Free mc55.p65 - Michigan

Approved, SCAO

Original - Court of Appeals/Circuit Court 1st copy - Trial court

JIS CODE: COA 2nd copy - Appellee 3rd copy - Appellant

STATE OF MICHIGAN
DISTRICT COUNTY IN THE COURT OF APPEALS
Court address

CASE NO. CLAIM OF APPEAL
CIRCUIT DISTRICT PROBATE
Court telephone no.

JUDICIAL

CIRCUIT

Plaintiff/Petitioner name(s) and address(es)

Appellant Appellee v

Defendant/Respondent name(s) and address(es)

Appellant Appellee

Attorney, bar no., address, and telephone no.

Attorney, bar no., address, and telephone no.

Probate

In the matter of

Other interested party(ies) of probate matter

1.

Name

, claims an appeal from a final judgment or order entered on in the Court of the State of Michigan,
Court name and number or county

Date

by

district judge

circuit judge

probate judge .
Bar no.

district court magistrate

Name of judge or district court magistrate

2. Bond on appeal is filed. attached. waived. not required. 3. a. The transcript has been ordered. b. The transcript has been filed. c. No record was made. 4. THIS CASE INVOLVES A CONTEST AS TO THE CUSTODY OF A MINOR CHILD.

Date Address

Appellant/Attorney signature City, state, zip Telephone no.

PROOF OF SERVICE I certify that copies of this claim of appeal and bond (if required) were served on on
Name Date

by

personal service. first-class mail. personal service. first-class mail. personal service. first-class mail.

on
Name Date

by

on
Name Date

by

Date MC 55 (5/07)

Signature

CLAIM OF APPEAL

MCR 4.401(D), MCR 7.101(C), MCR 7.204(D)