................................................................................3 part
DC87 ............. Affidavit of Judgment Debtor (Rev. 5/07†) (yellow) .................................................................................................................................................3 part
                     SuMMARY PROCEEDiNGS (pink, 8 1/2” x 11”)
DC100a .......... Demand for Possession, Non Payment of Rent, Landlord-Tenant (Rev. 3/08†) .......❏ 2 pt cont., ❏ 4 pt cont., ❏ 2 pt, ❏ 2 pt carb., ❏ 3 pt ❏ 3 pt carbon
DC100b ......... Notice to Quit, Health Hazard/Injury to Premises, Landlord-Tenant (Rev. 3/08†) ................................................................................................. 2 part
DC100c.......... Notice to Quit, Termination of Tenancy, Landlord-Tenant (Rev. 6/09†) .................................................................................................. ❏ contin., 2 part
DC100d ............Notice to Quit, Termination of Tenancy, (Mobile Home Park Just Cause Termination (Rev. 3/08†)............................................................................................. 2 part
DC100e ......... Demand for Possession, Termination of Tenancy Due to Unlawful Drug Activity on Premises, Landlord-Tenant (Rev. 3/08†)..............................2 part
DC101 ........... Forfeiture Notice, Land Contract (Rev. 3/08†).......................................................................................................................................................pad 50
DC102a ......... Complaint, Non Payment of Rent, Landlord-Tenant (Rev. 3/09†) ..................................................................................... ❏ contin., ❏ 4 part, ❏ carbon
DC102b ......... Complaint, Health Hazard, Injury to Premises, Landlord-Tenant (Rev. 3/09†)........................................................................................................4 part
DC102c.......... Complaint,Termination of Tenancy, Landlord-Tenant (Rev. 3/09†) ..................................................................................................... ❏ contin., ❏ 4 part
DC102d ......... Complaint,Termination of Tenancy (Mobile Home Park Just Cause Termination) (Rev. 3/09†) ..............................................................................4 part
DC103 ........... Complaint for Possession After Land Contract Forfeiture (Rev. 3/09†) .............................................................................................. ❏ contin, ❏ 3 part
DC104 ........... Summons, Landlord-Tenant/Land Contract (Rev. 3/08†) .................................................................................................. ❏ contin., ❏ 5 part, ❏ carbon
DC105 ........... Judgment, Landlord-Tenant (Rev. 3/08†) ..........................................................................................................................❏ contin., ❏ 4 part, ❏ carbon
DC105a ......... Judgment, Termination of Tenancy, Mobile Home Park Just Cause Term. (Rev. 3/08†).........................................................................................3 part
DC106 ........... Judgment of Possession After Land Contract Forfeiture (Rev. 3/08†) ............................................................................................... ❏ contin., ❏ 4 part
DC107 ........... Application and Order of Eviction, Landlord-Tenant, Land Contract (Rev. 3/09†) ............................................................❏ contin., ❏ 4 part, ❏ carbon
DCH108 ......... Default, Application, Affidavit, Entry, Landlord-Tenant (replaced by MC07 but still available) (Rev. 6/80) .............................................................2 part
DC109 ........... Motion and Order for Escrow, Landlord-Tenant (Rev. 6/05†)..................................................................................................................................2 part
DCH110 ......... Order to Release Escrow, Landlord-Tenant (New 4/87) .........................................................................................................................................2 part
                     CiRCuit COuRt uSE ONlY (white, except as noted, 8 1/2” x 11”)
CC05 ............. Order to Deposit Funds (New 4/87) ........................................................................................................................................................................3 part
CC08 ............. Motion for Consolidation (Rev. 3/08†) .....................................................................................................................................................................2 part
CC08a ........... Order for Consolidation (Rev. 3/08†) .......................................................................................................................................................................2 part
CC18 ............. Order to Release Funds (New 4/87) .......................................................................................................................................................................3 part
CC20a ........... Order Regarding Suspension of Prisoner Fees/Costs (Rev. 3/08†)........................................................................................................................4 part
CC58 ............. Order to Show Cause Why Appeal Should Not Be Dismissed (Rev. 3/08†) ..........................................................................................................4 part
CC71 ............. Record Production Checklist for Court of Appeals (Rev. 3/08†)..............................................................................................................................2 part
CC78 ............. Dismissal of Prisoner Civil Action, Frivolous Action (Rev. 3/08†) ............................................................................................................................4 part
CC79 ............. Claim of Appeal on Denial of Application for Concealed Weapon License (Rev. 3/08†) ........................................................................................4 part
CC80 ............. Order Following Appeal on Denial of Application for Concealed Weapon License (Rev. 3/08†) ............................................................................3 part
CC88 ............. Order Revoking Release and Forfeiting Bond, Notice of Intent to Enter Judgment (Domestic Relations) (Rev. 3/08†)                                                                                           4 part
CC89 ............. Judgment After Bond Forfeiture (Domestic Relations) (Rev. 3/08†) .......................................................................................................................4 part
CC115............ Notice of Foreclosure Sale (Rev. 6/04†)(pink) ........................................................................................................................................................3 part
CC116............ Clerks Certificate of Sale of Real Estate Pursuant to Judgment (Rev. 3/08†)(pink) ...............................................................................................4 part
CC117............ County Clerk’s Report of Sale (Rev. 3/08†)(pink) ....................................................................................................................................................2 part
Notes                       † The previous revision may be used until stock is depleted.                                          H The new form must be used after June 1, 2009.
                            ‡ The previous revision may be used with hand correction until stock is depleted.                     = The new form must be used after December 31, 2009.
                                                                                                                                  ❋ The previous revision may be used with hand correction until December 31, 2009.


                                                                                                                                                                                                                                            7
    District, Circuit, & Divorce Court Forms



    FORM                                                                                                                                                                                                          CHOiCE OF
    NuMbER               DESCRiPtiON                                                                                                                                                                                 FORMAtS
    DLAD217 ....... Wayne County Order to Issue Restricted Driver License (not SCAO approved) (Rev. 4/93) ...............................................................................pad 50
    CC219b ......... Judgment of Sentence, Commitment to Department of Corrections (Rev. 3/09†) .................................................................................................6 part
    CC236 ........... Order Committing Juvenile to Department of Human Services (Rev. 3/08†) ........................................................................................................6 part
    CC243a ......... Order of Probation, (Felony) (replaces MC243) (Rev. 1/08H) .............................................................................................................................. 6 part
    CC257 ........... Motion for Relief from Judgment (Rev. 3/09†) ......................................................................................................................................... 4 part (carbon)
    CC259a ......... Docketing Statement (1st two pages - CC259b required with CC259a) (Rev 6/98) .............................................................................................pad 50
    CC259b ......... Docketing Statement (Pages 3 & 4 - CC259a required with CC259b) (Rev 6/98) ...............................................................................................pad 50
    CC261 ........... Waiver of Arraignment and Election to Stand Mute or Enter Not Guilty Plea (Rev. 3/08†) ....................................................................................3 part
    CC265 ........... Notice of Right to Appellate Review and Request for Appt. of Attorney (Rev. 3/09†) ..................................................................................... 4 part (carbon)
    CC268 ........... Ord. Regarding Driver License Restoration (Rev. 3/08†) ......................................................................................................................... 4 part (carbon)
    CC269 ........... Ord. Regarding Driver License After Review of the Record (Rev. 3/08†) ............................................................................................... 4 part (carbon)
    CC291 ........... Advice of Rights (Circuit Court Plea) (Rev. 1/06) ...................................................................................................................................................2 part
    CC293 ........... Affidavit Concerning Financial Status - Leave to Appeal Granted by Supreme Court (New 5/07) .........................................................................3 part
    CC295 ........... Appeal of Suspension, Revocation, or Denial of Driver’s License (New 3/08) .......................................................................................................4 part
    CC296 ........... Peition for Review of Driver’s License Denial, Restriction or Suspension for Arrests or Actions Before October 1, 1999 (New 3/08) ..................4 part
    CC297 ........... Peition for Review of Driver’s License Denial, Restriction or Suspension for Arrests or Actions on or After October 1, 1999 (New 3/08)............4 part
    CC298 ........... Application for Leave to Appeal and Notice of Hearing (New 3/08)........................................................................................................................4 part
    CC299 ........... Order Following Hearing on Application for Leave to Appeal (New 3/08) ...............................................................................................................4 part
    CC350 ........... Complaint Regarding Paternity and Notice of Right to Attorney (Rev. 6/98†) ........................................................................................................5 part
    CC351 ........... Order for Blood Tests (Paternity) (Rev. 6/97†) ........................................................................................................................................................4 part
    CC352 ........... Order of Filiation & Support, Page 1 (Paternity) (Rev. 6/97†) .................................................................................................................................5 part
    CC352a ......... Order of Filiation & Support, Page 2 (Paternity) (Rev. 6/99†) .................................................................................................................................5 part
    CC375 ........... Petition for Personal Protection Order (Domestic Relationship) (Rev. 3/09†) .......................................................................................... 6 part (carbon)
    CC375M ........ Petition for Personal Protection Order Against a Minor (Domestic Relationship) (Rev. 3/09†) ................................................................ 6 part (carbon)
    CC376 ........... Personal Protection Order (Domestic Relationship) (Rev. 3/09†)............................................................................................................. 7 part (carbon)
    CC376M ........ Personal Protection Order Against a Minor (Domestic Relationship) (requires CC376M-2) (Rev. 02/08H) ............................................ 7 part (carbon)
    CC376M-2 ..... Personal Protect. Ord. Against a Minor (Domestic Relation., Pg. 2) (Must have w/CC376M) (Rev. 02/08H)......................................... 6 part (carbon)
    CC377 ........... Petition for Personal Protection Order Against Stalking (Non Domestic) (Rev. 3/09†)............................................................................. 6 part (carbon)
    CC377M ........ Petition for Personal Protection Order Against Stalking by a Minor (Non Domestic) (Rev. 3/09†)........................................................... 6 part (carbon)
    CC378 ........... Motion and Order to Dismiss Action for Personal Protection Order (Rev. 3/09†)..................................................................................... 6 part (carbon)
    CC379 ........... Motion to Modify, Extend or Terminate Personal Protection Order (Rev. 3/09†) ...................................................................................... 6 part (carbon)
    CC380 ........... Personal Protection Order Against Stalking (Non Domestic) (Rev. 3/08‡) .............................................................................................. 7 part (carbon)
    CC380M ........ Personal Protection Order Against Stalking by a Minor (Non Domestic) (requires CC380M-2) (Rev. 3/08‡) ......................................... 7 part (carbon)
    CC380M-2 ..... Personal Protect. Ord. Against Stalking by a Minor (Non Domestic, Pg.2) (Must have w/CC380M) (Rev. 3/08‡) ................................. 6 part (carbon)
    CC381 ........... Notice of Hearing on Petition for Personal Protection Order (Rev. 3/09†) ............................................................................................ 6 part (carbon)
    CC382 ........... Motion and Order to Show Cause for Violating Valid Personal/Foreign Protection Order (Rev. 3/08†) ................................................................6 part
    CC382a ......... Order After Hearing on Show Cause for Violating Valid Personal/Foreign Protection Order (Rev. 3/08†) ............................................................5 part
    CC383 ........... Order Denying or Dismissing Petition for Personal Protection Order (Rev. 3/08†) ................................................................................................3 part
    CC384 ........... Order After Hearing on Violation of Valid Personal/Foreign Protection Order (Rev. 3/08†)....................................................................................4 part
    CC385 ........... Order on Motion to Modify, Extend, or Terminate Personal Protection Order(Rev. 3/08†) ....................................................................................4 part
    CC386 ........... Proof of Service/Oral Notice Regarding Personal Protection Order (Rev. 6/04†) ..................................................................................................2 part
    CC387 ........... Order Vacating Conviction and Entering New Disposition (New 3/09) ..................................................................................................................5 part
    CC388 ........... Notice of Registration of Out of State Child Custody Determiniation (UCCJEA)(Was FOC99) (Rev. 3/09).......................................................... 6 part
    CC389 ........... Order Regarding Registration of Out of State Child Custody Determination (UCCJEA)(Was FOC99a) (Rev. 3/09) ............................................ 5 part
    CC402 ........... Order Regarding Appointment of Appellate Counsel & Transcript (Rev. 6/05†) .....................................................................................................6 part
    CC403 ........... Claim of Appeal & Order Appointing Counsel (Rev. 3/08†) ....................................................................................................................................7 part
    CC404 ........... Notice to Prisoner on Application For Leave to Appeal Decision of Parole Board (Rev. 3/08†) ............................................................................6 part
    P-02 ............... Instruct. for Personal Protect. Ords.(Instructional pamphlet — call for prices)(Rev. 6/04†) .................................................................8 page pamphlet
                        DIVORCE FORMS (white, 8 1/2” x 11”)
    CC415 ........... Complaint for Divorce (page 1) (Rev. 1/06)........................................................................................................................................................... 5 part
    MC416 ........... Uniform Child Custody Jurisdiction Enforcement Act Affidavit (Rev. 3/08†) ...........................................................................................................4 part
    CC419 ........... Notice of Hearing & Motion for Mutual Temp. Restrain. Order Conserving Property(Rev. 5/93) ...................................................... ❏ 4 part, ❏ pad 50
    CC420 ........... Mutual Temporary Restraining Order Conserving Property (Rev. 5/93)............................................................................................ ❏ 5 part, ❏ pad 50
    CC427a ......... Judgment of Divorce, page 1 (Rev. 8/07)................................................................................................................................................................4 part
    CC427b ......... Judgment of Divorce, page 2 (Rev. 5/00).............................................................................................................................................................. 4 part
    CC427c.......... Judgment of Divorce, final page (Rev. 11/91) ....................................................................................................................................................... 4 part
    CC428 ........... Default Application and Non-military Affidavit and Entry (Domestic Relations) (Rev. 7/04) .............................................................. ❏ 6 part, ❏ pad 50
    CC429 ........... Notice of Hearing (For Divorce Cases Only — Not SCAO approved) (7/07) ....................................................................................................... 4 part
    MC427 ........... Ex-Parte Interim Order (Rev. 9/94) (not S.C.A.O. approved, used in Macomb County) ...................................................................................... 4 part
    DCH-0838...... Record of Divorce or Annulment (Health Dept. Form, priced as a two part)(AKA: B42)(Rev. 11/99) ................................................................... 1 part
    DIV.SET ......... Complete set of 30 different divorce forms & 2 Booklets ............................................................................................................ 4 part, 5 part & 6 part
    CUST.SET ..... Set of 19 forms to File for Custody ......................................................................................................................................................... 3, 4, and 5 part
    1052............... Certif. on Behalf of Plaintiff Regard. Ex Parte Interim Support Ord.(Wayne Co., Not SCAO Appr.)(Rev.5/93,Yellow)                                                                                   pad 50
    1225............... Certificate of Conformity for Domestic Relations Order or Judgement ................................................................................................................ pad 50

