Free foc69.pmd - Michigan

Approved, SCAO

Original - Friend of the court 1st copy - Payer 2nd copy - Payee

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Friend of the court address

CASE NO. NOTICE OF REVIEW ON ARREARAGE (CONSUMER REPORTING AGENCY)
Telephone no.

Payer name, address, and telephone no.

TO:

1. Date of notice: 2. The friend of the court office received a written request from you to review a mistake of fact concerning either your identity or arrearage. 3. A review has been scheduled as follows:

Payee name, address, and telephone no. (This notice is for the payer. A copy is sent for your information only.)

Date Location of review

Time

Name of officer conducting review

4. Bring documentation, records, or any other necessary information with you to the review, which details a mistake of fact. Additionally, bring the following:

5. You may bring an attorney with you to the review.

FRIEND OF THE COURT

FOC 69 (3/08)

NOTICE OF REVIEW ON ARREARAGE (CONSUMER REPORTING AGENCY)

MCL 552.512, MCR 3.208(B)