Free pc571.p65 - Michigan

Approved, SCAO

JIS CODE: AOT

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

FILE NO. ACCEPTANCE OF APPOINTMENT

In the matter of

1. I have been appointed
Type of fiduciary

of the person/estate.

2. I accept the appointment, submit to personal jurisdiction of the court, and agree to file reports and to perform all required duties. 3. For a period of
not to exceed 91 days

days from the date of my appointment I exclude from the scope of my responsibility the
Describe real property or business interest

following real estate or ownership interest in a business entity:

because I reasonably believe the real estate or other property owned by the business entity is or may be contaminated by a hazardous substance, or is or has been used in an activity directly or indirectly involving a hazardous substance that could result in liability to the estate or otherwise impair the value of property held by the estate.

Date Signature Attorney name (type or print) Attorney address City, state, zip Telephone no. Bar no. Name (type or print) Address City, state, zip Date of birth Telephone no.

Do not write below this line - For court use only

PC 571 (9/06)

ACCEPTANCE OF APPOINTMENT

MCL 700.3601, MCL 700.3602, MCL 700.5214, MCL 700.5301, MCL 700.5307, MCL 700.5412, MCL 700.7103, MCR 5.501