Free mc94.p65 - Michigan

For use by Register of Deeds

Approved, SCAO

Original - Register of deeds 1st copy - Court 2nd copy - Judgment creditor

3rd copy - Judgment debtor 4th copy - Return of service

STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
Court address

CASE NO. NOTICE OF JUDGMENT LIEN
Court telephone no.

Plaintiff name

v

Defendant name

Judgment creditor's name and address

Judgment debtor's name and address

Last 4 digits of social security no. or full tax identification no. Judgment creditor's attorney, bar no., address, and telephone no. Judgment debtor's attorney, bar no., address, and telephone no.

1. I am recording a judgment lien with the register of deeds in County against the judgment debtor's current or future interest in real property. 2. The current balance due on the judgment is $ . 3. The judgment was entered on and expires . 4. Except as otherwise prescribed by statute, this judgment lien expires 5 years after the date it is recorded with the register of deeds or when the underlying judgment expires, whichever is earlier.
Date This document must be sealed by the seal of the court. Signature of judgment creditor/judgment creditor's attorney

CERTIFICATION

I certify that the above notice of judgment lien has been filed and includes the information required by MCL 600.2805(1). Clerk of the Court:
Date

Signed by:

Clerk/Deputy clerk

When recorded, return to
MC 94 (3/06)

.
MCL 600.2805

NOTICE OF JUDGMENT LIEN

PROOF OF SERVICE

NOTICE OF JUDGMENT LIEN Case No.

TO PROCESS SERVER: File your return with the clerk of the court. If you are unable to complete personal service, you must file your return with the clerk of the court and return the judgment debtor's copy to the judgment creditor/attorney. CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE OR OFFICER CERTIFICATE I certify that I am a sheriff, deputy sheriff, bailiff, appointed court officer, or attorney for a party [MCR 2.104(A)(2)], and that: (notarization not required) AFFIDAVIT OF PROCESS SERVER Being first duly sworn, I state that I am a legally competent adult who is not a party or an officer of a corporate party, and that: (notarization required)

I served a copy of the notice of judgment lien by certified mail on: I personally served a copy of the notice of judgment lien on (required when the judgment is $25,000 or more):
Judgment debtor's name Complete address(es) of service Day, date, time

I have personally attempted to serve the notice of judgment lien on the following person(s) and have been unable to complete service.
Name(s) Complete address(es) of service Day, date, time

Service fee

Miles traveled

Mileage fee

Total fee

Signature Title

$

$

$

Subscribed and sworn to before me on My commission expires:
Date

Date

, Signature:
Deputy court clerk/Notary public

County, Michigan.

Notary public, State of Michigan, County of

ACKNOWLEDGMENT OF SERVICE I acknowledge that I have received service of this notice of judgment lien on on behalf of
Signature Day, date, time

.

MCR 2.105