Free foc62.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

CASE NO. ORDER MODIFYING EX PARTE ORDER
Court telephone no.

Plaintiff's name, address, and telephone no.

Please print or type information.

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

On
Date of hearing Judge/Referee

,

found that the ex parte order should be modified. Attorney:

IT IS ORDERED: 1. Custody Parenting time Support is changed to:

2. Other: (See attached.) 3. The changes made in this order shall start on
Date

.

4. Except as changed in this order, all other provisions of the ex parte order shall remain in effect until further order of the court.

Plaintiff's signature (approved as to form and content)

Defendant's signature (approved as to form and content)

Date FOC 62 (3/09)

Judge

Bar no. MCL 722.27a(10)

ORDER MODIFYING EX PARTE ORDER