STATE OF MICHIGAN
JUDICIAL DISTRICT
FORFEITURE NOTICE
Land Contract
CASE NO. and JUDGE
Court address Court telephone no.
Approved, SCAO
Form DC 101, Rev. 3/23
MCL 600.5728, MCL 600.5730
Page 1 of 1
(To be copied, if necessary, to attach to the Complaint)
1. You are notified that a certain land contract, dated
between
Name(s)
as seller(s) (party[ies] of the first part),
and
Name(s)
as purchaser(s) (party[ies] of the second part),
concerning the property at
Address or legal description of the premises
is in default because of nonpayment of installments of principal and/or interest, and also because of
unpaid taxes.
unpaid insurance premiums.
other:
Explain any other material breach claimed as the basis for forfeiture
.
2. You have forfeited your rights under the land contract, and payment is demanded by
Name
seller.
who holds the land contract as assignee of seller.
other:
.
3. The sum of $
is now past due in principal and interest under the land contract, plus the sum of:
$
for taxes.
$
for insurance.
$
other:
.
The dates upon which payments were due are
.
4. The total amount due, or the material breach(es) of contract, must be cured or paid within
days*
from the date of the service of notice upon you. (*15 days, unless the parties have by contract agreed to a longer time.)
5. If the total amount due is not paid in full within the time stated, or if the material breach(es) is/are not cured within the
time stated, the land contract will be forfeited, as provided in the contract, and you will be required to move out and give
up the described property without further notice to you. IF YOU DO NOT MOVE OR PAY VOLUNTARILY, THE
CONTRACT HOLDER MAY TAKE YOU TO COURT TO EVICT YOU.
Date
Signature
Form Instructions
Forfeiture Notice, Land Contract (3/23) Case No.
MCL 554.301, MCL 554.302, MCL 600.5730
I served personally by first-class mail a copy of the forfeiture notice, on:
Name Date and time of service
Place or address of service
I attempted to serve a copy of the forfeiture notice, together with the attachments listed below. I was unable to
complete service by one of the above methods. Service was made by publication (see proof of publication below).
I declare under the penalties of perjury that this certificate of service has been examined by me and that its contents are
true to the best of my information, knowledge, and belief.
Signature
Name (type or print)
I acknowledge that I have received service of a copy of the forfeiture notice, together with
Attachments (if any)
.
Date and time
Signature
Name (type or print)
I,
Name
, am the publisher agent of the publisher
of
, a qualified newspaper. Attached is a copy of the
notice of forfeiture of land contract taken from the newspaper. The dates of publication were:
a.
, b.
, and c.
.
Signature
Name (type or print)
Date
.
Deputy clerk/Notary public signature
My commission expires on
.
Name (type or print)
Notary public, State of Michigan, County of
. Acting in the County of
.
This notarial act was performed using an electronic notarization system or a remote electronic notarization platform.
CERTIFICATE OF SERVICE
ACKNOWLEDGMENT OF SERVICE
PROOF OF PUBLICATION
