Form Foc 109 - Motion Regarding Payment Plan/discharge Of Arrears Page 8

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Motion Regarding Payment Plan/Discharge of Arrears (6/17) Page
of
Case No.
7. (continued.)
Attach a separate sheet if more space is needed.
Description
Net Value
d.
$
e.
$
f.
$
g.
$
h.
$
i.
$
8. If arrears are owed to the State of Michigan, I will provide notice to the Office of Child Support at least 56 days before the
hearing on this matter.
H
9. I ask:
a. that the court order a payment plan of $
per month for
months toward support arrears in this
case.
b. that if the court declines to order the payment plan as requested above, the court order a payment plan of support
arrears as found by the court to be a reasonable monthly payment over a reasonable time in accordance with my ability
to pay.
c. that the court grant me such other and further relief as is just and appropriate.
I
10. I further ask that once I complete this payment plan, the court enter an order discharging any remaining arrears.
Date
Signature
NOTICE OF HEARING
A hearing will be held on this motion before
J
Judge/Referee
Bar no.
on
at
at
.
Date
Time
Location
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).
Note: If you are the person receiving this motion, you may file a response. Contact the friend of the court office and request form FOC 117.
CERTIFICATE OF MAILING
K
I certify that on this date I served a copy of this motion on the parties or their attorneys and as appropriate to the Office of
Child Support or political subdivision by first-class mail addressed to their last-known addresses as defined in MCR 3.203.
Date
Signature

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