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Michigan Department of Treasury
57 (Rev. 05-16)
Collections are due
Fee Transmittal for State of Michigan
by the 20th of the month.
Probate and Circuit Courts
Issued under authority of P.A. 71 of 1919 and the laws stated below.
INSTRUCTIONS: Identify the court by checking the appropriate box and complete the required lines as indicated. Follow the filing instructions at the
bottom of the form and include the correct number of copies. The Family Division of the Circuit Court must report collections on Circuit Court
transmittals.
Send original and one (1) additional copy with payment.
Check one:
Probate Court - Complete lines 1, 3, 4, 11 & 12.
Send original and six (6) additional copies with payment.
Circuit Court - Complete lines 2 through 12.
Court Number, Name and Address
County
Reporting Period (month/year)
Account
Collections Due to the State Treasurer
Number
Amount
1. Probate Court Shared Fee Collections - MCL 600.877 ...................................................................
228.06
1.
2. Department of State (FAC/FCJ Clearances) - MCL 257.321a, MCL 257.321c .................................
228.30
2.
3. Civil Filing Fee Fund - MCL 600.171 .................................................................................................
228.58
3.
4. State Court Fund - MCL 600.880b .....................................................................................................
228.42
4.
5. Justice System Fund - MCL 600.181 ................................................................................................
228.59
5.
6. Juror Compensation Reimbursement Fund ...................................................................................
Civil Jury Demand Fee - MCL 600.2529 ...........................................................................................
228.57
6a.
Drivers License Clearance Fee - MCL 257.321a ..............................................................................
228.57
6b.
7. Crime Victims Rights Fund - MCL 780.905 ......................................................................................
228.37
7.
8. Convicted Drunk Driver Assessment - MCL 769.1f
Reimbursement of Allowable Expenses Due State Police ...............................................................
228.47
8a.
Reimbursement of Allowable Expenses Due Department of Natural Resources .............................
228.48
8b.
9. Judgment Fee - Department of Natural Resources - MCL 324.1609, MCL 324.40119,
MCL 324.48740 ......................................................................................................................................
228.20
9.
10. DNA Assessment Due to State Police - MCL 28.176.....................................................................
228.55
10.
11. Judicial Electronic Filing Fund - MCL 600.176 ..............................................................................
228.56
11.
12. Total Collections Due to the State Treasurer. Add lines 1 through 11. Enter here ............................................... 12.
13. Report the total number of traffic civil infraction cases in the reporting period in which they become paid in
full - MCL 600.181. If an error is discovered in the total reported as fully collected in a prior month, adjust the
current reporting period total +/- and report the net total fully collected in the reporting period ........................
I certify that the fees reported and remitted were collected and are transmitted in compliance with the specified statutes.
Signature of Preparer
Preparer’s Telephone Number
Date
Print Name of Preparer
Title
Mail original form, appropriate number of additional copies as
Direct questions to:
indicated above, and a check payable to “State of Michigan” in the
Treasury, Local Government Financial
amount on line 12 to:
Services Division - 517-373-3227
Michigan Department of Treasury
State Court Administrator’s Office - 517-373-2222
Office of Financial Services
Treasury, Office of Financial Services - 517-636-5386
P.O. Box 30788
Lansing, MI 48909
An online fillable version of this form is available on the Internet at
www.michigan.gov/treasury
(click on “Local Government” then “Forms/Instructions”)
Reset Form
Michigan Department of Treasury
57 (Rev. 05-16)
Collections are due
Fee Transmittal for State of Michigan
by the 20th of the month.
Probate and Circuit Courts
Issued under authority of P.A. 71 of 1919 and the laws stated below.
INSTRUCTIONS: Identify the court by checking the appropriate box and complete the required lines as indicated. Follow the filing instructions at the
bottom of the form and include the correct number of copies. The Family Division of the Circuit Court must report collections on Circuit Court
transmittals.
Send original and one (1) additional copy with payment.
Check one:
Probate Court - Complete lines 1, 3, 4, 11 & 12.
Send original and six (6) additional copies with payment.
Circuit Court - Complete lines 2 through 12.
Court Number, Name and Address
County
Reporting Period (month/year)
Account
Collections Due to the State Treasurer
Number
Amount
1. Probate Court Shared Fee Collections - MCL 600.877 ...................................................................
228.06
1.
2. Department of State (FAC/FCJ Clearances) - MCL 257.321a, MCL 257.321c .................................
228.30
2.
3. Civil Filing Fee Fund - MCL 600.171 .................................................................................................
228.58
3.
4. State Court Fund - MCL 600.880b .....................................................................................................
228.42
4.
5. Justice System Fund - MCL 600.181 ................................................................................................
228.59
5.
6. Juror Compensation Reimbursement Fund ...................................................................................
Civil Jury Demand Fee - MCL 600.2529 ...........................................................................................
228.57
6a.
Drivers License Clearance Fee - MCL 257.321a ..............................................................................
228.57
6b.
7. Crime Victims Rights Fund - MCL 780.905 ......................................................................................
228.37
7.
8. Convicted Drunk Driver Assessment - MCL 769.1f
Reimbursement of Allowable Expenses Due State Police ...............................................................
228.47
8a.
Reimbursement of Allowable Expenses Due Department of Natural Resources .............................
228.48
8b.
9. Judgment Fee - Department of Natural Resources - MCL 324.1609, MCL 324.40119,
MCL 324.48740 ......................................................................................................................................
228.20
9.
10. DNA Assessment Due to State Police - MCL 28.176.....................................................................
228.55
10.
11. Judicial Electronic Filing Fund - MCL 600.176 ..............................................................................
228.56
11.
12. Total Collections Due to the State Treasurer. Add lines 1 through 11. Enter here ............................................... 12.
13. Report the total number of traffic civil infraction cases in the reporting period in which they become paid in
full - MCL 600.181. If an error is discovered in the total reported as fully collected in a prior month, adjust the
current reporting period total +/- and report the net total fully collected in the reporting period ........................
I certify that the fees reported and remitted were collected and are transmitted in compliance with the specified statutes.
Signature of Preparer
Preparer’s Telephone Number
Date
Print Name of Preparer
Title
Mail original form, appropriate number of additional copies as
Direct questions to:
indicated above, and a check payable to “State of Michigan” in the
Treasury, Local Government Financial
amount on line 12 to:
Services Division - 517-373-3227
Michigan Department of Treasury
State Court Administrator’s Office - 517-373-2222
Office of Financial Services
Treasury, Office of Financial Services - 517-636-5386
P.O. Box 30788
Lansing, MI 48909
An online fillable version of this form is available on the Internet at
www.michigan.gov/treasury
(click on “Local Government” then “Forms/Instructions”)