Fillable CASE NO. STATE OF MICHIGAN SUMMONS v Original (Charter Township of Waterford)

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CASE NO. STATE OF MICHIGAN SUMMONS v Original (Charter Township of Waterford)

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BROWSE CHARTER TOWNSHIP OF WATERFORD (MI) FORMS

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MC 01 (8/18) SUMMONS MCR 1.109(D), MCR 2.102(B), MCR 2.104, MCR 2.105
Plaintiff’s name(s), address(es), and telephone no(s).
v
Defendant’s name(s), address(es), and telephone no(s).
Plaintiff’s attorney, bar no., address, and telephone no.
Approved, SCAO
Original - Court
1st copy - Defendant
2nd copy - Plaintiff
3rd copy - Return
STATE OF MICHIGAN
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE
SUMMONS
CASE NO.
Court address Court telephone no.
Instructions: Check the items below that apply to you and provide any required information. Submit this form to the court clerk
along with your complaint and, if necessary, a case inventory addendum (form MC 21). The summons section will be completed
by the court clerk.
Domestic Relations Case
There are no pending or resolved cases within the jurisdiction of the family division of the circuit court involving the family or
family members of the person(s) who are the subject of the complaint.
There is one or more pending or resolved cases within the jurisdiction of the family division of the circuit court involving
the family or family members of the person(s) who are the subject of the complaint. Attached is a completed case inventory
(form MC 21) listing those cases.
It is unknown if there are pending or resolved cases within the jurisdiction of the family division of the circuit court involving
the family or family members of the person(s) who are the subject of the complaint.
Civil Case
This is a business case in which all or part of the action includes a business or commercial dispute under MCL 600.8035.
There is no other pending or resolved civil action arising out of the same transaction or occurrence as alleged in the
complaint.
A civil action between these parties or other parties arising out of the transaction or occurrence alleged in the complaint has
been previously filed in this court,
Court, where
it was given case number
and assigned to Judge
.
The action remains is no longer pending.
NOTICE TO THE DEFENDANT: In the name of the people of the State of Michigan you are notified:
1. You are being sued.
2. YOU HAVE 21 DAYS after receiving this summons and a copy of the complaint to file a written answer with the court and
serve a copy on the other party or take other lawful action with the court (28 days if you were served by mail or you were
served outside this state).
3. If you do not answer or take other action within the time allowed, judgment may be entered against you for the relief
demanded in the complaint.
4. If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter
to help you fully participate in court proceedings, please contact the court immediately to make arrangements.
Issue date Expiration date* Court clerk
*This summons is invalid unless served on or before its expiration date. This document must be sealed by the seal of the court.
SUMMONS
Summons section completed by court clerk.
SUMMONS
Case No.
TO PROCESS SERVER: You are to serve the summons and complaint not later than 91 days from the date of filing or the date
of expiration on the order for second summons. You must make and file your return with the court clerk. If you are unable to
complete service you must return this original and all copies to the court clerk.
OFFICER CERTIFICATE
I certify that I am a sheriff, deputy sheriff, bailiff, appointed
court officer, or attorney for a party (MCR 2.104[A][2]),
and that: (notarization not required)
OR
AFFIDAVIT OF PROCESS SERVER
Being first duly sworn, I state that I am a legally competent
adult who is not a party or an officer of a corporate party,
and that: (notarization required)
I served personally a copy of the summons and complaint.
I served by registered or certified mail (copy of return receipt attached) a copy of the summons and complaint,
together with
List all documents served with the summons and complaint
on the defendant(s):
Defendant’s name Complete address(es) of service Day, date, time
I have personally attempted to serve the summons and complaint, together with any attachments, on the following defendant(s)
and have been unable to complete service.
Defendant’s name Complete address(es) of service Day, date, time
I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the
best of my information, knowledge, and belief.
Signature
Name (type or print)
Title
Subscribed and sworn to before me on
Date
,
County, Michigan.
My commission expires:
Date
Signature:
Deputy court clerk/Notary public
Notary public, State of Michigan, County of
I acknowledge that I have received service of the summons and complaint, together with
Attachments
on
Day, date, time
Signature
on behalf of
.
PROOF OF SERVICE
CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE
ACKNOWLEDGMENT OF SERVICE
Service fee
$
Miles traveled Fee
$
Incorrect address fee
$
Miles traveled Fee TOTAL FEE
$
$
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CASE NO. STATE OF MICHIGAN SUMMONS v Original (Charter Township of Waterford)

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Completed 5 August 2020

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