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JIS CODE: PFA

STATE OF MICHIGAN PROBATE COURT COUNTY OF

FILE NO. PETITION FOR PROBATE AND/OR APPOINTMENT OF PERSONAL REPRESENTATIVE TESTATE INTESTATE

Estate of 1. I,
Name of petitioner Relationship to decedent, i.e., heir, devisee, child, spouse, creditor, beneficiary, etc.

, am interested in the estate and make this petition as , as defined by MCL 700.1105(c).

2. Decedent information:

XXX-XXDate of death City/Township/Village Time (if known) Date of birth County Last four digits of SSN State

Domicile (at date of death): Estimated value of estate assets: Real estate: $ Personal estate: $ A death certificate has been issued, and a copy is attached. No death certificate is available. Attached is alternative documentation of the decedent's death. 4. So far as I know or could ascertain with reasonable diligence, the names and addresses of the heirs and devisees of the decedent and other interested persons, the relationship to the decedent, and the ages of any who are minors are as follows: 3.
(required testimony forms are attached)

NAME

ADDRESS

RELATIONSHIP
(Heir / Devisee)

(if minor)

AGE

Of the interested persons listed above, the following are under legal disability or otherwise represented and presently have or will require representation: NAME LEGAL DISABILITY REPRESENTED BY
Name, address, and capacity

5.

6.

a. Venue is proper in this county because the decedent was domiciled in this county on the date of death. b. The decedent was not domiciled in Michigan, but venue is proper in this county because property of the decedent was located in this county at the date of death. An application was previously filed and a personal representative was appointed informally. (PLEASE SEE OTHER SIDE)
Do not write below this line - For court use only

MCL 700.1309, MCL 700.3402, MCL 700.3502, MCR 5.302(A), MCR 5.308, MCR 5.310(B) PC 559 (9/07)

PETITION FOR PROBATE AND/OR APPOINTMENT OF PERSONAL REPRESENTATIVE (TESTATE/INTESTATE)

7. A personal representative has been previously appointed in County, and the appointment has not been terminated. The personal representative's name and address are
Name City, state, zip Address

State

. 8. The decedent's will, dated , with codicil(s) dated is/are offered for probate and is/are attached to this petition. already in the court's possession. An authenticated copy of the will and codicil(s), if any, probated in County, State is/are offered for probate, and documents establishing its probate accompany this petition. Neither the original will nor an authenticated copy of a will probated in another jurisdiction accompanies the petition. The will is lost, destroyed, or otherwise unavailable, but its contents are: (attach additional sheets as necessary)

9. The decedent's will was formally informally probated on in County. 10. To the best of my knowledge, I believe that the instrument(s) subject to this petition, if any, was/were validly executed and is the decedent's last will. After exercising reasonable diligence, I am unaware of an instrument revoking the will or codicil(s). a. After exercising reasonable diligence, I am unaware of any unrevoked testamentary instrument relating to property located in this state as defined under MCL 700.1301. b. I am aware of an unrevoked testamentary instrument relating to property located in this state as defined under MCL 700.1301, but the instrument is not being probated because: The instrument 11. I nominate
Name

is attached to this petition.

is already in the court's possession. , as personal representative, who is qualified and has the . His/her address is

following priority for appointment:
City, state, zip

.

12. Other persons have prior or equal right to appointment. They are:
Name Name Name Name

13. The will expressly requests that the personal representative serve with bond. 14. a. The decedent left a will that directs supervised administration. b. The decedent left a will that directs unsupervised administration, but supervised administration is necessary for the protection of persons interested in the estate because: (complete on line below) c. The decedent died intestate or left a will that does not direct supervised administration, but supervised administration is necessary because: (complete on line below) 15. A special personal representative is necessary because . I REQUEST: 16. An order determining heirs and that the decedent died intestate. testate and the document(s) stated in item 8 is/are valid and admitted to probate. 17. Formal appointment of the nominated personal representative with without bond. 18. Supervised administration. 19. Appointment of a special personal representative pending the appointment of the nominated personal representative. I declare under the penalties of perjury that this petition has been examined by me and that its contents are true to the best of my information, knowledge, and belief.
Date Attorney signature Attorney name (type or print) Address City, state, zip Telephone no. Bar no. Petitioner signature Petitioner name (type or print) Address City, state, zip Telephone no.