Free Remittal of Disqualification - Michigan


File Size: 14.9 kB
Pages: 1
Date: November 29, 2004
File Format: PDF
State: Michigan
Category: Court Forms - State
Word Count: 160 Words, 1,067 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://courts.michigan.gov/scao/courtforms/general/mc272.pdf

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Approved, SCAO

STATE OF MICHIGAN
JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE Court address

CASE NO. REMITTAL OF DISQUALIFICATION
Court telephone no.

Plaintiff name(s) and address(es)

Defendant name(s) and address(es)

v

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

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

1. Judge
Bar no.

is willing to

participate in the proceedings regarding this matter and has requested that the parties consider waiving disqualification under MCR 2.003(D). The judge has no personal bias or prejudice concerning a party in the matter. 2. The possible grounds for disqualification are:

3. The parties, without participation by the judge, all agree that the judge should not be disqualified.

Date

Judge

Date

Plaintiff signature/Attorney for plaintiff

Bar no.

Date

Plaintiff signature/Attorney for plaintiff

Bar no.

Date

Defendant signature/Attorney for defendant

Bar no.

Date

Defendant signature/Attorney for defendant

Bar no.

MC 272 (9/00)

REMITTAL OF DISQUALIFICATION

MCR 2.003(D)