Summons And Complaint
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1Enter information in all parts of the form except the "Summons"
part. The clerk will complete the "Summons" part.
Original - Court
2nd copy - Plaintiff
Approved, SCAO
1st copy - Defendant
3rd copy - Return
STATE OF MICHIGAN
CASE NO.
JUDICIAL DISTRICT
SUMMONS AND COMPLAINT
JUDICIAL CIRCUIT
COUNTY PROBATE
Court address
Court telephone no.
Plaintiff's name(s), address(es), and telephone no(s).
Defendant's name(s), address(es), and telephone no(s).
v
Plaintiff's attorney, bar no., address, and telephone no.
SUMMONS
NOTICE TO THE DEFENDANT: In the name of the people of the State of Michigan you are notified:
1. You are being sued.
2. YOU HAVE 21 DAYS after receiving this summons to file a written answer with the court and serve a copy on the other party
or take other lawful action with the court (28 days if you were served by mail or you were served outside this state).
(MCR 2.111[C])
3. If you do not answer or take other action within the time allowed, judgment may be entered against you for the relief demanded
in the complaint.
Issued
This summons expires
Court clerk
*This summons is invalid unless served on or before its expiration date.
This document must be sealed by the seal of the court.
COMPLAINT
Instruction: The following is information that is required to be in the caption of every complaint and is to be completed
by the plaintiff. Actual allegations and the claim for relief must be stated on additional complaint pages and attached to this form.
Family Division Cases
There is no other pending or resolved action within the jurisdiction of the family division of circuit court involving the family or family
members of the parties.
An action within the jurisdiction of the family division of the circuit court involving the family or family members of the parties has
been previously filed in
Court.
The action
remains
is no longer
pending. The docket number and the judge assigned to the action are:
Judge
Docket no.
Bar no.
General Civil Cases
There is no other pending or resolved civil action arising out of the same transaction or occurrence as alleged in the complaint.
A civil action between these parties or other parties arising out of the transaction or occurrence alleged in the complaint has
been previously filed in
Court.
The action
remains
is no longer
pending. The docket number and the judge assigned to the action are:
Judge
Bar no.
Docket no.
VENUE
Plaintiff(s) residence (include city, township, or village)
Defendant(s) residence (include city, township, or village)
Place where action arose or business conducted
Signature of attorney/plaintiff
Date
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.
SUMMONS AND COMPLAINT
MCR 2.102(B)(11), MCR 2.104, MCR 2.105, MCR 2.107, MCR 2.113(C)(2)(a), (b), MCR 3.206(A)
MC 01 (3/08)
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