    Notes               † The previous revision may be used until stock is depleted.                                           H The new form must be used after January 5, 2008 unless statutory criteria has not been met.
                        ‡ The previous revision may be used with hand correction until stock is depleted.




            For instant Service Call 1-800-258-0258, Fax to 1-517-337-9205 or email: order@targetinfo.com

8
                                                                                                                                                                             F.O.C., Probate, & Juvenile Court Forms




                   F.O.C., PRObAtE, AND JuvENilE COuRt FORMS
    TO ORDER: Please use the order form on page 19 of this catalog. Photocopy and fax in your order, or call us toll free. Prices and quantity breaks are
    listed on page 18. Multipart sets are snap apart carbonless sets generally. A few are still carbon sets. Some forms are in pads of 50 single sheets (Pad 50).
    Carbonless forms are black imaging. Bond forms are not self imaging, usually a few pages of instructions plus one copy of the form.


FORM                                                                                                                                                                                                                   CHOiCE OF
NuMbER                DESCRiPtiON                                                                                                                                                                                        FORMAt
                      FRiEND OF tHE COuRt (white, 8 1/2” x 11”)
FOC1a ............Friend of the Court Grievance (Rev. 3/09†) .......................................................................................................................................................... 4 part
FOC1b ............Grievance Response (Rev. 3/09†)......................................................................................................................................................................... 4 part
FOC2 ..............Motion & Order to Show Cause for Contempt (Support) (Rev. 3/09†) .................................................................................................................. 4 part
FOC2a ............Motion & Order to Show Cause for Contempt (Medical) (Rev. 3/09†) .................................................................................................................. 4 part
FOC4 ..............Cash Performance Bond (Civil Contempt) (Rev. 3/08†) ........................................................................................................................................ 5 part
FOC5 ..............Order Regarding Income Withholding (Rev. 3/08†) ............................................................................................................................................... 5 part
FOC5z ............Mandatory Income Withholding Order, (for Oakland Co. - not S.C.A.O. approved) (Rev. 12/00) ......................................................................... 5 part
FOC6-1 ...........Enforcement Order (page 1) Requires page 2 (Rev. 3/09†) ................................................................................................................................ 4 part
FOC6-2 ...........Enforcement Order (page 2) (Rev. 3/09†) ............................................................................................................................................................. 4 part
FOC7 ..............Notice of Hearing (Rev. 3/08†)............................................................................................................................................................................... 4 part
FOC8 ..............Order for Release for Work or to Seek Work (Rev. 6/03†) .................................................................................................................................... 4 part
FOC10/52-1 ....Uniform Child Support Order (page 1) Requires page 2 (Rev. 7/08H and 3/09❖) .............................................................................................. 7 part
FOC10/52-2 ....Uniform Child Support Order (page 2) (Rev. 7/08H and 3/09❖) .......................................................................................................................... 4 part
FOC10/52a1 ...Uniform Child Support Order, No FOC Services (page 1) Requires Page 2 (Rev. 7/08H and 3/09❖) ............................................................... 7 part
FOC10/52a2 ...Uniform Child Support Order, No FOC Services (page 2) (Rev. 7/08H and 3/09❖) ............................................................................................ 4 part
FOC10b-1 .......Uniform Spousal Support Order, (page 1) Requires Page 2 (Rev. 3/08H) .......................................................................................................... 4 part
FOC10b-2 .......Uniform Spousal Support Order, (page 2) (Rev. 3/08H) ....................................................................................................................................... 4 part
FOC10c-1 .......Uniform Spousal Support Order, No FOC Services, (page 1) Requires Page 2 (Rev. 3/08H) ............................................................................ 4 part
FOC10c-2 .......Uniform Spousal Support Order, No FOC Services, (page 2) (Rev. 3/08H) ......................................................................................................... 4 part
FOC12 ............Order (general order for visitation referral and mediation matters) (Rev. 3/09†) .................................................................................................. 4 part
FOC13 ............Request for Health Care Expense Payment (Rev. 3/09†) ....................................................................................................................... 3 part (carbon)
FOC13a ..........Complaint for Enforcement of Health Care Expense Payment (Rev. 3/09*) ........................................................................................................ 4 part
FOC14 ............Bench Warrant (Rev. 5/07‡)................................................................................................................................................................................... 3 part
FOC15 ............General Blank Form for Second Sheets (Rev. 3/85) ............................................................................................................................................pad 50
FOC16 ............21 Day Notice to Alleged Violator of Custody or Parenting Time Provision (Rev. 3/08†) ..................................................................................... 3 part
FOC17 ............Friend of the Court Annual Statutory Review (Rev. 3/09†) ..................................................................................................................... 3 part (carbon)
FOC18 ............Publication & Notice of Friend of the Court Annual Statutory Review (Rev. 3/08†) .............................................................................................pad 50
FOC19 ............Motion & Order to Show Cause for Contempt (Custody/Parenting Time) (Rev. 3/09†) ........................................................................................ 4 part
FOC21 ............Motion & Order for Disclosure of Income & Health Insurance Information (Rev. 3/09†) ....................................................................................... 3 part
FOC22 ............Employer’s Disclosure of Income & Health Insurance Information (Rev. 3/08†) ..................................................................................................pad 50
FOC22a ..........Employer’s Disclosure of Health Insurance Information (top 1/2 of FOC22) (Rev. 3/08†) ...................................................................................pad 50
FOC22b ..........Employment Status Disclosure (Rev. 3/08†) ........................................................................................................................................................pad 50
FOC23 ............Verified Statement and Application for IV-D Services (Rev. 3/08†) ....................................................................................................................... 3 part
FOC23J ..........Verified Statement and IV-D Application, (for St. Joseph Co., not S.C.A.O. app.) (Rev. 5/93) ............................................................................ 3 part
FOC23K..........Verified Statement and IV-D Application, (for Kalamazoo Co., not S.C.A.O. app.) (Rev. 2/03) ........................................................................... 3 part
FOC23W.........Verified Statement (not S.C.A.O. app., use in Wayne & Oakland Co.) (Rev. 4/93) (aka. FTE 84852) ................................................................. 4 part
FOC24 ............Motion/ Stipulation for Transferring Case (Post Judgment) (Rev. 3/09†) ............................................................................................................. 5 part
FOC25 ............Order Changing Venue and Transferring Case (Post Judgment) (Rev. 10/04†) ................................................................................................... 5 part
FOC29 ............Order Allowing Change of Domicile/Legal Residence (Rev. 3/09u) ..................................................................................................................... 4 part
FOC30 ............Notice of Registration of Out of State Support Order (uifsa) (Rev. 3/08†) ............................................................................................................ 6 part
FOC30a ..........Order Vacating/Confirming Registration of Out of State Support Order (uifsa) (Rev. 3/09†) ................................................................................ 6 part
FOC39/1-2 ......Friend of the Court - Case Questionnaire (pages 1 & 2) Requires pages 3 & 4 (Rev. 10/09*) ..........................................................................pad 50
FOC39/3-4 ......Friend of the Court - Case Questionnaire (pages 3 & 4) (Rev. 10/09*) ..............................................................................................................pad 50
FOC39e ..........Child Care Verification (Rev. 3/09†) .....................................................................................................................................................................pad 50
FOC40 ............Motion to Require Bond to Secure Future Support (Rev. 3/09†) .......................................................................................................................... 4 part
FOC41 ............Order for Bond to Secure Future Support (Rev. 10/04†) ....................................................................................................................................... 4 part
FOC43 ............Motion to Release Bond to Secure Future Support (Rev. 3/09†) .......................................................................................................................... 4 part
FOC44 ............Order Releasing or Forfeiting Bond to Secure Future Support (Rev. 10/04†) ...................................................................................................... 4 part
FOC45 ............Petition for Lien (Rev. 3/09†) ................................................................................................................................................................................. 4 part
FOC46 ............Lien Order (Rev. 3/08†) ......................................................................................................................................................................................... 4 part
FOC47 ............Motion to Release Lien (Rev. 3/09†) ..................................................................................................................................................................... 4 part
FOC48 ............Order to Release Lien (Rev. 3/08†) ....................................................................................................................................................................... 4 part
FOC50 ............Motion Regarding Support (Rev. 3/09†) ..................................................................................................................................................... 4 part (bond)
FOC51 ............Response to Motion Regarding Support (Rev. 3/09†) ................................................................................................................................ 4 part (bond)
FOC53 ............Notice of Hearing to Enter Order (Rev. 3/08†) ........................................................................................................................................... 4 part (bond)
FOC54 ............Notice to Enter Order Without Hearing (Rev. 3/08†) .................................................................................................................................. 4 part (bond)
FOC55 ............Statement of Account (Rev. 3/09†) ........................................................................................................................................................................ 4 part
FOC56 ............Referee Find. & Reco. for Ord. After Hear. on Bench Warrant/Show Cause (Support) Pg. 1 (Rev. 1/05†).......................................................... 4 part
FOC56/2 .........Referee Find. & Reco. for Ord. After Hear. on Bench Warrant/Show Cause (Support) Pg. 2 (Rev. 1/05†).......................................................... 4 part
                                                                                               see footnotes on p. 10


