Free jc36.p65 - Michigan

Approved, SCAO

JIS CODE: OTJ

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

COUNTY
Court address

REQUEST AND ORDER TO TERMINATE COURT JURISDICTION

CASE NO. PETITION NO.

Court telephone no.

1. In the matter of
name(s), alias(es), DOB

REQUEST TO TERMINATE COURT JURISDICTION 2. I,
Name

,
Title

, request that the jurisdiction

of this court be terminated

with

without

a hearing, for the following reason

a. the terms of probation have been completed. b. the minor has attained the maximum jurisdictional age. c. the minor is in the full care, custody, and control of the parent(s), guardian, or legal custodian, and further court supervision is unnecessary. d. other: 3. Money is owed to the court as follows: I declare that this request has been examined by me and that its contents are true to the best of my information, knowledge, and belief.
Address City, state, and zip Telephone no.

Signature Name (type or print)

Date

RECOMMENDATION REGARDING REQUEST TO TERMINATE COURT JURISDICTION 4. IT IS RECOMMENDED that this request be a. granted because b. denied without instruction because c. denied with the following instruction because d. set for hearing on at
Date

at

before Hon. .

Referee

Bar no.

ORDER REGARDING REQUEST TO TERMINATE COURTJURISDICTION 5. IT IS ORDERED that this request is a. granted and the jurisdiction of this court is terminated except that the court reserves the right to enforce payments of any delinquent account or unpaid reimbursement order unpaid as of the date of this order because Any wage assignment presently in effect shall remain in effect until the sums owed by the employee are paid in full. b. denied without instruction because c. denied with the following instruction because

Date

Judge

Bar no. MCL 712A.18(2), MCL 712A.18c(4), MCL 712A.19(1)

JC 36 (9/06)

REQUEST AND ORDER TO TERMINATE COURT JURISDICTION