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Get MI DCH-0838 2015

Judgement Recorded on 22. I certify that this Divorce was granted on Signature Title Date Signed Failure to provide the required information is a misdemeanor punishable by imprisonment DCH-0838 Rev. 07/2015. RECORD OF DIVORCE OR ANNULMENT Court Case Number By authority of MCL 333. 2813. State File Number County 1. Plaintiff s Full Name 2. Plaintiff s Birthdate Male Female First Middle Last Month Day Year 3. Last Name Before First Married if different 4. Plaintiff s Residence City Village or Township State 5. Plaintiff s Birthplace 6. Number of this Marriage State or Foreign Country First Second etc* - Specify 7. Defendant s Full Name 8. Defendant s Birthdate 10. Defendant s Residence 11. Defendant s Birthplace 12. Number of this Marriage 13. Place of this Marriage 14. Date of this Marriage 15. Date Couple Last Resided in Same Household Check if Not Separated 16. Number of Minor Children in Household at Separation Date Filing Date if Not Separated None Number 17. Plaintiff s Attorney Name - Type or Print Bar Number 18. Attorney s Address Number and Street City Zip Code 19. Judgement of Physical Custody was Awarded to Plaintiff Defendant Joint Other Divorce/Annulment - Specify No Children Unknown 21. RECORD OF DIVORCE OR ANNULMENT Court Case Number By authority of MCL 333. 2813. State File Number County 1. Plaintiff s Full Name 2. Plaintiff s Birthdate Male Female First Middle Last Month Day Year 3. Last Name Before First Married if different 4. Plaintiff s Full Name 2. Plaintiff s Birthdate Male Female First Middle Last Month Day Year 3. Last Name Before First Married if different 4. Plaintiff s Residence City Village or Township State 5. Plaintiff s Birthplace 6. Number of this Marriage State or Foreign Country First Second etc* - Specify 7. Plaintiff s Residence City Village or Township State 5. Plaintiff s Birthplace 6. Number of this Marriage State or Foreign Country First Second etc* - Specify 7. Defendant s Full Name 8. Defendant s Birthdate 10. Defendant s Residence 11. Defendant s Birthplace 12. Defendant s Full Name 8. Defendant s Birthdate 10. Defendant s Residence 11. Defendant s Birthplace 12. Number of this Marriage 13. Place of this Marriage 14. Date of this Marriage 15. Date Couple Last Resided in Same Household Check if Not Separated 16. Number of this Marriage 13. Place of this Marriage 14. Date of this Marriage 15. Date Couple Last Resided in Same Household Check if Not Separated 16. Number of Minor Children in Household at Separation Date Filing Date if Not Separated None Number 17. Number of Minor Children in Household at Separation Date Filing Date if Not Separated None Number 17. Plaintiff s Attorney Name - Type or Print Bar Number 18. Attorney s Address Number and Street City Zip Code 19. Plaintiff s Attorney Name - Type or Print Bar Number 18. Attorney s Address Number and Street City Zip Code 19. Judgement of Physical Custody was Awarded to Plaintiff Defendant Joint Other Divorce/Annulment - Specify No Children Unknown 21. .

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