Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

DISMISSAL
(DOMESTIC RELATIONS)

Original - Court
1st copy - Plaintiff
2nd copy - Defendant
3rd copy - Friend of the court
CASE NO.

Court  address

Court  telephone  no.

Plaintiff's name, address, and telephone no.

Defendant's name, address, and telephone no.

v

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

Defendant's attorney, bar no., address, and telephone no.

 NOTICE OF DISMISSAL BY PLAINTIFF

1. Plaintiff/Attorney for plaintiff files this notice of dismissal of this case.

2. I certify, under penalty of contempt, that:

a. This notice is the first dismissal filed by the plaintiff based upon or including the same claim against the defendant.
b. All costs of filing and service have been paid.
c. No answer or motion has been served upon the plaintiff by the defendant as of the date of this notice.
d. A copy of this notice has been provided to the appearing defendant/attorney by

personal service.

mail

 STIPULATION TO DISMISS

I stipulate to the dismissal of this case.

Date

Date

Date

Plaintiff/Attorney  signature

Plaintiff/Attorney  signature

Defendant/Attorney signature

 ORDER TO DISMISS

IT IS ORDERED this case is dismissed.

Conditions, if any:

This order resolves the last pending claim and closes the case.

Date

Judge

Bar no.

NOTE: For domestic relations cases, if you applied for Title IV-D child support services and your case is dismissed, your services
will stop 60 days after the date of this notice. If you do not want your Title IV-D services to stop and you need child support services,
please contact the Office of Child Support at 1-866-540-0008.

FOC 120 (3/16) DISMISSAL (DOMESTIC RELATIONS)

MCR 2.504