Approved, SCAO

Original  -  Officer  return
1st copy - Court

STATE OF MICHIGAN

JUDICIAL DISTRICT

APPLICATION AND ORDER OF EVICTION
Landlord-Tenant / Land Contract

2nd copy - Defendant
3rd copy - Plaintiff

CASE NO.

Court  address

Court  telephone  no.

Plaintiff's name, address, and telephone no.

Defendant's  name(s)  and  address(es)

v

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

NOTE:  An application may be required even though a
request for an order of eviction is granted in the judgment.

APPLICATION

1. On

Date

possession of the following described property:

judgment was entered against the defendant(s) and the plaintiff was awarded

2. No payment has been made on the judgment or no rent has been received since the date of judgment, except the sum of

$

          received under the following conditions:

3. The plaintiff has complied with the terms of the judgment.

4. The time stated in the judgment before an order of eviction can be issued has elapsed.

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

Date

Plaintiff/Attorney signature

IN THE NAME OF THE PEOPLE OF THE STATE OF MICHIGAN:

ORDER OF EVICTION

To the Court Officer:  You are ordered to restore the plaintiff to, and put the plaintiff in, full possession of the premises.

Date issued

Judge

Bar no.

NOTE:  In tenancy cases, this order must be executed within 56 days of the issuance date.

DC 107 (3/16) APPLICATION AND ORDER OF EVICTION, Landlord-Tenant / Land Contract

MCL 600.5744, MCR 4.201(L),
 MCR 4.202(K)

APPLICATION AND ORDER
OF EVICTION

CASE NO.

RETURN

        I executed the order of eviction on the other side of this form

I certify and return that on

Date

by evicting

Name(s)

from the property, and  I have restored the plaintiff to peaceful possession as ordered.

Date

(Deputy)  sheriff/Court  officer/Bailiff

Miles traveled Fee

Service  fee
$
Incorrect  address  fee Miles traveled Fee
$

$

$

TOTAL FEE
$