Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

In the matter of adoptee

Full name of child

FINAL ORDER ALLOWING
FEES AND COSTS

JIS CODE:  FOA

FILE NO.

DOB:

1. Date of hearing:

Judge:

2. A petition for the adoption of the adoptee has been filed with the court.

Bar no.

3. A verified accounting itemizing payments and disbursements, and updated as required by law, has been filed by the adopting

parents.

adoptee.

4. A verified statement of services and fees, updated as required by law, has been filed by the attorney for each adopting parent.

5. A verified statement of services and fees, updated as required by law, has been filed by the attorney for each parent of the

6. A verified statement of services and fees, updated as required by law, has been filed by the child-placing agency or the

Michigan Department of Human Services.

THE COURT FINDS:

7. The final order of adoption should be entered.

8. The fees and costs should be allowed in whole or in part.

IT IS ORDERED:

9. Fees and costs are approved as follows:

a. Fees and costs of the attorney for petitioner are allowed as submitted except:

b. Fees and costs of the attorney for the parent(s) are allowed as submitted except:

c. Fees and costs of the child-placing agency or Michigan Department of Human Services are allowed as submitted except:

10. Payments or disbursements made or agreed upon by petitioner as itemized in the accounting are approved except:

Date

Judge

Do not write below this line - For court use only

PCA 341   (9/07)   FINAL ORDER ALLOWING FEES AND COSTS

MCL 710.54(10)