To the Clerk:  For FOC office

Lien recorder

Plaintiff’s name, address, and telephone no.                      

  obligor  

efendant’s name, address, and telephone no.                 

  obligor

vD

FROM: Friend of the Court - Claimant (address above)

1. A lien arose against obligor’s property by operation of law in the amount of past-due support. The Notice of Lien is 
  attached.
2. You are notified that the lien has been terminated by the friend of the court under MCL 552.625a(1), MCL 552.625b(6), 
  and/or MCL 552.625b(9).
3. The friend of the court has determined that the lien should be terminated because
 
 
 
4. In accordance with law, this notice releases the previously perfected lien upon receipt by the lien recorder named above.
I declare that I am the authorized agent of the friend of the court and that the above representations have been made on 
behalf of the friend of the court.
 

 the support arrearage has been paid in full.
 a payment agreement satisfactory to the friend of the court office has been entered.
 other:

                     

Signature of friend of the court authorized representative

 

                     

Name (type or print)

Subscribed and sworn to before me on 
 
 

                     
                     

Date

My commission expires on 
 
Notary public, State of Michigan, County of 

                     

 

 

Approved, SCAO
Form FOC 92, Rev. 6/22
MCL 552.625a, MCL 552.625b
Page 1 of 2

 

 

 

 

 

 

 

 

Deputy clerk/Notary public signature

 . 

Name (type or print)
 

 

 . 

 Acting in the County of 

 

 . 
 

 .

Distribute form to: 
Friend of the court
Lien recorder
Plaintiff
Defendant

 This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.

STATE OF MICHIGANJUDICIAL CIRCUITCOUNTYNOTICE TO RELEASE LIENCASE NO. and JUDGE(Claimant’s Case Number)Friend of the court addressTelephone no.TO:Obligor’s date of birthNotice to Release Lien 
Page 2 of 2

(6/22) 

Case No. 
 

CERTIFICATE OF MAILING

I served a copy of this notice and a copy of the perfected Notice of Lien on the parties or their attorneys by first-class 
mail addressed to their last-known addresses as defined by MCR 3.203. I declare under the penalties of perjury that this 
certificate of mailing has been examined by me and that its contents are true to the best of my information, knowledge, and 
belief.

Date

 

Signature