MC 55, Claim of Appeal - Michigan

1 MC 55 (9/17) Claim OF APPEALMCR (D), MCR (C), MCR (C)(3), MCR (D)Plaintiff s/Petitioner s name(s) and address(es) Appellant AppelleevDefendant s/Respondent s name(s) and address(es) Appellant AppelleePlaintiff s attorney, bar no., address, and telephone s attorney, bar no., address, and telephone no. Probate In the matter of Other interested party(ies) of probate matterApproved, SCAO Original - Court of Appeals/Circuit court1st copy - Trial courtJIS CODE: COA2nd copy - Appellee3rd copy - AppellantSTATE OF MICHIGANJUDICIAL CIRCUIT DISTRICT COUNTY IN THE COURT OF APPEALS Claim OF APPEALCASE addressCourt telephone Name claims an Appeal from a final judgment or order entered onDatein the Court name and number or county Court of the State of Michigan , by district judge circuit judge probate judge district court magistrateName of judge or district court magistrateBar no.

2 2. Bond on Appeal is filed. attached. waived. not The transcript has been transcript has been record was CASE CONTEST AS TO THE CUSTODY OF A MINOR ADULT OR MINOR GUARDIANSHIP UNDER THE ESTATES AND PROTECTED INDIVIDUALS CODE ORUNDER THE MENTAL HEALTH INVOLUNTARY MENTAL HEALTH TREATMENT CASE UNDER THE MENTAL HEALTH RULING THAT A PROVISION OF THE Michigan CONSTITUTION, A Michigan STATUTE, A RULE ORREGULATION INCLUDED IN THE Michigan ADMINISTRATIVE CODE, OR ANY OTHER ACTION OF THELEGISLATIVE OR EXECUTIVE BRANCH OF STATE GOVERNMENT IS signatureI certifiy that copies of this Claim of Appeal and bond (if required) were served onName on Date by personal service.

3 First-class on Date by personal service. first-class on Date by personal service. first-class OF SERVICE/s/