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Next Steps
Now that you have your forms, read the partial checklist that printed with them.
You can see the rest of the checklist by going back to MichiganLegalHelp.org. The Checklist has
step-by-step instructions telling you how to start and finish your legal matter. Go to the toolkit
that fits your legal problem (either I Need a Divorce and I Have Children or I Need a Divorce and
I Do Not Have Minor Children), and select your county. If you were already looking at the toolkit
before you did the interview, this will be easy!
The toolkit has two different checklists. Read the description for each one before deciding
which one applies to you. You can read the checklists online, or you can print them to save for
later.
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Original - Court 2nd copy - Plaintiff
Approved, SCAO 1st copy - Defendant 3rd copy - Return
STATE OF MICHIGAN CASE NO.
23rd JUDICIAL CIRCUIT SUMMONS AND COMPLAINT
ARENAC COUNTY -DO
In Pro Per
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 DAYSafter 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.
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
XThere 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:
Docket no. Judge Bar no.
VENUE
Plaintiff(s) residence (include city, township, or village) Defendant(s) residence (include city, township, or village)
on the defendant(s):
Defendant's name Complete address(es) of service Day, date, time
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.
Defendant's name Complete address(es) of service Day, date, time
I declare that the statements above are true to the best of my information, knowledge, and belief.
Signature
Service fee Miles traveled Mileage fee Total fee
$ $ $ Name (type or print)
Title
Subscribed and sworn to before me on , County, Michigan.
Date
My commission expires: Signature:
Date Deputy court clerk/Notary public
Notary public, State of Michigan, County of
ACKNOWLEDGMENT OF SERVICE
I acknowledge that I have received service of the summons and complaint, together with
Attachments
on
Day, date, time
on behalf of .
Signature
Original - Court 2nd copy - Plaintiff
Approved, SCAO for Michigan Legal Help only 1st copy - Defendant 3rd copy - Return
STATE OF MICHIGAN CASE NO.
23rd JUDICIAL CIRCUIT COMPLAINT FOR DIVORCE
ARENAC COUNTY (NO CHILDREN) -DO
I state:
1. The plaintiff or defendant has resided at least 180 days in Michigan immediately before the filing of this complaint.
2. The plaintiff or defendant has resided in this county at least 10 days immediately before the filing of this complaint.
3. The marriage took place on September 14, 2014 in Twining, Arenac County, Michigan .
Date Location
4. The plaintiff and defendant X separated on October 1, 2016 . still live together.
Date
5. There has been a breakdown of the marriage relationship to the extent that the objects of matrimony have been destroyed
and there remains no reasonable likelihood that the marriage can be preserved.
6. There are no minor children of the marriage and no party is pregnant.
7. X a. The plaintiff and defendant did not acquire property or debts during the marriage.
b. The plaintiff and defendant acquired property and/or debts during the marriage that are to be equitably divided between
them.
8. The plaintiff is X is not requesting spousal support.
I REQUEST:
a. A judgment of divorce.
b. An equitable division of property and debts.
Note: Property may include real estate, pensions, insurance, retirement accounts, and investment accounts, among others.
c. Spousal support be awarded.
d. An equitable division of the costs of this action.
X e. My last name be changed to Burchfield .
f. Any other relief that the court deems just and equitable.
I declare that the statements above are true to the best of my information, knowledge, and belief.
Plaintiff's attorney, bar no., address, and telephone no. Defendant's attorney, bar no., address, and telephone no.
In Pro Per
1. I request the clerk to enter the default of the party named above for failure to plead or otherwise defend as provided by law.
3. It is unknown whether the defaulted party is in the military service. X The defaulted party is not in the military service.
The defaulted party is in the military but there has been notice of pendency of the action and adequate time and opportunity
to appear and defend has been provided. Attached, as appropriate, is a waiver of rights and protections provided under the
Servicemembers Civil Relief Act. Facts upon which this conclusion is based are: (specify)
4. This affidavit is made on my personal knowledge and, if sworn as a witness, I can testify competently to the facts in this affidavit.
The default of the party named above for failure to plead or otherwise defend is entered.
CERTIFICATE OF MAILING
I certify that on this date I served copies of this default on the appropriate parties or their attorneys by first-class mail addressed to
their last-known addresses as defined by MCR 2.107(C)(3).
