Michigan Form Dch 0838 ≡ Fill Out Printable PDF Forms Online

Michigan Form Dch 0838 PDF Details

Michigan Form Dch 0838 is a Declaration of Domicile for Michigan Income Tax Purposes. This form is used to declare your domicile status for Michigan income tax purposes. A person's domicile is their permanent home, the place where they intend to return to whenever they are away. There are a number of factors that can be considered when determining your domicile, including your residency, presence in Michigan, and ties to the state. To complete this form, you will need to provide information about your residency and presence in Michigan, as well as any ties you have to the state. Once you have completed the form, it must be signed and dated. You should keep a copy of this form for your records.

In the listing, there is some information relating to the michigan form dch 0838. It may be helpful to know its length, the average time to complete the form, the fields you should fill in, and so on.

Question	Answer
Form Name	Michigan Form Dch 0838
Form Length	1 pages
Fillable?	Yes
Fillable fields	37
Avg. time to fill out	7 min 43 sec
Other names	michigan annulment forms, dch 0838 divorce form, record of divorce or annulment michigan, dch 0838 fillable

12

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__________________________________

State File Number

RECORD OF

DIVORCE OR ANNULMENT

MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES

By authority of MCL 333.2813.

_________________________________

Court Case 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)(County)(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 ____________
	□	Male	□	Female	(First, Middle, Last)	(Month, Day, Year)

9.Last Name Before First Married (if different) _____________________________________________________________________

10.Defendant’s Residence _____________________________________________________________________________________

(City, Village, or Township)(County)(State)

11. Defendant’s Birthplace ___________________________________________________ 12. Number of this Marriage __________

			(State or Foreign Country)		(First, Second, etc. - Specify)
	13.	Place of this Marriage ______________________________________________________________________________________
		(City, Village, or Township)	(County)	□	(State or Foreign Country)
				□
	14.	Date of this Marriage _____________________	15. Date Couple Last Resided	Check if Not
			15. Date Couple Last Resided	Separated	______________
			in Same Household	Separated	______________
		(Month, Day, Year)	in Same Household	□	(Month, Day, Year)
				□
				Check If
	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)	(State)	(Zip Code)
		20. Number of Minor Children Whose
	19.	Judgment of ____________________ Physical Custody was Awarded to: Plaintiff____ Defendant____ Joint____ Other____
		(Divorce/Annulment - Specify)	(Number)	(Number)	(Number)	(Number)
			□ No Children	□ Unknown
	21.	Judgment Recorded on _______________________ 22. I certify that this Divorce was granted on ________________________
		(Month, Day, Year)		(Month, Day, Year)
	23.	Certifying Oficial _________________________________________________________________________________________
		(Signature)	(Title)	(Date Signed)

Failure to provide the required information is a misdemeanor punishable by imprisonment

of not more than 1 year or a ine of not more than $1,000.00 or both.

DCH-0838 (Rev. 08/2015)

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dch 0838 divorce form fields to complete

Fill in the Defendants, Residence County, City, Village, or, Township State, State, or, Foreign, Country First, Second, etc, Specify Place, of, this, Marriage City, Village, or, Township State, or, Foreign, Country County, Date, of, this, Marriage Month, Day, Year Check, if, Not, Separated, Month, Day, Year, None Number, and Check, If areas with any particulars that can be asked by the system.

part 2 to finishing dch 0838 divorce form

Determine the valuable particulars in the Month, Day, Year Month, Day, Year Certifying, Oficial Signature, Date, Signed Title, and D, CH, Rev part.

Completing dch 0838 divorce form stage 3

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