                                                                                                                                                                                                                                             9
 F.O.C., Probate, & Juvenile Court Forms


     FORM                                                                                                                                                                                                                 CHOiCE OF
     NuMbER               DESCRiPtiON                                                                                                                                                                                      FORMAtS
                          FRiEND OF tHE COuRt (continued)
     FOC57 ............Referee Find. & Reco. for Ord. After Hearing on Alleged Custody/Parenting Time Violation (Rev. 10/04†)......................................................... 4 part
     FOC58 ............Order After Hearing on Alleged Custody/Parenting Time Violation (Rev. 3/09†) .................................................................................................. 4 part
     FOC60 ............Referee Finding & Recommendation for Order After Hearing on Modification of Support (Rev. 3/09†) .............................................................. 4 part
     FOC61 ............Objection to Ex Parte Order & Motion to Rescind or Modify (Rev. 3/09†) ............................................................................................................ 4 part
     FOC62 ............Order Modifying Ex Parte Order (Rev. 3/09†) ....................................................................................................................................................... 4 part
     FOC63 ............Agreement Suspending Immediate Income Withholding (Rev. 3/08†) .................................................................................................................. 4 part
     FOC64 ............Order Suspending Immediate Income Withholding (Rev. 3/08†) .......................................................................................................................... 4 part
     FOC65 ............Motion Regarding Parenting Time (Rev. 3/09†) .........................................................................................................................................4 part (bond)
     FOC66 ............Response to Motion Regarding Parenting Time (Rev. 3/09†) .................................................................................................................... 4 part (bond)
     FOC67 ............Order Regarding Parenting Time (Rev. 3/09†) ...........................................................................................................................................4 part (bond)
     FOC68 ............Objection to Referee’s Recommended Order (Rev. 3/09†) ........................................................................................................................ 4 part (bond)
     FOC69 ............Notice of Review on Arrearage (Consumer Reporting Agency) (Rev. 3/08†)........................................................................................................ 3 part
     FOC70 ............Determination on Arrearage (Rev. 10/04) .............................................................................................................................................................. 3 part
     FOC71 ............Notice of Child Support Review (Rev. 3/08†) ........................................................................................................................................................ 4 part
     FOC72 ............Request to Access Friend of the Court Records & Decision (Rev. 3/08†) ............................................................................................................ 3 part
     FOC72a ..........Citizen Advisory Committee Request to Access Friend of the Court Records (DELETED 3/09)
     FOC76a, FOC76b, and FOC77 (Replaced by Federal Forms OMB-0970-0222 and OMB-1210-0113)
     FOC78 ............Objection to Proposed Order (Rev. 3/09†) .................................................................................................................................................4 part (Bond)
     FOC79 ............Objection to Child Support Review (Rev. 3/09†) ................................................................................................................................................... 6 part
     FOC80 ............Notice of Proposed License Suspension and Request for Hearing (Rev. 3/08†) .................................................................................................. 4 part
     FOC81 ............Motion to Suspend License (Rev. 3/09†)............................................................................................................................................................... 4 part
     FOC82 ............Order Regarding Payment of Arrearage (License Suspension) (Rev. 3/09†) ....................................................................................................... 4 part
     FOC83 ............Notice Following Order for Payment of Arrearage (License Suspension) (Rev. 3/09†) ........................................................................................ 4 part
     FOC84 ............Order Suspending License (Child Support/Parenting Time) (Rev. 3/09†) ............................................................................................................. 6 part
     FOC85 ............Motion to Rescind License Suspension (Rev. 3/09†) ............................................................................................................................................ 4 part
     FOC86 ............Order Rescinding License Suspension (Child Support/Parenting Time) (Rev. 3/09†) .......................................................................................... 5 part
     FOC87 ............Motion Regarding Custody (Rev. 3/09†) .................................................................................................................................................... 4 part (bond)
     FOC88 ............Response to Motion Regarding Custody (Rev. 3/09†) .......................................................................................................................................... 4 part
     FOC89 ............Order Regarding Custody & Parenting Time (Requires FOC 10/52 or 10/52a) (Rev. 3/08†) .................................................................... 4 part (bond)
     FOC90 ............Notice of Lien (Rev. 3/09u) ................................................................................................................................................................................... 2 part
     FOC91 ............Notice of Perfection of Lien (Rev. 3/09†) ............................................................................................................................................................... 4 part
     FOC92 ............Notice to Release Lien (Rev. 3/09u) ..................................................................................................................................................................... 4 part
     FOC93 ............Notice of Intent to Levy (Rev. 3/08†) ..................................................................................................................................................................... 4 part
     FOC94 ............Order Correcting Omission in Order (Rev. 3/08†) ................................................................................................................................................. 4 part
     FOC95 ............Finding and Report on Arrearage Payment Amount (Rev. 9/05‡) ......................................................................................................................... 4 part
     FOC99 & FOC99a were replaced by CC388 and CC389
     FOC100-1 .......Domestic Relationship Judgment Information, (page 1) requires page 2 (Rev. 3/09†) ........................................................................................ 2 part
     FOC100-2 .......Domestic Relationship Judgment Information, (page 2) (Rev. 3/09†) ................................................................................................................... 2 part
     FOC101-1 .......Advice of Rights Regarding Use of Friend of the Court Services, (page 1) requires page 2 (Rev. 9/06†) .......................................................... 3 part
     FOC101-2 .......Advice of Rights Regarding Use of Friend of the Court Services, (page 2) (Rev. 9/06†) ..................................................................................... 3 part
     FOC102-1 .......Order Exempting Case from Friend of the Court Services (page 1) requires page 2 (Rev. 3/09†) ...................................................................... 4 part
     FOC102-2 .......Order Exempting Case from Friend of the Court Services (page 2) (Rev. 3/09†) ................................................................................................ 4 part
     FOC103 ..........Notice of Closure of Friend of the Court Case (Rev. 3/09†) ................................................................................................................................. 4 part
     FOC104 ..........Request to Reopen Friend of the Court Case (Rev. 3/09†) .................................................................................................................................. 4 part
     FOC106 ..........Notice of Redirection or Abatement of Child Support (Rev. 3/09†) ....................................................................................................................... 3 part
     FOC107 ..........Notice of Objection to Proposed Redirection or Abatement of Child Support (Rev. 3/09†) .................................................................................. 3 part
     FOC108 ..........Change in Personal Information (Rev. 3/08†)........................................................................................................................................................ 2 part
     FOC109-1 .......Motion for Payment Plan (part 1) Requires page 2 (Rev. 3/09†) .......................................................................................................................... 4 part
     FOC109-2 .......Motion for Payment Plan (part 2) (Rev. 3/09†) ...................................................................................................................................................... 4 part
     FOC110 ..........Order for Payment Plan (Rev. 3/09†) .................................................................................................................................................................... 4 part
     FOC111 ..........Order Discharging Arrears (Rev. 3/09†) ................................................................................................................................................................ 4 part
     FOC113 ..........Motion to Permit Foreign Travel (Rev. 3/09†) ....................................................................................................................................................... 4 part
     FOC114 ..........Order Regarding Foreign Travel (Rev. 3/09†) ...................................................................................................................................................... 4 part
     SCAO28 .........Friend of the Court Grievance Record ..................................................................................................................................................................pad 50
     SCAO41 .........Office of the Friend of the Court Statistical Report ...............................................................................................................................................pad 50
     FC-OFC .............Ord. of Ref. to FOC Family Counsel Unit for Cust./Parent. Time Invest. (for Oakland Co.-not SCAO approv) (Rev. 2/98) ...................................................... 4 part
     FC-OFH ..........Ord. of Ref for Referee Hearing (for Oakland Co.-not SCAO approved) (Rev. 2/98) ........................................................................................... 4 part
     FC-OFS ..........Ord. of Ref to Friend of the Court for Support Investigation (for Oakland Co.-not SCAO approved) (Rev. 2/98) ................................................ 4 part
     FOC112 ..........Order to Remit Prisoner Funds for Child Support (Rev. 3/09†)............................................................................................................................. 5 part


     Notes:
                                      † The previous revision may be used until stock is depleted                                                ❖ The 3/09 version must be used after Dec. 31, 2009 but the 7/08 version must
                                      ‡ The previous revision may be used with hand correction until stock is depleted.                            be used until then.
                                                                                                                                                 u The new revision must be used after June 1, 2009.
                                      H The new form must be used after September 30, 2008
                                                                                                                                                 *    The new version must be used after Dec. 31, 2009




             For instant Service Call 1-800-258-0258, Fax to 1-517-337-9205 or email: order@targetinfo.com

10
                                                                                                                                         F.O.C., Probate, & Juvenile Court Forms