Date Signature
MC 07 (3/10) DEFAULT REQUEST, AFFIDAVIT, AND ENTRY MCL 32.517, MCL 600.2441, MCL 600.5759, MCR 2.603, 50 USC 521
RECORD OF -DO
_________________________________
Court Case Number
DIVORCE OR ANNULMENT
__________________________________ MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES _________________________________
23rd
State File Number By authority of MCL 333.2813. County
3. Last Name Before First Married (if different) _____________________________________________________________________
Burchfield
7. Defendant’s Full Name ____________________________________________________
Mark Anthony Machulis, Sr. 8. Defendant’s Birthdate ____________
04/21/1961
□ Male □ Female
X (First, Middle, Last)
(Month, Day, Year)
9. Last Name Before First Married (if different) _____________________________________________________________________
Machulis
10. Defendant’s Residence _____________________________________________________________________________________
Twining, Arenac County, MI
(City, Village, or Township) (County) (State)
11. Defendant’s Birthplace ___________________________________________________
tawas 12. Number of this Marriage __________
Fourth
(State or Foreign Country) (First, Second, etc. - Specify)
13. Place of this Marriage ______________________________________________________________________________________
Twining, Arenac County, Michigan
(City, Village, or Township) (County) (State or Foreign Country)
□
15. Date Couple Last Resided Check if Not
14. Date of this Marriage _____________________
September 14, 2014 Separated ______________
10/01/2016
in Same Household
(Month, Day, Year) (Month, Day, Year)
□
X
Check If
16. Number of Minor Children in Household at Separation Date (Filing Date if Not Separated) None ______________
(Number)
17. Plaintiff’s Attorney _________________________________________________________________________________________
In Pro Per
(Name - Type or Print) (Bar Number)
18. Attorney’s Address _________________________________________________________________________________________
(Number and Street) (City) (State) (Zip Code)
20. Number of Minor Children Whose
19. Judgment of ____________________
Divorce Physical Custody was Awarded to: Plaintiff____ Defendant____ Joint____ Other____
(Divorce/Annulment - Specify) (Number) (Number) (Number) (Number)
□X No Children □ Unknown
21. Judgment Recorded on _______________________ 22. I certify that this Divorce was granted on ________________________
(Month, Day, Year) (Month, Day, Year)
23. Certifying Official _________________________________________________________________________________________
(Signature) (Title) (Date Signed)
Failure to provide the required information is a misdemeanor punishable by imprisonment
of not more than 1 year or a fine of not more than $1,000.00 or both.
vs HON. __________________
NOTICE OF HEARING
PLEASE TAKE NOTICE that the hearing on Plaintiff’s FINAL HEARING FOR
ENTRY OF JUDGMENT OF DIVORCE will be held:
DATE: _____________________
TIME: _____________________
JUDGE: ____________________
PLACE:_____________________
Dated:_________________ BY:_______________________
__________________________
Plaintiff, In Pro Per
STATE OF MICHIGAN
IN THE FAMILY DIVISION FOR THE _________
23rd JUDICIAL CIRCUIT
COUNTY OF _____________________
ARENAC
__________________________
Jill Ann Machulis
Plaintiff, CASE NO. ______________
-DO
vs HON. __________________
Mark Anthony Machulis, Sr.
Defendant.
__________________________/
Notice of Hearing
Judge: ________________________________________
Date: _________________
Time: __________
Place: __________________________________________________________________
Motion
I request entry of a Consent Judgment of Divorce. The parties agree on all of the terms of the
Judgment of Divorce and have signed a proposed Judgment of Divorce to indicate our
agreement.
vs HON. __________________
Mark Anthony Machulis, Sr.
Defendant.
__________________________/
Notice of Hearing
Judge: ________________________________________
Date: _________________
Time: __________
Place: __________________________________________________________________
Motion
2. Defendant was properly served, and I timely filed the Proof of Service.
3. Defendant has not filed or served an answer or taken any other action permitted by law in
response to my Complaint for Divorce.
4. Defendant was served with the Request and Affidavit and Entry of Default, and I timely
filed a Proof of Service.
I REQUEST THAT:
The Court enter my proposed Default Judgment of Divorce (Final) under MCR 3.210(B)(4)(a).
vs HON. __________________
Mark Anthony Machulis, Sr.
Defendant.
