Foc 23 Form PDF Details

Form 23 is a form used to apply for exemption from withholding on certain types of income. This form can be used by both individuals and businesses, and is applicable in situations where no tax is due because the income falls below a certain threshold. There are a number of requirements that must be met in order to qualify for exemption using Form 23, so it's important to understand the guidelines before submitting an application. In this blog post, we'll provide an overview of Form 23 and explain who can use it and when. We'll also discuss some of the benefits of filing for exemption using this form. Stay tuned for more information!

QuestionAnswer
Form NameFoc 23 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfoc 23, michigan verified, michigan verified form, form foc 23

Form Preview Example

 

Original - Friend of the court

 

1st copy - Plaintiff/Attorney

Approved, SCAO

2nd copy - Defendant/Attorney

 

STATE OF MICHIGAN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CASE NO.

 

 

 

JUDICIAL CIRCUIT

 

 

 

 

 

VERIFIEDSTATEMENT

 

 

 

 

 

 

 

COUNTY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Parent's last name

First name

 

 

 

 

 

 

Middlename

 

2. Any other names by which parent is or has been known

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Date of birth

 

 

 

 

 

 

4.

Social security number

 

 

 

 

 

5. Driver's license number and state

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Mailing address and residence address (if different)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

E-mail address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8. Eye color

9. Hair color

10. Height

11. Weight

12. Race

 

13. Gender

14. Scars, tattoos, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15. Mobile telephone no.

16. Home telephone no.

 

 

 

 

17.

Work telephone no.

 

18.

Occupation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

Business/Employer's name and address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Gross weekly income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

Did this parent apply for or receive public assistance?

If yes, please specify kind and case number.

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22.

Other parent's last name

First name

 

 

 

 

 

 

Middlename

 

 

23. Any other names by which parent is or has been known

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24.

Date of birth

 

 

 

 

 

 

25.

Social security number

 

 

 

 

26.

 

Driver's license number and state

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

Mailing address and residence address (if different)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28.

E-mail address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29.

Eye color

 

30. Hair color

 

31. Height

 

32.

Weight

33. Race

34. Gender

 

35. Scars, tattoos, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

Mobile telephone no.

 

37. Home telephone no.

 

 

 

 

38.

Work telephone no.

 

39.

Occupation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

40.

Business/Employer's name and address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

41.

Gross weekly income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

42.

Did this parent apply for or receive public assistance?

If yes, please specify kind and case number.

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

43. a. Name and sex of minor child in case

M / F

b. Birth date

c. Age

d. Soc. sec. no.

 

e. Residential address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

44. a. Name and sex of other minor child of either party

M / F

b. Birth date

 

 

c. Age

 

d. Residential address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

45. Health care coverage available for each minor child

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. Name of minor child

 

b. Name of policy holder

 

 

 

c. Name of insurance co./HMO

 

 

 

d. Policy/Certificate/Contract/Group no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

46. Name(s) and address(es) of person(s) other than parties, if any, who may have custody of child(ren) during pendency of this case.

I declare that the statements above are true to the best of my information, knowledge, and belief.

Date

Signature

If any of the public assistance information above changes before your judgment is entered, you are required to give the friend of the court written notice of the change. If you want child support services, complete form DHS 1201-D, available at your local friend of the court office or courts.mi.gov/Administration/ SCAO/Forms/courtforms/domesticrelations/generalfoc/dhs1201d.pdf

FOC23 (6/19) VERIFIED STATEMENT

MCR3.206(C)

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As for the fields of this precise form, here is what you need to know:

1. To begin with, once filling out the form foc 23, beging with the part that contains the subsequent fields:

foc verified statement conclusion process described (step 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Eye color, Hair color, Height, Weight, Race Gender Scars tattoos etc, Mobile telephone no, Home telephone no, Work telephone no, Occupation, BusinessEmployers name and address, Gross weekly income, Did this parent apply for or, Yes, a Name and sex of minor child in, and M F with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Part number 2 for submitting foc verified statement

3. This 3rd segment is considered relatively straightforward, I declare that the statements, Date, Signature, If any of the public assistance, FOC VERIFIED STATEMENT, and MCR C - all of these blanks needs to be completed here.

The best way to prepare foc verified statement step 3

Always be very careful when completing If any of the public assistance and Date, since this is where many people make mistakes.

Step 3: Before addressing the next stage, it's a good idea to ensure that all blank fields have been filled out right. Once you establish that it is good, click on “Done." Right after setting up afree trial account with us, it will be possible to download form foc 23 or email it directly. The file will also be available in your personal cabinet with all your changes. With FormsPal, you can fill out forms without needing to get worried about information breaches or data entries being shared. Our secure platform ensures that your personal details are stored safe.

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