STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

ORDER FOLLOWING HEARING ON
PETITION FOR EMANCIPATION
(Part 1)

CASE NO. and JUDGE

Court address              

 

 

 

Court telephone no.

In the matter of 

First, middle, and last name

THE COURT FINDS:

The minor has filed a petition and affidavit (form PC 100) requesting an order of emancipation.

1. A copy of the petition and a summons to appear was served on the minor’s 

 

 parent(s). 

 

 guardian.

2. Notice of hearing was given to or waived by the affiant.

 3. Necessary conditions for emancipation do not exist.

 4. Emancipation should be ordered because all of the following conditions have been established by a preponderance 
    of the evidence.
    a. The minor’s parent or guardian did not object to the petition; or if the parent or guardian objected to the petition, 
        that objecting parent or guardian is not providing the minor with support.
    b. The minor is at least 16 years of age and a resident of Michigan.
    c.  The minor has demonstrated the ability to manage his/her financial affairs, including proof of employment or other
        means of support.
    d. The minor has the ability to manage his/her personal and social affairs, including, but not limited to, proof of 
        housing.
    e. The minor understands his/her rights and responsibilities under this act as an emancipated minor.
    f.   Emancipation is in the best interests of the minor and should be ordered.

 
 
 
 
 
 
 
 
 
 

IT IS ORDERED:

 5. The petition is granted and 

Name

 6. The petition is denied.

 is emancipated.

 

                     

Judge signature and date

Approved, SCAOForm PC 101, Rev. 5/21MCL 722.4c, MCR 3.618Page 1 of 1Distribute form to: Court (Part 1) Minor (Part 2)STATE OF MICHIGAN

JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY

ORDER FOLLOWING HEARING ON
PETITION FOR EMANCIPATION
(Part 2)

CASE NO. and JUDGE

Court address              

 

 

 

Court telephone no.

In the matter of 

First, middle, and last name

THE COURT FINDS:

The minor has filed a petition and affidavit (form PC 100) requesting an order of emancipation.

1. A copy of the petition and a summons to appear was served on the minor’s 

 

 parent(s). 

 

 guardian.

2. Notice of hearing was given to or waived by the affiant.

 3. Necessary conditions for emancipation do not exist.

 4. Emancipation should be ordered because all of the following conditions have been established by a preponderance 
    of the evidence.
    a. The minor’s parent or guardian did not object to the petition; or if the parent or guardian objected to the petition, 
        that objecting parent or guardian is not providing the minor with support.
    b. The minor is at least 16 years of age and a resident of Michigan.
    c.  The minor has demonstrated the ability to manage his/her financial affairs, including proof of employment or other
        means of support.
    d. The minor has the ability to manage his/her personal and social affairs, including, but not limited to, proof of 
        housing.
    e. The minor understands his/her rights and responsibilities under this act as an emancipated minor.
    f.   Emancipation is in the best interests of the minor and should be ordered.

 
 
 
 
 
 
 
 
 
 

IT IS ORDERED:

 5. The petition is granted and 

Name

 6. The petition is denied.

 is emancipated.

 

                     

Judge signature and date

Minor’s Social Security No.

I certify that this document is a full and correct copy of the original on file in the 
Michigan, except the social security number of the minor appears only on this copy.

 

 Court, State of 

 

                     

Deputy clerk signature and date

Approved, SCAOForm PC 101, Rev. 5/21MCL 722.4c, MCR 3.618Page 1 of 1Distribute form to: Court (Part 1) Minor (Part 2)