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Statement And Or Information Request - Michigan

Statement And Or Information Request Form. This is a Michigan form and can be used in Genesee Local County .
 Fillable pdf Last Modified 3/28/2007
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STATEMENT AND/OR INFORMATION REQUEST GENESEE COUNTY FRIEND OF THE COURT YOUR NAME: _________________________________ CASE NUMBER: _____________________________ YOUR S.S. # _________________________ DATE OF BIRTH: ____________________________ ADDRESS:__________________________________________CITY: _________________STATE: _________ ZIP_____________ NAME OF OTHER PARTY: ___________________________________________________ Please indicate below the information or statement that you require: Account Balance and Date of Last Payment FCH Annual Statement/Year of ______________________ FPY Balance Statement FPY Mortgage Statement FPY & FCH Monthly Statement/Month of ____________________ FPY Other __________________________________________ _______________________________________ SIGNATURE _________ DATE ________________________________________________ DRIVER LICENSE NO. AND STATE -------------------------------------------------------------------------------------------OFFICE USE ONLY ______________________________________/___________ Prepared By Info request Date _________________________________________ Date Sent American LegalNet, Inc. www.FormsWorkflow.com
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