Fillable Printable Summons and Complaint - Michigan
Fillable Printable Summons and Complaint - Michigan
Summons and Complaint - Michigan
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.
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.
This is a business case in which all or part of the action includes a business or commercial dispute under MCL 600.8035.
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:
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:
MC 01 (5/15) 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)
Original - Court
1st copy - Defendant
2nd copy - Plaintiff
3rd copy - Return
v
Plaintiff's name(s), address(es), and telephone no(s).
Defendant's name(s), address(es), and telephone no(s).
Court telephone no.
Approved, SCAO
Court address
Plaintiff's attorney, bar no., address, and telephone no.
CASE NO.
STATE OF MICHIGAN
SUMMONS AND COMPLAINT
JUDICIAL DISTRICT
JUDICIAL CIRCUIT
COUNTY PROBATE
*This summons is invalid unless served on or before its expiration date. This document must be sealed by the seal of the court.
Court clerkThis summons expiresIssued
Bar no.
Docket no.
Judge
Plaintiff(s) residence (include city, township, or village) Defendant(s) residence (include city, township, or village)
Bar no.
Docket no.
Judge
Place where action arose or business conducted
Date
Signature of attorney/plaintiff
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.
VENUE
Enter information in all parts of the form except the "Summons"
part. The clerk will complete the "Summons" part.
SUMMONS AND COMPLAINT
Case No.PROOF OF SERVICE
TO PROCESS SERVER: You are to serve the summons and complaint not later than 91 days from the date of filing or the date
of expiration on the order for second summons. You must make and file your return with the court clerk. If you are unable to complete
service you must return this original and all copies to the court clerk.
OFFICER CERTIFICATE AFFIDAVIT OF PROCESS SERVER
CERTIFICATE / AFFIDAVIT OF SERVICE / NONSERVICE
I certify that I am a sheriff, deputy sheriff, bailiff, appointed
court officer, or attorney for a party (MCR 2.104[A][2]), and
that: (notarization not required)
Being first duly sworn, I state that I am a legally competent
adult who is not a party or an officer of a corporate party, and
that: (notarization required)
I served personally a copy of the summons and complaint,
I served by registered or certified mail (copy of return receipt attached) a copy of the summons and complaint,
together with
on the defendant(s):
OR
List all documents served with the Summons and Complaint
Title
Signature
Service fee Miles traveled Mileage fee Total fee
$ $ $
I acknowledge that I have received service of the summons and complaint, together with
on
on behalf of .
Subscribed and sworn to before me on , County, Michigan.
My commission expires: Signature:
Notary public, State of Michigan, County of
Date
Date Deputy court clerk/Notary public
Day, date, time
Signature
ACKNOWLEDGMENT OF SERVICE
Attachments
I have personally attempted to serve the summons and complaint, together with any attachments, on the following defendant(s)
and have been unable to complete service.
Complete address(es) of service Day, date, time
Defendant's name
Complete address(es) of service Day, date, time
Defendant's name
Name (type or print)
I declare that the statements above are true to the best of my information, knowledge, and belief.