                                         PRObAtE COuRt FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted)
C-6568 ............Michigan Inheritance Tax Payment Notice (Rev. 7/93)(3 part)
2356................Request for Certification of No MI Estate Tax Liability (Rev. 4/97†)(3 part)
PC51...............Petition to Change Name (Rev. 9/08†)
PC51a.............Special Instructions for Name Change (Rev. 9/08‡)
PC52...............Order Following Hearing on Petition to Change Name (Rev. 9/08†)
PC79...............Summons (Rev. 9/97†)
PC100.............Petition for Emancipation, Affidavit, and Waiver of Notice (Rev. 11/05†)
PC101.............Order Following Hearing on Petition for Emancipation (Rev. 11/05†)
PC102.............Petition to Rescind Order of Emancipation (Rev. 9/97†)
PC103.............Order Following Hearing on Petition to Rescind Order of Emancipation (Rev. 9/97†)
PC104.............Petition for Treatment of Infectious Disease (Rev. 6/98‡)
PC105.............Notice of Hearing on Petition for Treatment of Infectious Disease (Rev. 6/98‡)
PC106.............Order Following Hearing on Petition for Treatment of Infectious Disease (Rev. 6/98‡)
PC107.............Order Appointing Commitmentment Review Panel (Rev. 6/98‡)
PC108.............Recommendation of Commitmentment Review Panel (Rev. 6/98‡)
PC109.............Affidavit to Accompany Petition for Transport and/or Temporary Detention (Rev. 6/98‡)
PC110 .............Petition and Ex Parte Order for Transport and/or Temporary Detention (Rev. 6/98‡)
PC111 .............Notice of Hearing on Petition for Temporary Detention (Rev. 6/98‡)
PC112 .............Order Following Hearing on Petition to Cont. Temporary Deten. (Rev. 6/98‡)
PC113 .............Appeal of Commitment and Order to Recon. Commitment. Review Panel (Rev. 6/98‡)
PC114 .............Order Following Appl. of Commitment. for Treatment of Infectious Diease (Rev. 6/98‡)
PC115 .............Petition for Continued Commitment for Treatment of Infectious Disease and Order to Reconvene Commitment Review Panel (Rev 6/98‡)
PC116 .............Order Following Hearing on Petition for Continued Commitment for Treatment of Infectious Disease (Rev. 6/98‡)
PC117 .............Notice to Minor of Rights Regarding Waiver of Parental Consent for an Abortion (Rev. 9/97†)
PC118 ..........Request & Order for Court Appointed Attorney/Guardien Ad Litem for Waiver of Parental Consent (Rev. 9/97†)
PC119 .............Petition for Waiver of Parental Consent for an Abortion (Rev. 9/97†)
PC120.............Order Grant./Deny Waiver of Parental Consent for an Abortion (Rev. 1/06)
PC121.............Appeal of Order Deny Petition for Waiver of Parental Consent (Rev. 9/97†) 5 part
PC122.............Confidential Information for Proceedings Concerning Waiver of Parental Consent (Rev. 9/97†)
PC548.............Authorization to Release Will Held For Safekeeping (Rev. 9/07†)
PC549.............Petition to Establish Death of Accident or Disaster Victim (Rev. 9/05‡)
PC550.............Order to Establish Death of Accident or Disaster Victim (Rev. 9/05‡)
PC551.............Petition and Order to Open Safe Deposit Box to Locate Will or Burial Deed (Rev. 9/07†)
PC552.............Safe Deposit Box Certificate and Receipt (Rev. 9/06†)
PC553.............Petition to Determine Heirs, Separate Proceed. (Rev. 9/07†)
PC554.............Order Determining Heirs, Separate Proceed. (Rev. 9/07†)
PC555.............Demand for Notice (Rev. 9/07†)
PC556.............Petition and Order for Assignment (Rev. 9/07†)
PC557.............Notice of Intent to Request Infomal Appointment of Personal Representative (Rev. 9/06†)
PC558.............Application for Informal Probate and/or Appointment of Personal Representative (Testate/Intestate) (Rev. 9/07†)
PC559.............Petition for Probate and/or Appointment of Personal Representative (Testate/Intestate) (Rev. 9/09‡)
PC560.............Petition for Supervised Administration After Previous Adjudication (Rev. 9/07†)
PC561.............Waiver and Consent (Rev. 9/07†)
PC562.............Notice of Hearing (Rev. 9/07†)
PC563.............Publication of Notice of Hearing (Rev. 9/07†)
PC563a...........Publication of Notice (Rev. 9/07†)
PC564.............Proof of Service (Rev. 9/09†)
PC565.............Testimony, to Identify Heirs and Devisee Heirs (Rev. 9/09*)
PC566.............Supplemental Testimony, to Identify Nonheir Devisees, Testate Estate (Rev. 9/09*)
PC567.............Renunciation of Right to Appointment, Nomination of Personal Representation and Waiver of Notice (Rev. 9/04†)
PC568.............Register’s Statement (Rev. 9/05†)
PC569.............Order of Formal Proceedings (Rev. 9/05†)
PC570.............Bond of Fiduciary (Rev. 9/05†)
PC571.............Acceptance of Appointment (Rev. 9/06‡)
PC572.............Letters of Authority for Personal Representative (Rev. 10/07H)
PC573.............Notice of Appt and Duties of Personal Representative (Rev. 9/06†)
PC574.............Notice to Creditors, Decedent’s Estate (Rev. 9/05†)
PC575.............Notice to Informal Probate (Rev. 9/04†)
PC576.............Notice Regarding Attorney Fees (Rev 9/03‡)
PC577.............Inventory (Rev. 9/09†)
PC578.............Notice to Known Creditors (Rev. 9/09†)
PC579.............Statement and Proof of Claim (Rev. 9/07†)
PC580.............Notice of Disallowance of Claim (Rev. 9/07†)
PC581.............Notice to Spouse of Rights of Election and Allowances, Proof of Service, and Election (Rev. 9/04†)
PC582.............Selection of Homestead Allowance and Exempt Property (Rev. 9/08†)
PC583.............Account of Fiduciary, Short Form (Rev. 9/09†)
PC584.............Account of Fiduciary, Long Form (Rev. 9/09†)
PC585a...........Petition to Allow Account(s) (Rev. 9/07†)
PC585b...........Order Allowing Account(s) (Rev. 9/07†)
PC586.............Petition and Order (Rev. 9/05†)
PC587.............Notice of Continued Administration (Rev. 9/06†)
PC588.............Receipt of Distributive Share, Personal Property (Rev. 9/07†)
PC589.............Notice of Intent to Close Estate Administration and Terminate Personal Representative’s Authority (Rev. 9/02†)
PC590.............Sworn Closing Statement, Summary Proceedings, Small Estates (Rev. 9/07†)

Notes: † The previous revision may be used until stock is depleted.
       ‡ The previous revision may be used with hand correction until stock is depleted
                                                                                          * The new revision must be used after December 31, 2009.
                                                                                          ✭ The new revision must be used after December 31, 2007




                                                                                                                                                                               11
     F.O.C., Probate, & Juvenile Court Forms


                          PRObAtE FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted) (continued)
 PC591.............Sworn Statement to Close Unsupervised Administration (Rev. 9/09†)
 PC592.............Certificate of Completion (Rev. 9/02†)
 PC593.............Petition for Complete Estate Settlement, Testacy Previously Adjucated (Rev. 9/05†)
 PC594.............Petition for Adjudication of Testacy and Complete Estate Settlement (Rev. 9/07†)
 PC595.............Order for Complete Estate Settlement (Rev. 9/09†)
 PC596.............Schedule of Distributions and Payment of Claims (Rev. 9/07†)
 PC597.............Order of Discharge (Rev. 9/03†)
 PC598.............Affidavit of Decedent’s Successor for Delivery of Certain Assets Owned by Decedent (Rev. 9/05†)
 PC599.............Memorandum of Administrative Closing (Rev. 9/03†)
 PC600.............Notice of Deficiency (Rev. 9/08‡)
 PC601.............Memorandum of Conference to Correct Deficiency (Rev. 9/02)
 PC602.............Order Appointing Special Fiduciary and/or Suspending Powers of Fiduciary (Rev. 9/02)
 PC603.............Petition and Order for Reinstatement (Estate Not Closed)(Rev. 9/09†)
 PC604.............Petition for Removal of Personal Representative and Appointment of Successor (Estate Not Closed) (Rev. 9/07†)
 PC605.............Order Regarding Appointment of Personal Representative (Rev. 9/07†)
 PC606.............Appearance of Parent of Minor (Rev. 9/04†)
 PC607.............Application/Petition to Reopen Estate (Rev. 9/09‡)
 PC608.............Petition and Order to Change Venue (Rev. 9/05†)
 PC609.............Order (general) (New 3/00)
 PC610.............Registration of Trust (Rev. 9/09) (effective 4/10, use 9/04 until then)
 PC611 .............Petition for Substance Abuse Treatment and Rehabilitation Services (Rev. 9/07†)
 PC612.............Order Following Hearing on Petition for Substance Abuse Treatment (Rev. 9/02†)
 PC613.............Objection of Minor to Substance Abuse Treatment Plan (Rev. 9/07†)
 PC614.............Order Sustaining Objection of Minor to Substance Abuse Treatment (Rev. 9/07†)
 PC615.............Dismissal of Minor’s Objection to Substance Abuse Treatment (Rev. 9/07†)
 PC616.............Inheritance Tax Order, (MI Dep. of Treas. form C-6504)(Rev. 1/94)(Was PC49)
 PC617.............Declaration of Intent to Give Notice by Publication (Rev. 9/05†)
 PC618.............Personal Representative Notice to Friend of the Court (New 9/06)
 PC619.............Notice of Ancillary Administration Filing (New 9/06)
 PC620.............Application for Appointment of Successor Personal Representative (Estate Not Closed) (New 9/09)
 PC624.............Request for Notice (Rev. 9/07†)
 PC625-1 .........Petition for Appointment of Guardian of Incapacitated Individual (Part 1; Instructions are Part 2) (Rev. 9/09†)
 PC625-2 .........Petition for Appointment of Guardian of Incapacitated Individual (Part 2; Instructions for Part 1) (Rev. 9/09†)
 PC626.............Notice to Alleged Incapacitated Individual on Petition to Appoint Guardian (Rev. 9/07†)
 PC627.............Acceptance of Appointment and Report of Guardian Ad Litem of Alleged Incapacitated Individual (Rev. 9/06†)
 PC628.............Order Appointing Attorney (Rev. 9/07†)
 PC629.............Order Appointing Physician/Visitor/Mental Health Professional (Rev. 9/07†)
 PC630.............Statement of Physician/Mental Health Professional (Rev. 1/04†)
 PC631.............Order Regarding Appointment of Guardian of Incapacitated Individual (Rev. 9/06†)
 PC632.............Order Regarding Appointment of Temporary Guardian of Incapacitated Individual (Rev. 9/08†)
 PC633.............Letters of Guardianship (Rev. 9/05†)
 PC634.............Annual Report of Guardian on Condition of Legally Incapacitated Individual (Rev. 9/08†)
 PC635.............Order Appointing Person to Review/Investigate Guardian. (Rev. 9/06†)
 PC636.............Report on Review of Guardianship of Incapacitated Individual (Rev. 9/07†)
 PC637.............Order Following Review of Guardianship (Rev. 9/09†)
 PC638a...........Order Regarding Petition to Terminate/Modify Guardian for Minor or LII/Conservator (Rev. 9/09†)
 PC638b...........Order Regarding Appointment of Guardian for Individual with Developmental Disability (Rev. 9/07†)
 PC639-1 .........Petition for Appointment of Conservator and/or Protective Order (Part 1; Instructions are Part 2) (Rev. 9/09*)
 PC639-2 .........Petition for Appointment of Conservator and/or Protective Order (Part 2; Instructions for Part 1) (Rev. 9/09*)
 PC640.............Order Regarding Appointment of Conservator (Rev. 9/09†)
 PC641.............Petition for Appointment of Guardian Ad Litem/ Attorney/Lawyer Guardian Ad Litem (Rev. 9/05†)
 PC642.............Order Appointing Guardian Ad Litem/Attorney/Lawyer - Guardian Ad Litem (Rev. 9/07†)
 PC643.............Acceptance of Apptointment and Report of Guardian Ad Litem (Rev. 9/07†)
 PC644.............Order Regarding Petition for Protective Order (Rev. 9/07†)
 PC645.............Letters of Conservatorship (Rev. 9/08†)
 PC646.............Petition for Approval of Sale of Real Estate (Rev. 9/08†)
 PC647.............Order Regarding Sale of Real Estate (Rev. 9/07†)
 PC648.............Minor Conservatorship - Final Account, Waiver and Consent and Order (Rev. 9/06†)
 PC649.............Receipt of Ward and Discharge (New 3/00)
 PC650.............Petition for Appointment of Limited Guardian of Minor (Rev. 9/06†)
 PC651.............Petition for Appointment of Guardian of Minor (Rev. 9/09†)
 PC652.............Limited Guardianship Placement Plan (Rev. 9/05‡)
 PC653.............Order Regarding Appointment of Guardian/Limited Guardian of a Minor (Rev. 9/08†)
 PC654.............Annual Report of Guardian on Condition of Minor (Rev. 1/06†)
 PC655.............Report for Court Review of Minor Guardianship (Rev. 9/08*)
 PC656.............Order Following Hearing on Statement of Minor Guardian. (Rev. 9/08*)
 PC657.............Order Following Hearing to Terminate Minor Guardianship (Rev. 9/09†)
 PC658-1 .........Petition for Appointment of Guardian, Individual with Alleged Developmental Disability (Rev. 9/08*) (Part 1; Instructions are Part 2)
 PC658-2 .........Petition for Appointment of Guardian, Individual with Alleged Developmental Disability (Rev. 9/08*) (Part 2; Instructions for Part 1)
 PC659.............Report to Accompany Petition to Appoint, Modify or Discharge Guardian of Individual with a Developmental Disability (New 3/00)
 PC660.............Order Appointing Guardian for Individual with a Developmental Disability (Rev. 9/08*)
 PC661.............Notice of Right to Request Dismissal of Guardian or Modification of Guardian Order (Rev. 9/07†)
 PC662.............Letters of Guardianship of Individual with Developmental Disability (Rev. 10/07✭)



