Fillable FILE NO. STATE OF MICHIGAN MOTION TO WITHDRAW (Third Judicial Circuit of Michigan)

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FILE NO. STATE OF MICHIGAN MOTION TO WITHDRAW (Third Judicial Circuit of Michigan)

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MJC 75b (6/2011) MOTION TO WITHDRAW ADOPTION
FILE NO.
STATE OF MICHIGAN
THIRD CIRCUIT COURT
WAYNE COUNTY
MOTION TO WITHDRAW ADOPTION
1. In the matter of
D.O.B.
DATE OF O.T.R.
The agency supervising the adoptive placement of the above child requests to withdraw the adoption petition, on behalf of the
prospective adoptive parents for the following reasons:
Agency Representative Signature Date Address
Agency City, State, Zip Code
ORDER
IT IS ORDERED: that the Motion to Withdraw Adoption is granted and that the Order Terminating Parental Rights
After Release or Consent and the Order Placing Child After Consent issued on be set aside. It is further
ordered that be continued in the permanent custody of the Court and committed to the
Michigan Children’s Institute pursuant to the permanent custody order issued on
Date Judge
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FILE NO. STATE OF MICHIGAN MOTION TO WITHDRAW (Third Judicial Circuit of Michigan)

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Completed 29 July 2020

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