To the Clerk:  For FOC office

Plaintiff’s name and address 

 

 

 payer

Defendant’s name and address 

 

 

 payer

Source of income name and address

1. You are identified as a source of income and may have received one or more notices from the friend of the court 
  concerning this case.

2. As a result of a court order in this matter terminating the friend of the court’s involvement in this case, you should take 
 

the action checked below:

 
 
 

 

 The parties are responsible for the future management of their case. All direction concerning future income withholding,
    including changes or termination, will be determined by the parties as the law allows. Do not forward further inquiries
    regarding income withholding to the friend of the court.

 The friend of the court has been ordered to terminate income withholding. Withhold no further income from the payer.

CERTIFICATE OF MAILING

I served a copy of this notice on the source of income on the parties or their attorneys by first-class mail addressed to their 
last-known addresses as defined by MCR 3.203. I declare under the penalties of perjury that this certificate of mailing has 
been examined by me and that its contents are true to the best of my information, knowledge, and belief.

Date

 

Friend of the court 

 

Approved, SCAO
Form FOC 103, Rev. 6/22
Page 1 of 1

Distribute form to: 
Source of income 
Friend of the court
Plaintiff
Defendant

STATE OF MICHIGANJUDICIAL CIRCUITCOUNTYNOTICE OF CLOSURE OFFRIEND OF THE COURT CASECASE NO. and JUDGEFriend of the court addressTelephone no.Payer’s social security number