To the Clerk:  For FOC office

TO:

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)

This lien results from a support order 

 

  entered 

 

  registered 

  on 

 by the

Date

 County, Michigan. This order requires the obligor 

 

 Circuit Court, 

 

named above to pay support in the amount of $ 

 

  per 
 

 .

 the obligor owes unpaid support in the amount of $ 
 

 and this lien amount is
As of 
 
subject to an interest rate of 
 %. Michigan support orders accrue a surcharge as defined in MCL 552.603a. Prospective 
 
amounts of support, not paid when due, are judgments and accrue to the lien amount. This lien attaches to all nonexempt 
real and personal property of the obligor named above that is located or recorded within the state/county/other subdivision 
of the state of filing, including any property specifically described as follows:

The priority and enforcement aspects of this lien are governed by the law of the state where the property is located. An 
obligor must follow the laws and procedures of the state where the property is located or recorded to contest or challenge 
this lien. This lien remains in effect until released by the claimant or in accordance with the laws of the state of filing.

Approved, SCAO
Form FOC 90, Rev. 6/22
MCL 552.625a, MCL 552.625b, MCL 552.2603
Page 1 of 2

Distribute form to: 
Friend of the court
Lien recorder
Additional copies as needed

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

(6/22) 

Case No. 
 

Note to Lien Recorder: Please provide the claimant with a copy of the filed lien, containing the recording information, at the address above.
As an authorized agent of a state, or subdivision of a state, responsible for implementing the support enforcement program 
set forth in Title IV, Part D, of the Federal Social Security Act (42 USC 651et seq.), I have authority to file this support lien in any 
state or U.S. Territory.

 

                     

Signature of friend of the court authorized representative

For other information regarding this lien, including payoff amount, contact 
the claimant at the above address. Please reference the above case  
number. 

Name (type or print)

Subscribed and sworn to before me on 
 
 

                     
                     

Date

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

                     

 

 

Date served on lien recorder: 

 

 

 

 

 

 

 

 

 

Deputy clerk/Notary public signature

 . 

Name (type or print)
 

 

 . 

 Acting in the County of 

 

 . 
 

 .

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