Free foc10c.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

UNIFORM SPOUSAL SUPPORT ORDER, NO FRIEND OF COURT SERVICES (PAGE 1) MODIFICATION
Fax no.

CASE NO.

Court telephone no.

Plaintiff's name, address, and telephone no.

Defendant's name, address, and telephone no.

v

Plaintiff's attorney name, bar no., address, and telephone no.

Defendant's atttorney name, bar no., address, and telephone no.

Plaintiff's source of income name, address, and telephone no.

Defendant's source of income name, address, and telephone no.

1. Spousal Support. Spousal support shall be paid monthly as follows: Payer: Payee:

Effective date:

Spousal support in the amount of $ shall be paid to the payee. Payments payable to a third party that must be paid directly to, or for the benefit of, the third party are listed below. If an amount is payable to the payee for a particular type of expense, the payee shall make the payment for that expense and hold the payer harmless for any liability the payer may incur because of the payee's failure to pay the expense. Type Amount Pay to

Total
(See Page 2 for the remainder of the order.) MCL 552.13, MCR 3.211 FOC 10c (3/08)

UNIFORM SPOUSAL SUPPORT ORDER, NO FRIEND OF COURT SERVICES, PAGE 1

Approved, SCAO

Original - Court 1st copy - Plaintiff

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

STATE OF MICHIGAN JUDICIAL CIRCUIT COUNTY
Court address

UNIFORM SPOUSAL SUPPORT ORDER NO FRIEND OF COURT SERVICES (PAGE 2) MODIFICATION
Fax no.

CASE NO.

Court telephone no.

Plaintiff's name

v

Defendant's name

2. This order continues until the following events:
Date Other (specify all other events)

$

is paid.

Death of the payee.

3. For tax purposes, the payments will be deductible to the payer and included in the income of the payee. 4. Retroactive Modification and Liens for Unpaid Support. Support is a judgment the date it is due and is not retroactively modifiable. Unpaid support is a lien by operation of law and the payer's property can be encumbered or seized if an arrearage accrues for more than the periodic support payments payable for two months under the payer's support order. 5. Change of Address, Employment Status, Health Insurance. Both parties shall notify each other in writing within 21 days of any change in: a) their mailing or residence addresses and telephone numbers; b) the names, addresses, and telephone numbers of their sources of income; c) their health-maintenance or insurance companies, insurance coverage, persons insured, or contract numbers; d) their occupational or drivers' licenses; and e) their social security numbers unless exempt by law pursuant to MCL 552.603. 6. Fees. The payer of support shall pay statutory and service fees as required by law. 7. Prior Orders. Except as changed in this order, prior provisions remain in effect. Support payable under any prior order is preserved. 8. Other: (Attach separate sheets as needed.)

IT IS SO ORDERED.
Plaintiff (if consent/stipulation) Date Defendant (if consent/stipulation) Date

Plaintiff's attorney

Date

Defendant's attorney

Date

Date

Judge

Bar no.

CERTIFICATE OF MAILING I certify that on this date I served a copy of this order on the parties or their attorneys by first-class mail addressed to their last-known addresses as defined in MCR 3.203.
Date FOC 10c (3/08) Signature MCL 552.13, MCR 3.211

UNIFORM SPOUSAL SUPPORT ORDER, NO FRIEND OF COURT SERVICES, PAGE 2