Approved, SCAO

Court address

STATE OF MICHIGAN

JUDICIAL DISTRICT
JUDICIAL CIRCUIT

MOTION TO INTERVENE TO
PROTECT ASSETS AND
NOTICE OF HEARING

Original - Court
1st copy - Plaintiff
2nd copy - Defendant
3rd copy - Applicant
CASE NO.

Court telephone no.

Plaintiff's name, address, and telephone no.

Defendant's name, address, and telephone no.

v

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

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

Applicant's name, address, and telephone no.

1. I am not a party to this case, and I am not liable for the money judgment entered in this case.
2. I have an interest in property that is potentially subject to garnishment, tax intercept, seizure, or judgment lien as follows:  (Describe
bank accounts, state income tax returns, vehicles, personal property, mobile homes, homes, household goods, etc.  Attach separate sheet if needed.)

MOTION

3. I ask this court to enter an order protecting my assets described above from garnishment, tax intercept, seizure, judgment lien,

or other attempts to satisfy the judgment.

Date

Signature of applicant

To be completed by the court.

NOTICE OF HEARING ON MOTION TO INTERVENE

A hearing will be held on

Date

at

Location

at

Time

before Hon.

    .

If you require special accommodations to use the court because of a disability or if you require a foreign language interpreter to
help you fully participate in court proceedings, please contact the court immediately to make arrangements.

Date

Date

Deputy court clerk

CERTIFICATE OF MAILING

Signature

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

MC 112   (8/12)   MOTION TO INTERVENE TO PROTECT ASSETS AND NOTICE OF HEARING

MCR 2.209(A)(3), (C)