Michigan > Local County > Oakland > Family Division
Statement Of Services Performed By Attorney PCA-346 - Michigan
| Statement Of Services Performed By Attorney Form. This is a Michigan form and can be used in Family Division Oakland Local County . |
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Approved, SCAO STATE OF MICHIGAN 6th JUDICIAL CIRCUIT - FAMILY DIVISION Oakland COUNTY STATEMENT OF SERVICES PERFORMED BY ATTORNEY 7 DAY 21 DAY FILE NO. In the matter of adoptee Full name of child DOB: I am an attorney representing the petitioner mother petitioner father mother of adoptee father of adoptee I state that the following itemizes the services performed and any fees, compensation, or other thing of value received by or agreed to be paid to me for, or incidental to, the adoption of the child. Date Service Performed Fee, Compensation, or Other Value SUBTOTAL from 7 Day Statement of Services Performed by Attorney TOTAL $0.00 I represent a party in this direct placement adoption. I have not requested or received any compensation for the activities described in MCL 710.54(2); MSA 27.3178(555.54)(2). I delcare that this statement has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Signature of attorney Name (print or type) NOTE: Attach this statement to Form PCA 347, "Petitioner's Verified Accounting" Address City, state, zip Telephone no. Do not write below this line - For court use only PCA 346 (9/97) STATEMENT OF SERVICES PERFORMED BY ATTORNEY MCL 710.54(7); MSA 27.3178(555.54)(7) American LegalNet, Inc. www.FormsWorkFlow.com
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