Friend of The Court Case Questionnaire

2. FRIEND OF THE COURT CASE QUESTIONNAIRE

4. Court Contact Information
   Telephone (989) 224-5136 Fax (989) 224-5113 100 East State Street Suite 4100 St. Johns, MI 48879

   Telephone (989) 224-5136 Fax (989) 224-5113 100 East State Street Suite 4100 St. Johns, MI 48879

8. Case Number if Known

9. Plaintiff Name

10. Defendant Name

14. PLEASE FILL OUT THIS FORM COMPLETELY, IF REQUIRED INFORMATION IS NOT GIVEN IT WILL NOT BE TAKEN INTO CONSIDERATION AS A POSSIBLE DEDUCTION OR ADDITIONAL EXPENSE.

16. Your Full Name

17. Date of Birth
    Date of Birth

18. Place of Birth: City and State

20. Is Address New?

    1. Yes

22. Address

24. City

25. State

26. Zip Code

28. Home Phone Number

29. Cell Phone Number

31. Driver's License Number

32. Attach image of Drivers License

34. Last 4 digits of Social Security Number

38. INCOME INFORMATION

40. Your occupation or job title

42. Attach Pay Stub

Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit

* indicates a required field