Michigan > Statewide > Domestic Relations > Administrative Liens
Notice Of Conditional Release Of Lien FOC 92a - Michigan
| Notice Of Conditional Release Of Lien Form. This is a Michigan form and can be used in Administrative Liens Domestic Relations Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Original - Friend of the Court 1st copy - Financial institution 2nd copy - Plaintiff Approved, SCAO 3rd copy - Defendant STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT (Claimants Case Number) NOTICE OF COUNTY CONDITIONAL RELEASE OF LIEN Friend of the Court address FAX no. Telephone no. Financial institution Plaintiff name, address, and telephone no. ObligorTO: v FROM: Friend of the Court - Claimant (address above) Defendant name, address, and telephone no. Obligor Obligors date of birth Obligors social security no.OBLIGORS AFFIDAVIT AND AGREEMENT TO RELEASE FUNDS 1. I am the account holder of record for this account and the owner of the funds in this account. 2. No other person has a claim to the funds in this account, or, if such a person exists, I have obtained that persons authorization to release the funds. 3. I authorize the financial institution named above to transfer funds to satisfy the conditions of this release. 4. I understand that the financial institution may deduct a fee from the remaining balance of the account to process this request.5. I agree that if a reversal of the transfer is requested, the release of this lien will be void and the released funds will be subject to the original lien. Obligors signature Subscribed and sworn to before me on Date , County, Michigan.My commission expires: Signature: Date Notary public CONDITIONAL RELEASE OF LIEN 6. A lien arose against obligors property by operation of law in the amount of past due child support. Notice of Lien is attached.7. The friend of the court has determined the lien should be terminated in consideration of the obligors affidavit and agreement to release of funds as executed above. 8. You are notified that the lien has been terminated by the friend of the court subject to the following conditions: a. The financial institution transfers $ to the MiSDU. b. In the event of a reversal of the transfer, the lien will continue in effect for all reversed funds and will reinstate on the account when the financial institution is notified that the terms of this release have not been met. 9. In accordance with law and subject to the terms of this release, this notice releases the lien upon receipt by the above named financial institution. Date Signature of authorized representative CERTIFICATE OF MAILING I certify that on this date I mailed a copy of this notice and a copy of the perfected Notice of Lien to the above named financialinstitution, the plaintiff, and the defendant addressed at their last known addresses. Date Signature FOC 92a (4/02) NOTICE OF CONDITIONAL RELEASE OF LIEN OMB Control #: 0970-0153
|
|||||||
