STATE OF MICHIGAN

 

JUDICIAL CIRCUIT
COUNTY
 
IN THE COURT OF APPEALS
  MICHIGAN SUPREME COURT

Court address

CERTIFICATE OF RECORDS 
TRANSMITTED FOR APPEAL 
AND NOTICE TO PARTIES

AGENCY:

CASE/FILE NO.

TRIAL COURT:

Court telephone no.

Plaintiff’s/Petitioner’s name and address                    
                                                                                  

 Appellant
 Appellee

Defendant’s/Respondent’s name and address                
                                                                                      

 Appellant
 Appellee

v

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

Defendant’s attorney, bar no., address, and telephone no.

In the matter of 
 
 

   

CERTIFICATE OF RECORDS TRANSMITTED

1. I certify that the record to be transmitted is 
 

 

 the original 
 Court or this agency.

 

the 
 

2. The required fees have been paid and any required bond has been filed.

 an accurate reproduction of the original      on file in

 circuit court 

 
3. The record to be transmitted to the 
  a. the register of actions in the case,
  b. any exhibits on file except those omitted by written stipulation of the parties or removed by order of the court,
  c.  all documents from the court file,
  d. all transcripts,
  e. all opinions, findings, and orders of the court, and
 

f.   the order or judgment appealed.

 Michigan Supreme Court 

 Court of Appeals 

 

 

includes:

4. (If applicable.) The date of the order allowing appeal is 

 

 .

 

                     

Court clerk/Register/Agency official signature and date

 
This section to be completed for appeals to circuit court only.

NOTICE TO PARTIES OF RECORD FILED IN CIRCUIT COURT

The record on appeal in this case has been filed in the circuit court.

 

                     

Approved, SCAO
Form MC 57, Rev. 6/22
MCR 7.109(G), MCR 7.210(G)
Page 1 of 2

Circuit court clerk signature and date

Distribute form to: 
Appellate court
Trial court/Agency
Notice to appellant
Notice to appellee

JIS Code: OTMCertificate of Records Transmitted for Appeal and Notice to Parties 
Page 2 of 2

(6/22) 

Case No. 
 

CERTIFICATE OF MAILING

I served a copy of the notice of filing of the record on appeal in the circuit court on the parties or their attorneys by first-class 
mail addressed to their last-known addresses as defined by MCR 2.107(C)(3). 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.

 

 

 

 

                     

                     

               Circuit court clerk signature and date