Approved, SCAO
Original - Court of Appeals/Circuit Court 1st copy - Trial court
JIS CODE: COA 2nd copy - Appellee 3rd copy - Appellant
STATE OF MICHIGAN
DISTRICT COUNTY IN THE COURT OF APPEALS
Court address
CASE NO. CLAIM OF APPEAL
CIRCUIT DISTRICT PROBATE
Court telephone no.
JUDICIAL
CIRCUIT
Plaintiff/Petitioner name(s) and address(es)
Appellant Appellee v
Defendant/Respondent name(s) and address(es)
Appellant Appellee
Attorney, bar no., address, and telephone no.
Attorney, bar no., address, and telephone no.
Probate
In the matter of
Other interested party(ies) of probate matter
1.
Name
, claims an appeal from a final judgment or order entered on in the Court of the State of Michigan,
Court name and number or county
Date
by
district judge
circuit judge
probate judge .
Bar no.
district court magistrate
Name of judge or district court magistrate
2. Bond on appeal is filed. attached. waived. not required. 3. a. The transcript has been ordered. b. The transcript has been filed. c. No record was made. 4. THIS CASE INVOLVES A CONTEST AS TO THE CUSTODY OF A MINOR CHILD.
Date Address
Appellant/Attorney signature City, state, zip Telephone no.
PROOF OF SERVICE I certify that copies of this claim of appeal and bond (if required) were served on on
Name Date
by
personal service. first-class mail. personal service. first-class mail. personal service. first-class mail.
on
Name Date
by
on
Name Date
by
Date MC 55 (5/07)
Signature
CLAIM OF APPEAL
MCR 4.401(D), MCR 7.101(C), MCR 7.204(D)