__________________________/
PROOF OF SERVICE
Defendant __________________________
Mark Anthony Machulis, Sr. (name) at _________________________________
___________________________________________________________________ (address):
By:
[ ] Sending the documents to the Defendant by first class mail
[ ] Handing the documents personally to the Defendant
I declare that the statements above are true to the best of my information, knowledge and belief.
vs HON. __________________
Mark Anthony Machulis, Sr.
Defendant.
__________________________/
PROOF OF SERVICE
Defendant __________________________
Mark Anthony Machulis, Sr. (name) at _________________________________
___________________________________________________________________ (address):
By:
[ ] Sending the documents to the Defendant by first class mail
[ ] Handing the documents personally to the Defendant
I declare that the statements above are true to the best of my information, knowledge and belief.
vs HON. __________________
Mark Anthony Machulis, Sr.
Defendant.
__________________________/
PROOF OF SERVICE
Defendant __________________________
Mark Anthony Machulis, Sr. (name) at _________________________________
___________________________________________________________________ (address):
By:
[ ] Sending the documents to the Defendant by first class mail
[ ] Handing the documents personally to the Defendant
I declare that the statements above are true to the best of my information, knowledge and belief.
1. This judgment is entered after trial. after default. X on consent of the parties.
2. The plaintiff filed a complaint for divorce against the defendant.
3. THE COURT FINDS that there has been a breakdown of the marriage relationship to the extent that the objects of matrimony
have been destroyed and there remains no reasonable likelihood that the marriage can be preserved.
IT IS ORDERED:
4. The marriage between the plaintiff, Jill Ann Machulis , and the defendant,
Mark Anthony Machulis, Sr. , is dissolved and the parties are now divorced.
5. Spousal support:
X Neither party is awarded spousal support and spousal support is forever barred.
Spousal support is reserved.
Spousal support is awarded according to the attached Uniform Spousal Support Order.
6. Personal property:
Each party is awarded the personal property now in his/her possession and is fully responsible to pay any debt related to
that property. The other party has no claim to that property.
The parties’ personal property is divided according to the attached Personal Property and Debt Addendum.
7. Debt:
X There are no debts to be divided.
Each party is responsible for paying the debts in his/her name.
Debts are divided according to the attached Personal Property and Debt Addendum.
8. Vehicles:
X The parties do not own any vehicles.
Each party will keep the vehicle(s) now in his/her name and possession, and is fully responsible to pay any debt related
to the vehicle(s). The other party has no claim to any vehicle in the other’s name and possession.
The parties own vehicle(s) that are to be divided according to the attached Vehicle Addendum.
9. Real Property:
X The parties do not own any real property.
The parties own real property that is awarded according to the attached Real Property Addendum.
10. Pension Rights:
X There are no pensions, annuities, individual retirement accounts or other types of retirement plans or accounts, whether
vested or unvested, accumulated or contingent, to be divided.
Each party is awarded his/her own pensions, annuities, individual retirement accounts or other types of retirement plans
or accounts, whether vested or unvested, accumulated or contingent, as his/her own sole and separate property.
Pensions, annuities, individual retirement accounts or other types of retirement plans or accounts, whether vested or
unvested, accumulated or contingent, are divided according to the attached Pension/Retirement Account Addendum.
MCL 552.6, MCL 552.16, MCL 552.23, MCL 552.509(1),
CC-MLH 412 (6/17) JUDGMENT OF DIVORCE (NO CHILDREN) MCL 552.511, MCR 2.602(B), MCR 3.211
Judgment of Divorce (No Children) (6/17) Page 2 of 2 Case No. -DO
11. Life Insurance: Except as otherwise preserved in this judgment, any interests of either party in any insurance policy or
insurance contract on the life of the other party, as beneficiary or otherwise, are extinguished. Each party holds the
policy(ies) free and clear of the claim of the other.
12. Health Insurance Availability through COBRA: Either party may obtain coverage for himself/herself under the other
party’s present medical or health insurance policy carried through his/her employment pursuant to the provisions of the
Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). Each party shall, immediately upon entry of this
judgment of divorce, notify his/her respective plan administrator of this provision, to enable the plan administrator to give
proper notice to the other party pursuant to COBRA.
13. Documents: Within a reasonable time after this judgment is entered, each party shall properly prepare and deliver to the
other party all the documents required to divide the property and debt as ordered in this judgment. A certified copy of this
judgment may be recorded to effect such a transfer, if necessary.
14. Hidden Assets: If either party has hidden any of his/her assets from the other party, the issue of property division in
the divorce may be reopened on the motion of either party. If this motion were to be granted, this court would then resolve
the distribution of any previously undisclosed assets.
