Fill and Sign the Mc 55 Claim of Appeal Form

Plaintiff’s/Petitioner’s name(s) and address(es) Appellant Appellee v Defendant’s/Respondent’s name(s) and address(es) Appellant Appellee Plaintiff’s attorney, bar no., address, and telephone no. Defendant’s attorney, bar no., address, and telephone no. Probate In the matter of Other interested party(ies) of probate matter Approved, SCAO Original - Court of Appeals/Circuit court 1st copy - Trial court JIS CODE: COA 2nd copy - Appellee 3rd copy - Appellant STATE OF MICHIGAN JUDICIAL CIRCUIT DISTRICT COUNTY IN THE COURT OF APPEALS CLAIM OF APPEALCASE NO. CIRCUIT DISTRICT PROBATE Court address Court telephone no. 1. Name claims an appeal from a final judgment or order entered on Date in the Court name and number or county Court of the State of Michigan, by district judge circuit judge probate judge district court magistrate Name of judge or district court magistrate Bar no. . 2. Bond on appeal is filed. attached. waived. not required. 3. a. The transcript has been ordered. b. The transcript has been filed. c. No record was made. 4. THIS CASE INVOLVES a. A CONTEST AS TO THE CUSTODY OF A MINOR CHILD. b. AN ADULT OR MINOR GUARDIANSHIP UNDER THE ESTATES AND PROTECTED INDIVIDUALS CODE OR UNDER THE MENTAL HEALTH CODE. c. AN INVOLUNT ARY MENTAL HEALTH TREATMENT CASE UNDER THE MENTAL HEALTH CODE. d. A RULING THAT A PROVISION OF THE MICHIGAN CONSTITUTION, A MICHIGAN STATUTE, A RULE OR REGULA TION INCLUDED IN THE MICHIGAN ADMINISTRATIVE CODE, OR ANY OTHER ACTION OF THE LEGISLA TIVE OR EXECUTIVE BRANCH OF STATE GOVERNMENT IS INVALID. Date Appellant/Attorney signature I certifiy that copies of this claim of appeal and bond (if required) \ were served on Name on Date by personal service. first-class mail. Name on Date by personal service. first-class mail. Name on Date by personal service. first-class mail. Date Signature PROOF OF SERVICE /s/ MC 55 (9/17) CLAIM OF APPEAL MCR 4.401(D), MCR 7.104(C), MCR 7.108(C)(3), MCR 7.204(D)