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Form 296 - Proof Of Notice Of Administrative Show Cause Hearing And Judicial Foreclosure Hearing Affidavit

Michigan Department of Treasury

296 (Rev. 12-06)

Hearing Notice was sent Certified Mail.

PROOF OF NOTICE OF ADMINISTRATIVE SHOW CAUSE

Receipt attached, if applicable.

HEARING AND JUDICIAL FORECLOSURE HEARING AFFIDAVIT

This form is issued under authority of Public Act 206 of 1893; MCL 211.78k.

THIS AFFIDAVIT IS EXECUTED TO CONFIRM AND

ESTABLISH TITLE IN THE FORECLOSING

GOVERNMENTAL UNIT

The person(s) named had a redeemable interest in the

property described below and:

Hearing Notice was sent certified mail

Hearing Notice was sent certified mail but was rejected or refused.

Hearing Notice was sent certified mail but was returned. Further

efforts to notify by mail were not successful.

Name, Address, City, State, ZIP

Property Description/Property ID Number

Date Affidavit Issued

County

Hearing Date

Time

Substitute notice by publication was made.

Notice was made by personal visit.

Witness,

Signature County Treasurer/State Treasurer Rep.

Print Name of Above

On this date

, the foregoing instrument was acknowledged before me a Notary Public for

, State of Michigan,

Prepared By:

Notary Public:

My Commission Expires:

Form 296 - Proof Of Notice Of Administrative Show Cause Hearing And Judicial Foreclosure Hearing Affidavit