          For instant Service Call 1-800-258-0258, Fax to 1-517-337-9205 or email: order@targetinfo.com

12
                                                                                                                                        F.O.C., Probate, & Juvenile Court Forms


                             PRObAtE FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted) (continued)
PC663.............Report of Guardianship on Condition of Individual with Developmental Disablity (Rev. 12/08†)
PC664.............Petition for Authority to Place Individual with Developmental Disability in a Facility (Rev. 9/07†)
PC665.............Order for Placement of Individual with Developmental Disability (Rev. 9/07†)
PC666.............What you Need to Know Before Filing a Petition to Appoint a Guardian for an Incapacitated Adult (Rev. 11/02†)
                  (Trifold Brochure - priced as 2 part)
PC667.............What you Need to Know Before Filing a Petition to Appoint a Conservator (Rev. 11/02†) (Trifold Brochure - priced as a 2 part)
PC668.............Notice on Petition for Conservator or Protective Order (New 9/04)
PC669.............Proof of Restricted Account & Annual Verification of Funds on Deposit (Conservatorship of Minor) (Rev. 9/09†)
PC670.............Minor Guardianship Social History (New 11/05)
PC671.............Order for Administrative Closing (Conservatorship) (Rev. 9/09†)
PC672.............Notice of Appointment of Temporary Guardian for Minor and of Right to Object (New 1/07)
PC673.............Petition and Order to Use Funds (Conservatorship) (Rev. 9/09†)
PC674.............Inventory (Conservatorship) (Rev. 9/09†)
PC675.............Petition to Terminate/Modify Guardianship (Rev. 9/09†)
PC676.............Petition to Terminate/Modify Conservatorship (Rev. 9/09†)
PC677.............Petition to Terminate/Modify Guardian for Developmentally Disabled Individual (Rev. 9/09†)
PCM201..........Petition/Application for Hospitalization (Rev. 9/08*)
PCM202..........Objection to Hospitalization of a Minor (Rev. 9/07†)
PCM203..........Objection to Administrative Admission (Individual with Developmental Disability) (Rev. 9/07†)
PCM204..........Notice of Hearing and Appointment of Attorney on Objection to Hospitilization or Admission (Rev. 3/05)
PCM205..........Order Following Hearing on Objection by Minor to Hospitalization/Administrative Admission (Rev. 9/07†)
PCM208..........Clinical Certificate (Rev. 9/07†)
PCM208a........Supplement to Clinical Certificate on Appeal of Return to Hospital (Rev. 9/09†)
PCM209..........Supplemental Petition to Application for Hospitalization and Order for Examination (Rev. 9/06†)
PCM209a........Supplemental Petition for Examination/Hospitalization and Order (Rev. 9/09†)
PCM211 ..........Notice of Hospitalization & Certification of Service (Rev. 9/09†)
PCM212..........Notice of Hearing on Petition for Hospitalization / Assisted Outpatient Treatment / Judicial Admission (Rev. 9/07†)
PCM214..........Initial Order Following Hearing on Petition for Admission (Rev. 9/06†)
PCM214a........Order Following Hearing on Petition for Judicial Admission (Rev. 9/07†)
PCM215..........Order for Report on Petition for Judicial Admission (Rev. 9/07†)
PCM215a........Certification & Report on Petition for Judicial Admission (Rev. 9/07†)
PCM216..........Order for Report on Alternative Treatment and Report (Rev. 9/07†)
PCM217a........Order to Modify Order for Alt. Treatment or Combined Hospitalization and Alternative Treatment (Rev. 9/07†)
PCM217b........Order to Modify Second or Continuing Order (Rev. 9/03†)
PCM218..........Petition for Second or Continuing Treatment Order (Rev. 9/09†)
PCM219..........Second or Continuing Order for Continuing Treatment or Judicial Admission (Rev. 9/07†)
PCM220..........Petition for Discharge from Continuing Treatment (Rev. 9/09*)
PCM222..........Order Following Hearing on Petition for Discharge from Continuing Treatment or Judicial Admission (Rev. 9/08†)
PCM223..........Certificate of Legal Counsel/Waiver of Attendance(Rev. 9/07†)
PCM224..........Petition for Judicial Admission (Rev. 9/07†)
PCM225..........Order Dismissing Petition for Discharge From Judicial Admission (Rev. 9/07†)
PCM226..........Six Month Review Report (Rev. 9/06†)
PCM227..........Notice to Attorney of Return to Hospital/Center from Authorized Leave (Rev. 9/07†)
PCM230..........Notification of Non-compliance and Request for Modified Order (Rev. 9/06†)
PCM231..........Order for Report After Notification and Report (Rev. 9/07†)
PCM232..........Order Following Hearing on Appeal of Return to Hospital/Center from Authorized Leave (Rev. 9/07†)
PCM233..........Notice of Right to Appeal Return, and Appeal of Return From Authorized Leave (Rev. 9/08†)
PCM234..........Order Following Hearing on Objecton to Return to Hospital (Rev. 9/07†)
PCM235..........Request to Defer Hearing on Commitment (Rev. 9/07†)
PCM236..........Demand for Hearing (Rev. 9/07†)
PCM237..........Petition for Continued Hospitalization of Minor (Rev. 9/06†)
PCM238..........Notice of Hearing and Appointment of Attorney on Petition for Continued Hospilization of Minor (Rev. 9/05†)
PCM239..........Order Following Hearing on Petition for Continued Hospitalization of Minor (Rev. 9/02)
PCM240..........Petition and Order to Transport Minor (Rev. 9/07†)
PCM241..........Notice of Right to Object to Hospitalization Objection & Demand for Hearing (Rev. 9/09†)
PCM242..........Petition for Assisted Outpatient Treatment (Rev. 9/09†)
PCM243..........Initial Order Following Hearing on Petition for Assisted Outpatient Treatment (Rev. 9/07†)
PCM244..........Order Following Notice of Noncompliance with Assisted Outpatient Treatment or Comb. Hospital and Assisted Out. Treatment Order (Rev. 9/07†)
PCA301 ..........Petition for Adoption (Rev. 9/09†)
PCA301a ........Petition for Direct Placement Adoption (Rev. 3/06†)
PCA302 ..........Supplemental Petition and Affidavit to Terminate Parental Rights of Non-Custodial Parent (Rev. 11/05†)
PCA303 ..........Notice of Hearing, Termination of Parental Rights (Rev. 9/07†)
PCA304 ..........Order Terminating Rights of Non-Custodial Parent (Rev. 9/07†)
PCA305 ..........Release of Child by Parent (Rev. 11/05†)
PCA305a ........Release of Child by Guardian (Rev. 9/07†)
PCA306 ..........Release of Child by Child Placing Agency (Rev. 11/05†)
PCA307 ..........Consent to Adoption by Adoptee (Rev. 9/07†)
PCA308 ..........Consent to Adoption by Parent (Rev. 11/05†)
PCA308a ........Consent to Adoption by Guardian (Rev. 9/07†)
PCA309 ..........Consent to Adoption by Agency/Court (Rev. 9/07†)
PCA310 ..........Petition for Hearing to Identify Father & Determine or Terminate His Rights (Rev. 9/07†)
PCA311 ..........Notice of Hearing to Identify Father & Determine or Terminate His Rights (Rev. 9/07†)
PCA312 ..........Order Terminating Rights of Father WIthout Release or Consent (Rev. 9/07†)
PCA313 ..........Petition to Issue Notice of Intent to Release or Consent (Rev. 9/07†)
PCA314 ..........Notice of Intent to Release or Consent (Rev. 9/07†)
Notes: † The previous revision may be used until stock is depleted.                       * The new revision must be used after December 31, 2009.
       ‡ The previous revision may be used with hand correction until stock is depleted   ✭ The new revision must be used after December 31, 2007.




