Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

Original - Court
1st copy - Other party
2nd copy - Moving party

3rd copy - Friend of the court
4th copy - Proof of service
5th copy - Proof of service
CASE NO.

A

ORDER MODIFYING EX PARTE ORDER

Court address

Court telephone no.

B

Plaintiff's name, address, and telephone no.

Please print or type information.

Attorney:
v

Defendant's name, address, and telephone no.

Attorney:

IT IS ORDERED:

1.

  Custody

Parenting time

is changed to:

C

On

Date of hearing

Judge/Referee

  ,

found that the ex parte order should be modified.

2. Support is changed. The Uniform Support Order is incorporated by reference.

3. Other: (See attached.)

4. The changes made in this order shall start on

Date

.

5. Except as changed in this order, all other provisions of the ex parte order shall remain in effect until further order of the court.

Plaintiff's signature (approved as to form and content)

Defendant's signature (approved as to form and content)

Judge

CERTIFICATE OF MAILING

Bar no.

I certify that on this date I served a copy of this order on the parties or their attorneys by first-class mail addressed to their last-
known addresses as defined in MCR 3.203.

FOC 62 (3/16) ORDER MODIFYING EX PARTE ORDER

MCL 722.27a(12), (13)

Signature

D

E F

G

Date

H

Date



Order Modifying Ex Parte Order

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About This Form:

• Sourced from www.courts.michigan.gov/Domestic-Relations (2023-03)
• Page(s): 1
• Fields(s): 21
• Average fields per page: 21
• Reading Level: Grade 9
• LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

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