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Here is the text we could read:

Plaintiff’s name, address, and telephone no.

moving party

Defendant’s name, address, and telephone no.

moving party

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

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

Third party’s name, address, and telephone no.

moving party

Third party’s attorney, bar no., address, and telephone no.

Form MC 01, Summons, must also be
completed when a complaint is being filed.

COMPLAINT/MOTION AND AFFIDAVIT

1. An acknowledgment of parentage was signed

, acknowledging

Date

as the father of the minor child

Child’s name

Acknowledged father’s name

born

Put DOB in Ref. No.
row 10 on MC 97a

Date of birth

(Check either a or b)

found that it is in the best interests of the child to allow the filing of this complaint/motion.

a. A petition has not been filed to terminate the parental rights to this child.
b. There is an existing termination proceeding in the

Court and that court has

2. I am the

sexual conduct under MCL 750.520b to MCL 750.520e.

acts for which the alleged father was convicted of criminal

alleged father and the child was not conceived as a result of

acknowledged father.

mother.

. This complaint/motion is timely because

a. it is filed within one year after the date the acknowledgment of parentage was signed.
b. it is filed within three years after the child’s birth.
c. I was granted an extension of time for filing this complaint/motion under MCL 722.1443(12).

Existing case is under MCL 712A.2(b)

n the matter of

STATE OF MICHIGANJUDICIAL CIRCUITJUDICIAL CIRCUIT-FAMILY DIVISIONCOUNTY COMPLAINT MOTION AND AFFIDAVIT TO REVOKE ACKNOWLEDGMENT OF PARENTAGECASE NO. and JUDGECourt addressCourt telephone no.Approved, SCAOForm CC 435, Rev. 5/21MCL 722.1437Page 1 of 2Distribute form to:CourtPlaintiff/AttorneyDefendant/AttorneyFriend of the courtThird party (as needed)4. The acknowledgment of parentage should be revoked because of: (Check each reason that applies.)

misrepresentation or misconduct.
duress in signing the acknowledgment.
mistake of fact.
newly discovered evidence that by due diligence could not have been found before the acknowledgment was signed.

fraud.

5. The facts supporting the reason(s) checked in item 4 above are: (Specify the reason[s]. Attach additional sheets as needed.)

Case No.

I REQUEST that:

6. The court revoke the acknowledgment of parentage and, if necessary, order genetic testing to assist in making its
determination.

7. The child support obligation of

Name of obligor

be terminated.

Moving party’s signature

Subscribed and sworn to before me on

Date

My commission expires on

Notary public, State of Michigan, County of

Deputy clerk/Notary public signature

Name (type or print)

Acting in the County of

This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.

To be completed only when a motion is filed.

NOTICE OF HEARING

A hearing will be held on this motion before

Judge/Referee

Location

To be completed only when a motion is filed

CERTIFICATE OF MAILING

Date and time

and served.

I served a copy of this complaint/motion and affidavit
and notice of hearing 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.

Date

Signature

Complaint/Motion and Affidavit to Revoke Acknowledgment of Parentage (5/21)Page 2 of 2

CC 435, Complaint/Motion and Affidavit to Revoke Acknowledgment of Parentage

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/Domestic-Relations (2023-03)
Page(s): 2
Fields(s): 54
Average fields per page: 27
Reading Level: Grade 9
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

complaint was COMPLAINT (0.56 conf)
motion was MOTION (0.42 conf)
name_address_moving was Plaintiffs name address and telephone no moving party (0.48 conf)
moving_party__1 was moving party (0.34 conf)
address_moving_party was Defendants name address and telephone no moving party (0.42 conf)
moving_party__2 was moving party_2 (0.39 conf)
plaintiffs_attorney_address was Plaintiffs attorney bar no address and telephone no (0.55 conf)
defendants_attorney_address was Defendants attorney bar no address and telephone no (0.44 conf)
third_name_moving_party was Third partys name address and telephone no moving party (0.43 conf)
moving_party__3 was moving party_3 (0.39 conf)
third_attorney_address was Third partys attorney bar no address and telephone no (0.47 conf)
existing_case_mc_l_b was Existing case is under MCL 712A2b (0.52 conf)
acknowledged_fathers_name was Acknowledged fathers name (0.43 conf)
childs_name was Childs name (0.33 conf)
petition_filed_rights was a A petition has not been filed to terminate the parental rights to this child (0.40 conf)
b_existing_termination_proceeding was b There is an existing termination proceeding in the (0.42 conf)
found_interests_child was found that it is in the best interests of the child to allow the filing of this complaintmotion (0.40 conf)
mother was mother (0.39 conf)
acknowledged_father was acknowledged father (0.40 conf)
alleged_child_conceived was alleged father and the child was not conceived as a result of (0.44 conf)
one_date_signed was a it is filed within one year after the date the acknowledgment of parentage was signed (0.39 conf)
b_filed_within_three_years_childs_birth was b it is filed within three years after the childs birth (0.42 conf)
extension_time_filing_mc was c I was granted an extension of time for filing this complaintmotion under MCL 722144312 (0.47 conf)
text__1 was Text1 (0.35 conf)
text__2 was Text2 (0.35 conf)
text__3 was Text3 (0.35 conf)
judge was Judge (0.39 conf)
text__4 was Text5 (0.35 conf)
text__5 was Text6 (0.35 conf)
signature_date__1 was Date (1.00 conf)
mistake_fact was mistake of fact (0.40 conf)
fraud was fraud (0.50 conf)
duress_signing_acknowledgment was duress in signing the acknowledgment (0.30 conf)
misrepresentation_misconduct was misrepresentation or misconduct (0.48 conf)
discovered_evidence_due was newly discovered evidence that by due diligence could not have been found before the acknowledgment was signed (0.41 conf)
child_support_obligation was 7 The child support obligation of (0.34 conf)
name_obligor was Name of obligor (0.47 conf)
signature_date__2 was Date_2 (1.00 conf)
undefined__1 was undefined (0.38 conf)
name_type_print was Name type or print (0.45 conf)
undefined__2 was undefined_2 (0.39 conf)
undefined__3 was undefined_3 (0.39 conf)
notarial_act_performed_using_electronic_notarization_system_remote_platform was This notarial act was performed using an electronic notarization system or a remote electronic notarization platform (0.44 conf)
judge_referee was JudgeReferee (0.46 conf)
location was Location (0.40 conf)
signature_date__3 was Date_3 (1.00 conf)
text__6 was Text7 (0.35 conf)
text__7 was Text8 (0.35 conf)
text__8 was Text9 (0.35 conf)
text__9 was Text10 (0.35 conf)
time was Time (0.45 conf)
signature_date__4 was Date 2 (1.00 conf)
acting_county was Acting in the County of (0.37 conf)
checkbox was checkbox100 (0.35 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

CC 435, Complaint/Motion and Affidavit to Revoke Acknowledgment of Parentage

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02