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Order Suspending License (Child Support Or Parenting Time) FOC 84 - Michigan
| Order Suspending License (Child Support Or Parenting Time) Form. This is a Michigan form and can be used in Support Domestic Relations Statewide . |
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Original - Court, Part 1 3rd copy - Friend of the Court, Part 2 1st copy - Plaintiff, Part 1 4th copy - Licensing agency, Part 2 Approved, SCAO 2nd copy - Defendant, Part 1 5th copy - Return of service STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT ORDER SUSPENDING LICENSE COUNTY (CHILD SUPPORT/PARENTING TIME) COURT CODE Friend of the Court address Telephone no. Plaintiffs name, address, and telephone no. Licensee Attorney: v Defendants name, address, and telephone no. Licensee Attorney: THE COURT FINDS: 1. The licensee: a. failed to respond to a Notice of Proposed License Suspension in a timely manner and also failed to pay the entire arrearage. b. requested a hearing based on a Notice of Proposed License Suspension but failed to appear at the scheduled hearing and failed to pay the entire arrearage. c. failed to comply with an Order for Payment of Arrearage. d. failed to comply with an Order for Payment of Arrearage following a contempt finding at a show cause hearing. e. failed to comply with a makeup and ongoing parenting time schedule. IT IS ORDERED: 2. Within 7 business days after receiving this order, the licensing agency shall suspend and not issue to the above named licensee a drivers/chauffeurs license an occupational license a recreational license a sporting license until further order of the court. 3. Any subsequent order rescinding this suspension is effective upon entry and payment of any customary reinstatement fee. The suspended license(s) shall be reinstated within 7 business days after receiving the rescission order and payment of the appropriate reinstatement fee by the licensee. Date Judge PART 1 MCL 552.602(u), MCL 552.629(4), MCL 552.630, MCL 552.633(2),FOC 84 (6/03) ORDER SUSPENDING LICENSE (CHILD SUPPORT/PARENTING TIME) MCL 552.635(4), MCL 552.645(1)<<<<<<<<<********>>>>>>>>>>>>> 2 Original - Court, Part 1 3rd copy - Friend of the Court, Part 2 1st copy - Plaintiff, Part 1 4th copy - Licensing agency, Part 2 Approved, SCAO 2nd copy - Defendant, Part 1 5th copy - Return of service STATE OF MICHIGAN CASE NO. JUDICIAL CIRCUIT ORDER SUSPENDING LICENSE COUNTY (CHILD SUPPORT/PARENTING TIME) COURT CODE Friend of the Court address Telephone no. Plaintiffs name, address, and telephone no. Licensee This information may be confidential under federal law and should only be distributed to the friend of the court and licensing agency. Date of birth Social security no. Driver license no. Attorney: Occupational license no. v Defendants name, address, and telephone no. Licensee Known professional licenses Attorney: THE COURT FINDS: 1. The licensee: a. failed to respond to a Notice of Proposed License Suspension in a timely manner and also failed to pay the entire arrearage. b. requested a hearing based on a Notice of Proposed License Suspension but failed to appear at the scheduled hearing and failed to pay the entire arrearage. c. failed to comply with an Order for Payment of Arrearage. d. failed to comply with an Order for Payment of Arrearage following a contempt finding at a show cause hearing. e. failed to comply with a makeup and ongoing parenting time schedule. IT IS ORDERED: 2. Within 7 business days after receiving this order, the licensing agency shall suspend and not issue to the above named licensee a drivers/chauffeurs license an occupational license a recreational license a sporting license until further order of the court. 3. Any subsequent order rescinding this suspension is effective upon entry and payment of any customary reinstatement fee. The suspended license(s) shall be reinstated within 7 business days after receiving the rescission order and payment of the appropriate reinstatement fee by the licensee. Date Judge PART 2 MCL 552.602(u), MCL 552.629(4), MCL 552.630, MCL 552.633(2),FOC 84 (6/03) ORDER SUSPENDING LICENSE (CHILD SUPPORT/PARENTING TIME) MCL 552.635(4), MCL 552.645(1)<<<<<<<<<********>>>>>>>>>>>>> 3 Order Suspending License Case No. PROOF OF SERVICE TO PROCESS SERVER: You must make and file your return with the court clerk. If you are unable to complete service, you must return this original and all copies to the court clerk. CERTIFICATE / AFFIDAVIT OF SERVICE / NON-SERVICE OFFICER CERTIFICATE OR AFFIDAVIT OF PROCESS SERVER I certify that I am a sheriff, deputy sheriff, bailiff, appointed Being first duly sworn, I state that I am a legally competent court officer, or attorney for a party [MCR 2.104(A)(2)], and adult who is not a party or an officer of a corporate party, and that: (notarization not required) that: (notarization required) I served a copy of the order suspending license personally on: by registered or certified mail with restricted delivery (copy of return receipt attached)on: Licensees name Complete address of service Day, date, time I have personally attempted to serve the order suspending license on the licensee and have been unable to complete service. Licensees name Complete address of service Day, date, time Service fee Miles traveled Mileage fee Total fee Signature $ $ $ Title Subscribed and sworn to before me on , County, Michigan. Date My commission expires: Signature: Date Deputy court clerk/Notary public ACKNOWLEDGMENT OF SERVICE I acknowledge that I have received service of the order on Day, date, time on behalf of .Signature CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties and the licensing agency(ies) by ordinary mail addressed to their last known addresses. Date Signature MCR 2.105
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