                                                                                                                                                                              13
 F.O.C., Probate, & Juvenile Court Forms


                                   PRObAtE FORMS (8 1/2 x11 - Pads of 50 sheets, unless otherwise noted) (continued)
     PCA315 ..........Declaration of Inability to Identify/Locate Father (Rev. 9/07†)
     PCA316 ..........Notice to Putative Father and Custody Statement (Rev. 9/06†)
     PCA318 ..........Order Terminating Parental Rights After Release or Consent (Rev. 9/07†)
     PCA319 ..........Order Placing Child (Step-Parent Adoption) (Rev. 9/07†)
     PCA320 ..........Order Placing Child After Consent (Rev. 9/07†)
     PCA321 ..........Order of Adoption (Rev. 9/07†)
     PCA321a ........Order of Adoption, (altern. format for framing) (Rev. 9/07†)
     PCA321b ........Order of Adoption, (alternat certificate format for framing)(Rev. 9/98†)
     PCA322 ..........Order Committing to Agency/Department of Human Services (Rev. 9/07†)
     PCA323 ..........Advice of Rights After Order Terminating Parental Rights(Adoption Code) (Rev. 9/08†)
     PCA325 ..........Notice to Adopting Parent on Pending or Potential Appeal/Rehearing (Rev. 9/07†)
     PCA326 ..........Order Authorizing Foster Care Funding After Release (Rev. 9/07†)
     PCA327 ..........Petition for Adoption Information & Order (Rev. 9/07†)
     PCA328 ..........Certificate of Adoptive Information (Rev. 9/97†) (Replaces JC52)
     PCA329 ..........Statement of Parent/Guardian Authorizing Temporary Placement of Child for Adoption (Rev. 9/07†)
     PCA330 ..........Statement of Parent/Guardian Transferring Physical Custody of Child for Adoption (Rev. 9/06‡)
     PCA331 ..........Statement of Child Placing Agency Transferring Physical Custody of Child for Adoption (Rev. 9/06‡)
     PCA332 ..........Statement of Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption (Rev. 9/07†)
     PCA332a ........Statement of Nonresident Prospective Adoptive Parent Transferring Physical Custody of Child for Adoption (New 9/06)
     PCA333 ..........Follow up Report after Temporary Placement of Child for Adoption (Rev. 9/06‡)
     PCA334 ..........Clerk’s Report to Prosecuting Attorney (Rev. 9/07†)
     PCA335 ..........Petition to Determine Custody of Child Temporary Placed for Adoption (Rev. 9/07†)
     PCA336 ..........Order to Determine Custody of Child Temporary Placed for Adoption (Rev. 9/07†)
     PCA337 ..........Petition by Parent/Guardian for Return of Child and Ex Parte Order (Rev. 9/07†)
     PCA338 ..........Statement to Accompany Release (Rev. 9/07†)
     PCA339 ..........Statement to Accom. Consent in Direct Placement (Rev. 9/07†)
     PCA340 ..........Statement of Identifying Information (Rev. 9/07†)
     PCA341 ..........Final Order Allowing Fees and Costs (Rev. 9/07†)
     PCA342 ..........Petition and Order to Appoint Confidential Intermediary (Rev. 9/07†)
     PCA343 ..........Petition and Order for Approval of Confidential Intermediary Fee (Rev. 9/07†)
     PCA344 ..........Petition and Order for Release of Information from Confidential Intermediary and Court (Rev. 9/09†)
     PCA345 ..........Statement of Services Performed by Agency/ Department of Human Services (Rev. 9/07†)
     PCA346 ..........Statement of Services Performed by Attorney (Rev. 9/07†)
     PCA347 ..........Petitioner’s Verified Accounting (Rev. 9/07†)
     PCA348 ..........Parent or Guardian’s Verified Accounting for Adoption Release or Direct Placement Consent (Rev. 9/07†)
     PCA349 ..........Petition for Rescission of Adoption and Order (Rev. 9/07†)
     PCA350 ..........Motion and Order for Delayed Registration of Foreign Birth (Rev. 9/07†)
     PCA351 ..........Order Following Hearing on Review of Adoption Placement (IV-E EligibilityCompliance) (Rev. 9/07†)
     PC4024...........Reciept for Will (With Auth. to Rel. on Back) (not SCAO app.)

     Notes: † The previous revision may be used until stock is depleted.                          ‡ The previous revision may be used with hand correction until stock is depleted.



                                                              Many forms used in District & Circuit Courts are also used in Probate and Juvenile Courts.


                                     CiRCuit COuRt, FAMilY DiviSiON FORMS (8 1/2”X11” - Pads of 50 sheets, unless otherwise noted)
 CCFD01........... Petition for Placement Order of Surrendered Newborn (New 1/01)
 CCFD02........... Order Placing Surrendered Newborn with Prospective Adaptive Parents (Rev. 9/07†)
 CCFD03........... Petition of Parent for Custody of Surrendered Newborn Child (New 1/01)
 CCFD04........... Order for Blood or Tissue Typing or DNA Profile (Rev. 9/07†)
 CCFD04a......... Order Determining Maternity/Paternity of Surrendered Newborn Child (New 9/07)
 CCFD05........... Motion Objectiong to DNA Identification or Blood/Tissue Typing Summary Report (New 1/01)
 CCFD06........... Order Determining Custody of Surrendered Newborn Child (Rev. 9/07†)
 CCFD07........... Petition to Accept Release and Terminate Rights to Surrendered Newborn Child (Rev. 9/07†)
 CCFD08........... Order After Hearing on Petition to Accept Release and Terminate Rights to Surrendered Newborn Child (Rev. 9/07†)

                                     JuvENilE COuRt FORMS (8 1/2”X11” - Pads of 50 sheets, unless otherwise noted)
 JC01 ............Complaint (Request for Action), Delinquency Proceedings, Pages 1 & 2 (Rev. 9/06†)
 JC02 ............Complaint (Request for Action) Child Protective Proceedings, Pages 1 & 2 (Rev. 9/06†)
 JC03 ............Order Appointing Attorney/Guardian Ad Litem (Rev. 9/03)
 JC04a ..........Petition (Delinquency Proceedings) (Rev. 9/07†)
 JC04b ..........Petition (Child Protective Proceedings) (Rev. 9/08❖)
 JC05a-1 .......Order to Apprehend/Detain (Delinquency Proceedings/Minor Personal Protection) page 1 (requires page 2) (Rev. 9/08†)
 JC05a-2 .......Order to Apprehend/Detain (Delinquency Proceedings/Minor Personal Protection) page 2 (Rev. 9/06†)
 JC05b-1 .......Order to Take Child(ren) Into Protective Custody (Child Protection Proceedings) page 1 (requires page2) (Rev. 6/09†)
 JC05b-2 .......Order to Take Child(ren) Into Protective Custody (Child Protection Proceedings) page 2 (Rev. 6/09†)
 JC06 ............Waiver of Attorney or Request for Appointment of Attorney (Rev. 11/05†)
 JC07 ............Appearance of Attorney/Guardian Ad Litem (Rev. 6/03†)
 JC08 ............Bond for Appearance (Rev. 11/05)
 JC10 ............Order After Preliminary Hearing/Inquiry (Delinq./Personal Protection) pages 1 and 2 (Rev. 9/06†)
 JC11a-1 .......Order After Preliminary Hearing (Child Protective Proceedings) Page 1 and 2 (requires JC11a-2)(Rev. 6/09*)
 JC11a-2 .......Order After Preliminary Hearing (Child Protective Proceedings) Page 3 (requires JC11a-1)(Rev. 6/09*)
 JC11b-1 .......Order After Pretrial Hearing (Child Protective Proceedings) Page 1 and 2 (Requires JC11b-2)(Rev. 9/07‡)
 JC11b-2 .......Order After Pretrial Hearing (Child Protective Proceedings) Page 3 (Requires JC11b-1)(Rev. 9/07‡)
 JC12a ..........Proof of Service/Non-Service (Rev. 9/06†)
 JC12b ..........Proof of Service/Non-Service, (Alternative Style) (Rev. 9/06†)
 JC14a ..........Order of Disposition in Home (Delinquency Proceedings) (Rev. 9/08†)


            For instant Service Call 1-800-258-0258, Fax to 1-517-337-9205 or email: order@targetinfo.com

14
                                                                                                                                           F.O.C., Probate, & Juvenile Court Forms


