Free foc29.pmd - Michigan

Approved, SCAO

Original - Court 1st copy - Plaintiff

2nd copy - Defendant 3rd copy - Friend of the court

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

ORDER ALLOWING CHANGE OF DOMICILE/ LEGAL RESIDENCE

CASE NO.

Court telephone no.

Plaintiff's name, address, and telephone no.

Attorney: v
Defendant's name, address, and telephone no.

Attorney: IT IS ORDERED: 1. The plaintiff The defendant may remove the domicile of

Name(s) of minor child(ren)

a. to a residence more than 100 miles from the child's legal residence when this case was commenced. b. from the State of Michigan to 2. The parenting-time order dated . is modified as follows:

3. The cost of transportation for parenting time shall be paid a. by the plaintiff. b. by the defendant. c. equally by the plaintiff and the defendant. d. as follows:

4. All previous orders remain in effect except as modified above.

Plaintiff's signature (only if by consent)

Defendant's signature (only if by consent)

Date

Judge

Bar no.

FOC 29 (3/09)

ORDER ALLOWING CHANGE OF DOMICILE/LEGAL RESIDENCE

MCL 722.31, MCR 3.211(E)