Transcription of 272, Proof of Publication Affidavit - michigan.gov
1 michigan Department of Treasury272 (Rev. 1-07) Proof OF Publication AFFIDAVITThis form is issued under the authority of Public Act 206 of 1893; MCL and (1)(b).INSTRUCTIONS:PUBLISHER: Prepare in triplicate. Send all affidavits, with a copy of the final Publication attached, toto the County ClerkCounty of _____ being duly sworn, testifies that he/she is _____ of the _____ a newspaper published at _____ and circulated in the above county and thathe/she is familiar with the facts and that the notice, a copy of which is attached, was published in said newspaperonce each week for three consecutive weeks (three publications) prior to the time fixed for the hearing thereof, andthat the publications were made on the:_____ day of _____ 20 _____ day of _____ 20 _____ day of _____ 20_____Dated _____State of MichiganCounty of _____On the _____ day of _____ 20 _____, the foregoing instrument was acknowledgedbefore me by _____. My Commission expires _____ _____ Notary Public_____ Signature of Publisher)) ss)
