Approved, SCAO

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

MOTION FOR LIEN

Original - Court
1st copy - Plaintiff
2nd copy - Defendant
3rd copy - Friend of the court

CASE NO.

Court  address

Telephone  no.

Plaintiff's name, address, and telephone no.

MOTION

1. A support order was entered as follows.

Defendant's name, address, and telephone no.

Amount and period of payment

Date of order

Payer

$

2. The office of the friend of the court has reviewed
the files of the payer and determined there is an
arrearage of:

Attorney:
v

Attorney:

3. There has been a pattern of overdue support.

The plaintiff
The defendant

4.

is the owner of real property or personal property (description attached).

5. I request that a lien be placed against the

property in an amount sufficient to pay the arrearage

at the time of hearing.

Include an amount to be posted as a bond to ensure payment of future support and other charges.

plaintiff's
defendant's

Date

Friend of the court/Authorized representative

NOTICE OF HEARING

A hearing will be held on the above petition on

Date

Location

before

Judge/Referee

at

Time

 at

    .

Bar no.

If you require special accommodations to use the court because of a disability, or if you require a foreign language interpreter to help
you fully participate in court proceedings, please contact the court immediately to make arrangements.  When contacting the court,
provide your case number(s).

I certify that on this date I served a copy of this petition and notice of hearing on the plaintiff and the defendant or their attorneys by
first-class mail addressed to their last-known addresses as defined in MCR 3.203.

CERTIFICATE OF MAILING

Date

Signature

FOC 45   (3/09)   MOTION FOR LIEN

MCL 552.625(a), MCR 3.208(B)