Approved,  SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

ORDER REVOKING RELEASE
AND FORFEITING BOND,
NOTICE OF INTENT TO ENTER JUDGMENT
(DOMESTIC RELATIONS)

Court  address

Court  telephone  no.

Plaintiff's name, address, and telephone no.

Defendant's name, address, and telephone no.

Original - Court
1st copy - Plaintiff
2nd copy - Defendant
3rd copy - Friend of the court

CASE NO.

v

Attorney:

Attorney:

TO:

(Name  and  address  of  payer.)

(Name and address of surety or other depositor posting
bond.)

ORDER

Judge

NOTICE

The payer has violated the conditions of bond as described below.

Face amount or value of bond Amount deposited

TYPE OF BOND:

$

$

 Cash

Surety

IT IS ORDERED  the release is revoked and bond is forfeited.  The proceeds of the bond shall be disposed of as ordered by the court
in its judgment after bond forfeiture.

Date

Bar no.

TO THE PAYER AND SURETY:
The payer has 28 days from the date of this order to surrender to the court or to satisfy the court that there was compliance with the
conditions of release/bond, or that compliance was impossible through no fault of the payer.  Otherwise, judgment in the full face
amount or value of the bond, plus costs, will be entered against the payer or any surety or other depositor.  Money or other security
on deposit will be used toward payment of the judgment.
A warrant for payer's arrest/order to apprehend

has been

issued.

will  be

I certify that on this date I served a copy of this order on the parties or their attorneys by first-class mail addressed to their last-known
addresses as defined in MCR 2.107(C)(3).

CERTIFICATE OF MAILING

Date

Clerk of the court/Deputy

CC 88   (3/08)   ORDER REVOKING RELEASE AND FORFEITING BOND, NOTICE OF INTENT TO ENTER JUDGMENT

(DOMESTIC RELATIONS)
 

MCR 3.221(J)(2)