                    JuvENilE COuRt FORMS (8 1/2”X11” - Pads of 50 sheets, unless otherwise noted) (continued)
JC14b ..........Order of Disposition Out of Home (Delinquency Proceedings) Pages 1 and 2 (Rev. 9/06†)
JC15 ............Motion and Authorization/Denial (Rev. 6/03†)
JC16 ............Req. & Ord. for Finger./Photo./Show up Present.(Rev. 6/03)
JC17-1 .........Order of Disposition (Child Protective Proceedings) Pages 1 and 2 (Requires Page 3) (Rev. 9/07‡)
JC17-2 .........Order of Disposition (Child Protective Proceedings) Page3 (Rev. 9/07‡)
JC17a ..........Order of Disposition, Child in Home (Child Protective Proceedings) (New 9/06)
JC18 ............Motion to Waive Jurisdiction and Notice (Rev. 6/03)
JC19-1 .........Order Following Dispositional Review/Perm. Plan. Hearing (Child Protect. Proceedings) Pages 1 and 2 (Requires Pages 3 and 4) (Rev. 6/09❖)
JC19-2 .........Order Following Dispositional Review/Perm. Plan. Hearing (Child Protect. Proceedings) Pages 3 and 4 (Rev. 6/09❖)
JC20 ............Summons: Order to Appear, (Delinquency Proceedings)/(Personal Protection Proceedings) (Rev. 9/09†)
JC21 ............Summons: Order to Appear, (Child Protective Proceeding) (Rev. 9/09†)
JC22 ............General Blank Form (Rev. 6/03†, not SCAO approved)
JC23 ............Waiver of Summons/Notice of Hearing (Rev. 11/05†)
JC24 ............Petition and Order to Show cause (Rev. 5/85)
JC25 ............Order of Disposition Commitment or Referral to Dept. of Human Services (Delinquency Proceedings), pages 1 and 2 (Rev. 9/07†)
JC29 ............Order to Transfer Case (Rev. 6/03†)
JC31 ............Authorization for Return of Bond (Rev. 9/06†)
JC32 ............Publication of Hearing (Rev. 9/07†)
JC33 ............Motion and Order to Destroy Files (Rev. 9/06†)
JC34 ............Financial Statement (Rev. 6/03†)
JC36 ............Request and Order Terminating Court Jurisdiction (Rev. 9/06†)
JC37 ............Request for Financial Information (Rev. 9/07†)
JC38 ............Order for Reimbursement (Rev. 6/03†)
JC39 ............Order for Assignment of Wages (Rev. 6/03†)
JC40 ............Order for Contempt of Court (Rev. 9/09†)
JC41 ............Motion and Order to Close Proceedings to Public (Rev. 11/05†)
JC42 ............Request and Order for Review of Ref. Recommendations (Rev. 6/03‡)
JC44 ............Advice of Rights After Order Terminating Parental Rights (Rev. 11/05†)
JC45 ............Notice of Hearing (Rev. 9/07†)
JC46 ............Motion for Alternate Service (Rev. 6/03†)
JC47 ............Order for Alternate Service (Rev. 9/07†)
JC48 ............Notice of Proceedings Concerning American Indian Child (Rev. 9/07†) (2 part)
JC49-1 .........Order of Adjudication (Child Protective Proceedings) Pages 1 and 2 (Requires pages 3 and 4) (Rev. 9/07‡)
JC49-2 .........Order of Adjudication (Child Protective Proceedings) Pages 3 and 4 (Rev. 9/07‡)
JC50 ............Request for Confidentiality (Rev. 11/05†)
JC51 ............Statement of Preference (Rev. 6/03)
JC52 ............Motion and Order for Modification or Cancellation of Minimum State Costs Owed (New 11/05)
JC53 ............Notice to Putative Father (Rev. 11/05†)
JC54 ............Mot. & Ord. for Modif. or Cancel. of Restitution Owed (Rev. 11/05†)
JC55 ............Diversion Record (Rev. 6/03†)
JC56 ............Notice of Diversion Conference (Rev. 6/03†)
JC57 ............Supplemental Order of Disposition Following Review Hearing (Delinquency Proceedings) Pages 1 and 2 (Rev. 9/07†)
JC58 ............Order Cancelling Wage Assignment (Rev. 6/03†)
JC59 ............Order of Adjudication (Delinquency Proceedings) Pages 1 and 2 (Rev. 9/09†)
JC60 ............Not. of Intent to Intercept State Income Tax (Rev. 6/03†) (2 part)
JC61 ............Order to Intercept State Income Tax (Rev. 6/03†) (3 part)
JC62 ............Order to Cancel State Income Tax Intercept (Rev. 6/03†)(3 part)
JC63 ............Order Following Hearing to Terminate Parental Rights (Child Protective Proceedings) (Rev. 6/09*)
JC65 ............Ord. Remov. Alleged Abuser from Child’s Home (Child Prot. Proc.) (Rev. 9/07†) (3 part)
JC66 ............Application to Set Aside Adjudication & Order (Rev. 9/09†)
JC67 ............Notice of Hearing (Designated Case) (Rev. 9/06†)
JC68 ............Order After Designation Hearing (Rev. 11/05†)
JC69 ............Order After Preliminary Examination (Designated Case) (Rev. 9/06†)
JC70 ............Judgment of Conviction (Designated Case) (Rev. 9/08†) (3 part)
JC71 ............Judgment of Sentence/Committment to Jail (Rev. 11/05†) (5 part)
JC72 ............Judgment of Sentence/Commitment to Department of Corrections (Designated Case) (Rev. 11/05†) (5 part)
JC73 ............Order Delaying Sentence (Designated Case) (Rev. 11/05†) (4 part)
JC74 ............Order of Probation (Designated Case) (Rev. 9/08†) (6 part)
JC75-1 .........Order Following Emergency Removal Hearing (Child Protective Proceedings) Pages 1 and 2, (requires Page 3) (Rev. 6/09*)
JC75-2 .........Order Following Emergency Removal Hearing (Child Protective Proceedings) Page 3 (Rev. 6/09*)
JC76 ............Order After Post-Termination Review/Permanency Planning Hearing (Child Protective Proceedings) Pages 1 and 2 (Rev. 9/09*)
JC77 ............Waiver and Consent to Enter Teen Court (Plea Under Advise.)(Rev. 9/07†)
JC78 ............Waiver and Consent to Enter Teen Court (Diversion) (Rev. 9/07†)
JC79 ............Publication of Hearing, Notice to Putative Father (New 6/03)
JC80 ............Notice of Hearing on Probation Violation (New 6/03)
JC81 ............Request and Order for Court Appointed Appellate Counsel (Rev. 11/05†)
JC82 ............Affidavit of Service Performed by Lawyer/Guardian Ad Litem (Rev. 9/07†)
JC83 ............Affidavit of Efforts to Locate Absent Parent (Rev. 11/05)
JC84 ............Claim of Appeal & Order Appointing Appellate Counsel (Rev. 11/05)
JC85 ............Order Denying Appointment of Appellate Counsel (Rev. 9/07†)
JC86 ............Order After First-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings) (New 11/05)
JC87 ............Order After Second-Phase Hearing to Waive Jurisdiction (Delinquency Proceedings) (New 11/05)
JC88 ............Order Appointing Next Friend (Personal Protection Proceedings) (New 11/05)
JC89 ............Order Transferring Petition from Formal Calendar to Consent Calendar (Delinquency) (New 9/06)
JC90 ............Order Correcting Identifying Information (Child Protective Proceedings) (New 9/08)
JC91 ............Order Appointing Juvenile Guardian (New 6/09)
JC92 ............Acceptance of Appointment (Juvenile Guardian) (New 6/09)
JC93 ............Letters of Juvenile Guardianship (New 6/09)
JC94 ............Annual Report of Juvenile Guardian on Condition of Child (New 6/09)
JC95 ............Order Appointing Person to Investigate Juvenile Guardianship (New 6/09)
JC96 ............Report After Investigation of Juvenile Guardianship (New 6/09)
JC97 ............Order Following Investigation and Report on Juvenile Guardianship(New 6/09)
JC98 .......... Petition to Terminate Appointment of Juvenile Guardian, Notice of Hearing, and Order For Investigation (New 6/09)
JC99 .......... Petition to Revoke Juvenile Guardianship, Notice of Hearing, and Order for Investigation (New 6/09)
JC100 ........ Order Following Hearing on Petition to Terminate Appointment of Juvenile Guardian (New 6/09)
JC101 ........ Order Regarding Revocation of Juvenile Guardianship (New 6/09)
JC102 ........ Request and Order for Court Appointed Attorney (New 9/09)

Notes: † The previous revision may be used until stock is depleted.                       H The new form must be used after Jan 5, 2008 unless statutory criteria has not been met.
       ‡ The previous revision may be used with hand correction until stock is depleted   ❖ The new revision must be used after December 31, 2008.
                                                                                          * The new revision must be used after December 31, 2009                                     15
     Additional Forms & Supplies




                                                       ADDitiONAl FORMS AND SuPPliES
        tO ORDER: Please use the order form on page 19 of this catalog. Photocopy and fax in your order, or call us toll free. Prices and quantity breaks are
        listed on page 18 (pad prices are listed below). Multipart sets are snap apart sets either interleaved with carbon, or are self-imaging carbonless paper (no
        carb). Some are available both ways. Some forms are also available in continuous feed self-imaging carbonless sets (contin) or in pads of 50 single sheets
        (Pad 50). Carbonless forms are black imaging.

     FORM                                                                                                                                                                                                             CHOiCE OF
     NuMbER                      DESCRiPtiON                                                                                                                                                                           FORMAtS
                           CONStRuCtiON liEN (white, 8 1/2” x 11” except as noted)
     COL01 .............Notice of Commencement (Rev. 1/00) .................................................................................................................................................................pad          50
     COL02 .............Notice of Furnishing (Proof of Service on back) (8 1/2” x 14”) (Rev. 3/97) .........................................................................................................pad                          50
     COL03 .............Sworn Statement (Rev. 1/83) ...............................................................................................................................................................................pad   50
     COL04 .............Partial Conditional Waiver of Lien (Rev. 1/83) .....................................................................................................................................................pad          50
     COL05 .............Partial Unconditional Waiver of Lien (Rev. 1/83) .................................................................................................................................................pad            50
     COL06 .............Full Conditional Waiver of Lien (Rev. 1/83)..........................................................................................................................................................pad         50
     COL07 .............Full Unconditional Waiver of Lien (Rev. 1/83) ......................................................................................................................................................pad          50
     COL08 .............Claim of Lien (Proof of Service on back) (8 1/2” x 14”) (Rev. 9/99) ....................................................................................................................pad                      50
     COL09 .............Demand to Inspect & Copy Contract & Receive Written Statement (Rev. 1/83) .................................................................................................pad                                   50
     COL10 .............Demand for Statement from Lien Claimant (Rev. 1/83) .......................................................................................................................................pad                   50
     COL11 .............Second Sheet (for use when additional sheets needed) (Rev. 1/83) ..................................................................................................................pad                           50
     COL12 .............Release & Discharge of Construction Lien (8 1/2” x 14”) (Rev. 9/99) .................................................................................................................pad                         50
                           MiCHiGAN uCC FORMS (white, 8 1/2” x 11”)
                        Michigan now uses the National UCC forms listed below except for the UCC-11, which is newly revised, adapted for Michigan from the new
                        National form
     UCC-11 ............Information or Copy Request (Rev. 10/19/01) ...................................................................................................................................................... 3 part
                           NAtiONAl uCC FORMS (white, 8 1/2” x 11”, NCR)
     UCC1 ...............UCC Financing Statement (Rev. 5/22/02)............................................................................................................................................................. 5        part
     UCC1Ad ..........UCC Financing Statement Addendum (Rev. 5/21/09†) ........................................................................................................................................ 5                     part
     UCC1AP ..........UCC Financing Statement Additional Party (New 5/22/02) .................................................................................................................................. 5                     part
     UCC3 ...............UCC Financing Statement Amendment (Rev. 5/22/02) (continuation, termination, etc.)...................................................................................... 4                                   part
     UCC3Ad ..........National Financing Statement Amendment Addendum (Rev. 7/29/98)................................................................................................................. 4                               part
     UCC3AP ..........UCC Financing Statement Amendment Additonal Party (New 5/22/02) ............................................................................................................... 4                               part
     UCC5 ...............Statement of Claim (Rev. 5/21/09†)...................................................................................................................................................................... 4   part
                           DEEDS
                           These State Bar of Michigan Deeds, printed on 25% cotton 8 1/2” x 14” bond, are padded (50 sheets per pad.)
                           Cotton bond prices are slightly higher as shown.
     861...................Warranty Deed (Rev. 5/03)
     861R ................Warranty Deed, Rural (Rev. 5/03)
     862...................Warranty Deed for Corporation (Rev. 5/03)                                                            No. of pads                                                                      Price per pad
     863...................Quit-Claim Deed (Rev. 5/03)                                                                              1 -4                                                                           $6.00
     863R ................Quit-Claim Deed, Rural (Rev. 5/03)                                                                        5 -9                                                                           $5.80
     864...................Quit-Claim Deed for General Partnership (Rev. 5/03)                                                    10 - 19                                                                          $5.60
     865...................Quit-Claim Deed for Corporation (Rev. 5/03)                                                            20 - 30                                                                          $5.40
     866...................Warranty Deed for General Partnership (Rev. 5/03)
     891...................Warranty Deed, Short (old style form with title panel on back) (Rev. 5/03)
     893...................Quit-Claim Deed, Short (old style form with title panel on back) (Rev. 5/03)
     895...................Warranty Deed, For Tenants by the Entirety (Rev. 5/03)
                           PRAECiPES AND OtHER FORMS FOR SPECiFiC COuRtS
     C10 ..................Praecipe for Motion and Misc. Docket, (for the Circuit Court of Oakland County) (8 1/2”x7” white) (Rev. 12/99) .............................................pad 50
     1016.................Praecipe for Motion in Domestic Relations Act., (for Wayne Co. F.O.C., 3rd Jud. Cir. Ct.) (yellow, 8 1/2”x11”) (Rev. 9/91) ..............................pad 50
     D100 ................Request for Hearing on a Motion (Praecipe) Order/Judgment (for Wayne County) ............................................................................................pad 50
     1120 .................At Issue Praecipe, Wayne Co. (Rev. 7/88) (white, 5 1/2”x8 1/2”, 70 lb) ..............................................................................................................pad 50
     DC-4C..............Motion and Notice of Hearing (for 68th Dist. Court) (white 8 1/2”x11”) ................................................................................................................ 3 part
     MC-288 ............Request for Hearing on a Motion (for Macomb County) (8 1/2”x11” white) (Rev. 4/26/99) ................................................................................pad 50
     GC-400 ............Motion and Notice of Hearing (for Genesee County) (white 8 1/2”x11”) .............................................................................................................. 5 part
     36DC-68SU .....Motion to Reinstate Cause of Action (for 36thDC) (Rev. 4/02) ............................................................................................................................. 3 part
     36DC-73MS .....Motion Scheduling and Order Form (Praecipe) (Rev. 4/02) ................................................................................................................................. 4 part
     1225.................Certificate of Conformity (Wayne Co. 3rd Circuit Court) (Rev. 9/91) ...................................................................................................................pad 50
                           bANKRuPtCY SEtS
                           We have discontinued carrying bankruptcy sets. They may be available from Wolcott’s Forms, Inc. in California. Call (800) 421-2220.
                           OtHER bANKRuPtCY FORMS (Priced as Standard Pads)
     B10 ..................Proof of Claim (Replaces 2020) (Rev. 4/04) ........................................................................................................................................................pad 50
     B11A ................General Power of Attorney (Rev. 6/90) ................................................................................................................................................................pad 50



