Approved,  SCAO

STATE OF MICHIGAN

JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE

Court  address

ORDER REGARDING
ALTERNATE SERVICE

v

Plaintiff  name(s),  address(es),  and  telephone  no(s).

Defendant  name(s),  address(es),  and  telephone  no(s).

Original - Court
1st copy - Defendant
2nd copy - Plaintiff
3rd copy - Return

CASE NO.

Court  telephone  no.

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

THE COURT FINDS:

1. Service of process upon the defendant,

cannot reasonably be made as provided in

MCR 2.105

        MCR 2.107(B)(1)(b)         and service of process

may be made in a manner that is reasonably calculated to give the defendant actual notice of the proceedings and an  opportunity

to be heard.

IT IS ORDERED:

2. Service of the

summons and complaint

other:

and a copy of this order shall be made by the following method(s).

   ,

    .

    .

to a member of the defendant's household who is of suitable age and discretion to receive process, with instructions to

a. First-class mail to

b. Tacking or firmly affixing to the door at

c. Delivering at

deliver it promptly to the defendant.

d. Other:

For each method used, proof of service must be filed promptly with the court.

3. The motion for alternate service is denied.

 Date

Judge

Bar no.

MC 304  (9/09)   ORDER REGARDING ALTERNATE SERVICE

MCR 2.103, MCR 2.105

                                                                                                                   PROOF OF SERVICE

ORDER REGARDING ALTERNATE SERVICE
Case No.

TO PROCESS SERVER: You must serve the copies of the order regarding alternate service and file proof of service with the court
clerk. If you are unable to complete service, you must return this original and all copies to the court clerk.

                                            CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE

       OR
                   OFFICER CERTIFICATE
  I certify that I am a sheriff, deputy sheriff, bailiff, appointed                          Being first duly sworn, I state that I am a legally
  court officer, or attorney for a party (MCR 2.104[A][2]), and                         competent adult who is not a party or an officer of
  that:     (notarization not required)                                                                                      a corporate party, and that:     (notarization required)

 AFFIDAVIT OF PROCESS SERVER

I served a copy of the

summons and complaint

other:

and a copy of the order for alternate service upon

1. First-class mail to

2. Tacking or firmly affixing to the door at

3. Delivering at

it promptly to the defendant.

4. Other:

specify

, on

, on

, on

Date

Date

Date

, on

Date

by

    .

    .

    .

    .

to a member of the defendant's household who is of suitable age and discretion to receive process, with instructions to deliver

 I declare that the statements above are true to the best of my information, knowledge, and belief.

Service  fee

Miles traveled Fee

$
Incorrect  address  fee Miles traveled Fee
$

$

$

TOTAL FEE
$

Signature

Name (type or print)

Title

,

Subscribed and sworn to before me on

Date

County, Michigan.

My commission expires:

Date

Signature:

Deputy court clerk/Notary public

Notary public, State of Michigan, County of