MC 55 (9/17) CLAIM OF APPEAL MCR 4.401(D), MCR 7.104(C), MCR 7.108(C)(3), MCR 7.204(D)
Plaintiff’s/Petitioner’s name(s) and address(es) Appellant
Appellee
v
Defendant’s/Respondent’s name(s) and address(es) Appellant
Appellee
Plaintiff’s attorney, bar no., address, and telephone no. Defendant’s attorney, bar no., address, and telephone no.
Probate In the matter of
Other interested party(ies) of probate matter
Approved, SCAO
Original - Court of Appeals/Circuit court
1st copy - Trial court
JIS CODE: COA
2nd copy - Appellee
3rd copy - Appellant
STATE OF MICHIGAN
JUDICIAL CIRCUIT DISTRICT
COUNTY
IN THE COURT OF APPEALS
CLAIM OF APPEAL
CASE NO.
CIRCUIT
DISTRICT
PROBATE
Court address Court telephone no.
1.
Name
claims an appeal from a final judgment or order entered on
Date
in the
Court name and number or county
Court of the State of Michigan,
by district judge circuit judge probate judge district court magistrate
Name of judge or district court magistrate Bar no.
.
2. Bond on appeal is filed. attached. waived. not required.
3. a. The transcript has been ordered.
b. The transcript has been filed.
c. No record was made.
4. THIS CASE INVOLVES
a. A CONTEST AS TO THE CUSTODY OF A MINOR CHILD.
b. AN ADULT OR MINOR GUARDIANSHIP UNDER THE ESTATES AND PROTECTED INDIVIDUALS CODE OR
UNDER THE MENTAL HEALTH CODE.
c. AN INVOLUNTARY MENTAL HEALTH TREATMENT CASE UNDER THE MENTAL HEALTH CODE.
d. A RULING THAT A PROVISION OF THE MICHIGAN CONSTITUTION, A MICHIGAN STATUTE, A RULE OR
REGULATION INCLUDED IN THE MICHIGAN ADMINISTRATIVE CODE, OR ANY OTHER ACTION OF THE
LEGISLATIVE OR EXECUTIVE BRANCH OF STATE GOVERNMENT IS INVALID.
Date Appellant/Attorney signature
I certifiy that copies of this claim of appeal and bond (if required) were served on
Name
on
Date
by personal service. first-class mail.
Name
on
Date
by personal service. first-class mail.
Name
on
Date
by personal service. first-class mail.
Date Signature
PROOF OF SERVICE
/s/