                                                   lOW PRiCES - PROMPt REliAblE SERviCE
          Orders processed                                                                                                                                                                       terms: net 30 days
            upon receipt                                                                                                                                                                          Shipped via uPS




16
                                                                                                                                                                                          Additional Forms & Supplies


FORM                                                                                                                                                                                                              CHOiCE OF
NuMbER                      DESCRiPtiON                                                                                                                                                                            FORMAtS
                      OtHER bANKRuPtCY FORMS (Priced as Standard Pads) (continued)
B11B ................Special Power of Attorney (Rev. 6/90) ..................................................................................................................................................................pad 50
B240 ................Reaffirmation Agreement (Pages 1 & 2) (Rev. 11/99) (Requires B240a, Pages 3 & 4) .......................................................................................pad 50
B240a ..............Continuation of B240 (Pages 3 & 4) .....................................................................................................................................................................pad 50
BB7 ..................Blue Cover Sheet Chapter 7 (8 1/2” x 12”, sold in single sheets@ .25 each) (Rev. 6/90) ................................................................................... sheets
BB11 ................Blue Cover Sheet Chapter 11 (8 1/2” x 12”, sold in single sheets@ .25 each) (Rev. 6/90) ................................................................................. sheets
BB12 ................Blue Cover Sheet Chapter 12 (8 1/2” x 12”, sold in single sheets@ .25 each) (Rev. 6/90) ................................................................................. sheets
BB13 ................Blue Cover Sheet Chapter 13 (8 1/2” x 12”, sold in single sheets@ .25 each) (Rev. 6/90) ................................................................................. sheets
                      MiSCEllANEOuS FORMS (25% cotton forms are priced like deeds above)
BCN .................Bad Check Notice (8 1/2 x 11”) (Rev. 9/99) ........................................................................................................................................................... 3 part
C-45 .................Certificate of Persons Conducting Business Under Assumed Name (8 1/2” x 14”, 25% cotton) (3 part multi-colored, priced as 7 part) ...........3 part, pad 50
C-46 .................Certificate of Co-Partnership (8 1/2” x 11”) ............................................................................................................................................................ 4 part
881...................Security Agreement (for Individual, Partnership, or Corporation) (8 1/2” x 11”, 25% cotton) (Rev. 12/99) ..........................................................pad 50
901...................Security Agreement Note (8 1/2” x 11”, 25% cotton) ............................................................................................................................................pad 50
954...................Assignment of stock (8 1/2” x 7”, 25% Cotton) .....................................................................................................................................................pad 50
1024.................Durable Power of Attorney (Rev. 8/06)(8 1/2” x 14”, 25% Cotton) .......................................................................................................................pad 50
                      REAl EStAtE FORMS (white 8 1/2” x 11” unless otherwise noted)
RL100 ..............Rental Application (Rev. 2006) ..............................................................................................................................................................................pad 50
RL105 ..............Residential Lease, (short form) (Requires the use of RL110, Inventory Check list,sold separately) (Rev. 9/99) ........................................................pad 50
RL106 ..............Residential Lease (long form, 2 pages) (Requires use of RL110, InventoryCheck List, sold separately) (Rev. 9/04) ......................... priced as a 2 part
RL107 ..............Disclosure of Information on Lead Based Paint (for housing rentals)(Rev. 7/06).................................................................................................pad 50
RL110 ..............Inventory Check List, (8 1/2” x 14”) (1988) (multi-colored, priced as 3 part) ......................................................................................................... 2 part
RL111 ..............Inventory Check List & Condition Report, (8 1/2” x 11”) (Rev. 1/00) (multi-colored, priced as 3 part) .................................................................. 2 part
RL112 ..............Inventory Check List, Mobile Home Park, (8 1/2” x 11”) (Rev. 1/02) (multi-colored, priced as 5 part) ................................................................. 3 part
RL120 ..............Land Contract (8 1/2” x 14”, 25% Cotton) (Rev. 9/99) ............................................................................................................ pad 50, priced like deeds
RL121 ..............Payment Record for Land Contracts or Mortgages (Rev. 7/96) ...........................................................................................................................pad 50
RL130 ..............Residential Lease with Option, Real Estate (Rev. 2007) ......................................................................................................................................pad 50
RL131 ..............Commercial Lease with Option, Real Estate (Rev. 12/99) ...................................................................................................................................pad 50
RL200 ..............Bill of Sale, (25% cotton) (Rev. 12/99) .................................................................................................................................... pad 50, priced like deeds
RL207 ..............Disclosure of Information on Lead Based Paint (for housing sales) (Rev. 10/06) ................................................................................................pad 50
RL210 ..............Memorandum of Land Contract, (8 1/2” x 14”, 25% cotton) (Rev. 5/03) ................................................................................ pad 50, priced like deeds
C&S111 ............Retailer Application for Certificate of Manufactured Home Ownership (Rev. 4/07) (Green) ................................................................................pad 50
SDS .................Sellers Disclosure Statement (Rev. 1/06) .............................................................................................................................................................pad 50
2368.................Homestead Exemption Affidavit (Rev. 4/09) (Was T-1056) ..................................................................................................................................pad 50
2602.................Request to Rescind/Withdraw Homestead Exemption (Rev. 4/07) (Was T-1067)................................................................................................pad 50
L-4258 (2705) .. Real Estate Transfer Tax Valuation Affidavit (Rev. 3/95) ......................................................................................................................................pad 50
L-4260 (2766) .. Property Transfer Affidavit (Rev. 1/09) .................................................................................................................................................................pad 50
L-4260A (3278) Notice to Assessor of Transfer of the Right to make a Division of Land (Rev. 12/98) .........................................................................................pad 50
MLM910........... Notice to Tenant (Commencement of Tenancy) .................................................................................................................................................... 2 part
MLM912........... Security Deposit Notice to Tenant (After Termination of Tenancy) (Rev. 12/99) ................................................................................................... 2 part
                      WORKER’S COMPENSAtiON FORMS (white, 8 1/2” x 11”, NCR)
WC-1 ............... Waiver of Seniority.....................................................................................................................................❐ pad 50 NCR (priced like deeds), ❐ 4 part
WC-2 ............... Agreement to Redeem Liability .................................................................................................................❐ pad 50 NCR (priced like deeds), ❐ 4 part
                      CRt. REPORtER/RECORDER APPEAlS (white, 8 1/2” x 11”, NCR)
MC501 ............. Reporter/Recorder Certificate of Ordering of Transcript on Appeal (Rev. 3/09†) ................................................................................................. 5 part
MC502 ............. Notice of Filing of Transcript & Affidavit of Mailing (Rev. 3/08†)............................................................................................................................ 5 part
MC503 ............. Motion to Extend Time for Filing Transcript on Appeal (Rev. 3/09†) ..................................................................................................................... 5 part


        lASER PRiNtER PAPER
We now offer 8 1/2” x 11” self-imaging paper for use in laser printers and digital
copiers. This is coated front and back or what is called CFB so that the back                                                               Helpful information
side of each sheet will image onto the face of the next sheet. These are sold
in reams of 500, or in cartons of 10 reams (except Giroform, sold 5 reams to a                                                              Image quality decreases as the number of sheets in a set
carton). Prices are per thousand (m) sheets.                                                                                                increases. Lighter weight paper (about 20 pound - made
                                                                                                                                            for offset printing presses) images slightly better through
Prices are volatile on paper and may change but current prices are shown                                                                    many sheets than heavier weights. “Laser” paper is
below. We offer four types. We offer three laser grade papers and one                                                                       heavier weight (about 23 pound) but is specifically
designed for offset printing that is popular none-the-less. (see details at right)                                                          designed for laser printers and copiers and accordingly
                                                                                                                                            is also more expensive. The laser paper is supposed to
                                                                                                                                            run better with less jamming or curling in digital devices
                        Code Weight Partial Carton                            Full Cartons                                                  and is guaranteed not to damage rubber rollers in these
NCR Xero-Form ........ N ......... 22 ................. 50/m .................... 46/m                                                      devices. Still some people prefer the less expensive and
Xcellerator (laser) ... X ......... 22 ................. 50/m .................... 46/m                                                     thinner paper for offset printing. For context, standard
Nekossa (laser) ....... D ......... 23 ................. 49/m .................... 45/m                                                     copier paper is 20 pound and our multiple part forms are
Giroform (laser) ....... G ......... 22.9 .............. 41/m .................... 37/m                                                     made with about 15 pound paper (for better imaging).
Excel (Offset) ............ E ......... 20 ................. 37/m .................... 33/m
Nekoosa (Offset)....... F.......... 20 ................. 35/m .................... 31/m
                                                                                                                                                                                                                                      17
     Additional Forms & Supplies
     Order Form & Pricing




18
                                                                                                                               Order Form & Pricing




                                                                              Stock Form Order Form

                      You may wish to photo copy this page before filling it in

     Qty.              Form Number / Description                                                                  Carbon
                                                                                                                             No
                                                                                                                           Carbon
                                                                                                                                  Contin.      Pad




   Fill in the blanks above and fax this page to us at (517) 337-9205 or get
       instant service by calling us toll-free at (800) 258-0258 and speak
                       with one of our friendly operators.
   You can also mail it to P.O. box 22003 lansing, Mi 48909 or send us an
           email with your order information to order@targetinfo.com
Firm Name                                                                  Telephone No.                                        Customer No.

_________________________________________________________________________________________________________________________________________________
Shipping Address                                                           Purchase Order No. (if applicable)

_________________________________________________________________________________________________________________________________________________
City, State & Zip                                                          To The Attention Of:                                 Date



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           upon receipt             Low Prices • Prompt Reliable Service                                                     terms: net 30 days
                                                                                                                              Shipped via uPS



                                                                                                                                                      19
                                                                                                                                     Prsrt Std
                                                                                                                                   U.S. Postage
                                                                                                                                      PAiD
                                                                                                                                    Okemos, MI
                                                                                                                                   Permit No. 13
                      P.O. Box 22003
                      Lansing, MI 48909
                      Toll Free: (800) 258-0258




                         WORK SmaRT!
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                … from needless typing by
               using our Preprinting Service.
        ✯      Your Court Number
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                                                                            NuMbER OF PARtS
                       QuANtitY                           2              3      4       5                            6              7
                          500                            $47            $54    $62     $71                          $81            $92
                         1000                            $54            $63    $73     $84                          $96           $109
                      EXtRA 1000s                         $7             $9    $11     $13                          $15            $17


     *Prices include 2 plates and one color for color bands. Extra plates, for an additional $10.00 each, are required for forms with multiple faces or
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     TaRGET INFORmaTION maNaGEmENT, INC.
         P.O. Box 22003 • Lansing, Michigan 48909 • (517) 337-1211 • (800) 258-0258 • Fax: (517) 337-9205

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