Free pc552.p65 - Michigan

Approved, SCAO

JIS CODE: DBC, DBR

STATE OF MICHIGAN PROBATE COURT COUNTY OF Estate of

SAFE DEPOSIT BOX CERTIFICATE AND RECEIPT

FILE NO.

CERTIFICATE

1. The undersigned certify that they were present on this date at the opening of the safe deposit box number located in
Name of bank, trust or safe deposit company

, did did not did did not find a will of the decedent;

a. they

b. they

find a deed to a burial plot in which decedent is to be buried;

c. no item or items, other than such deed or will, were removed from the safe deposit box.

Date Signature of person named in order to examine contents of box Signature of bank officer or authorized employee

Signatures of others present, if any:
Signature Signature

REGISTER'S RECEIPT

2. I acknowledge receipt from of the following items: a. b.

Name of person given authority by court order to examine contents of box

Will of the decedent Burial plot deed

Date

Deputy Probate Register

Do not write below this line - For court use only

PC 552 (9/06)

SAFE DEPOSIT BOX CERTIFICATE AND RECEIPT

MCL 700.2517