15. Costs and Fees: Any previously suspended costs and fees of this case shall be
paid by the plaintiff. paid by the defendant. waived permanently.
X 16. The X plaintiff’s defendant’s name shall be changed to Jill Ann Burchfield .
17. Attachments: The following addendums are attached and incorporated into this judgment of divorce.
Personal Property and Debt Addendum Vehicle Addendum Real Property Addendum
Pension/Retirement Account Addendum
18. Other provisions:
19. Settlement of Claims Between the Parties: This judgment resolves the last pending claim and closes this case.
20. When Judgment Becomes Final: This judgment is effective and final upon its date of entry.
21. Jurisdiction Retained: This court retains jurisdiction of this matter to enforce all the terms of this judgment of divorce.
Date Judge Bar no.
Approved:
1. I married the Defendant on September 14, 2014 at Twining, Arenac County, Michigan.
2. I filed a complaint for divorce on ________________ (filing date).
3. I lived in Michigan for 180 days and in Arenac County for 10 days immediately prior to
filing this complaint.
4. When I filed my complaint for divorce all the statements were true.
5. All the statements in my complaint for divorce are still true today.
6. There has been a breakdown of the marriage relationship such that the objects of
matrimony have been destroyed and there remains no reasonable likelihood that the
marriage can be preserved.
7. I do not believe there is any possibility of reconciliation.
8. I am not currently pregnant.
8. There are no minor children of this marriage.
9. I have read all of the terms of the proposed Judgment of Divorce and am in agreement
with them.
10. I would like the court to change my surname to Burchfield.
These are step-by-step instructions to help you prepare and file your divorce forms. For
complete instructions, return to michiganlegalhelp.org. Go to the toolkit I Need a Divorce
and I Do Not Have Minor Children, select your county, and go to the checklists at the
bottom of the page.
Complete the Do-It-Yourself Divorce to prepare the forms that you need. You will not file all of these forms
at the beginning of your case; some you will file later. You need to make copies of some of the forms. The
instructions below explain which forms you need for each step and how many copies to make.
You must file the following forms with a clerk of the circuit court to start your divorce case:
It will cost you at least $175.00 to file a complaint for divorce without minor children. There may be more
costs, such as charges for having papers served on your spouse, motion filing fees, and costs for
alternative dispute resolution services (mediation).
If you receive public assistance or are unable to pay court fees, you can file a Waiver/Suspension of Fees
and Costs form to ask the court to waive them.
If you receive state public assistance, the court must waive your fees. The completed Waiver/Suspension
of Fees and Costs form will print out with your other documents from the Do-It-Yourself Divorce.
If you are unable to pay court fees but don’t receive state public assistance, you can use the Do-It-
Yourself Fee Waiver to prepare this form. A judge will review your affidavit and decide whether to waive
costs and fees.
You must sign and date each form that you complete. The Waiver/Suspension of Fees & Costs must be
signed in front of a court clerk or a notary public. If you are not asking to have your fees waived, you may
not have any forms that need to be notarized.
You can find a notary at a bank. There is no cost to sign your form in front of a court clerk. There may be
a cost to sign your form in front of a notary public.
After you sign your documents, make copies as follows: (In some counties the court clerk’s office will
make the copies for you. You can call the clerk’s office ahead of time to ask whether you need to make
your own copies.)
Waiver/Suspension of Fees & Costs (if needed) - 2 copies
Summons and Complaint – 2 copies
Complaint for Divorce – 2 copies
The original of each document gets filed with the court. Copies of the documents are for the Plaintiff (you)
and Defendant (your spouse).
If you are asking for spousal support in your Complaint for Divorce, you must make a third copy of each of
the documents for the Friend of the Court.
File your forms with the court clerk in the county you have selected. Click on “Court Information” for the
address and phone number of the court in your filing county.
It will cost you at least $175.00 to file a complaint for divorce without minor children. There may be more
costs, such as charges for having papers served on your spouse, motion filing fees, and costs for
alternative dispute resolution services (mediation).
Pay the filing fee or file a Waiver/Suspension of Fees & Costs along with the following documents:
Give the clerk all of the originals and all of the copies. The clerk will assign a case number and a judge to
your case and will stamp and sign the summons. The clerk will return copies of all the divorce papers that
the court doesn’t need.