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JIS CODE: OAG

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

ORDER REGARDING APPOINTMENT OF GUARDIAN LIMITED GUARDIAN OF A MINOR

FILE NO.

In the matter of 1. Date of hearing: Judge:

, a minor

Bar no.

THE COURT FINDS: 2. Notice of hearing was given to or waived by all interested persons, venue is proper, and a qualified person seeks appointment. 3. The minor named above is not in need of a guardian. 4. The minor named above is unmarried and is in need of a guardian because a. parental rights of both parents or of the surviving parent have been terminated suspended by prior court order. judgment of divorce or separate maintenance. death. judicial determination of mental incompetency. disappearance. confinement in a place of detention. or b. the parent(s) permit the minor to reside with another person and do not provide the other person with the legal authority for the care and maintenance of the minor who was not residing with a parent when the petition was filed. or c. the biological parents of the minor were never married to each other, the custodial parent has died, disappeared, and the other parent has not been granted legal custody by court order. The proposed guardian is related to the minor within the fifth degree by marriage, blood, or adoption. 5. The minor named above is unmarried, and the custodial parent(s) consented to the appointment of a limited guardian and voluntarily consented to suspension of parental rights. A limited-guardianship-placement plan has been filed and approved. 6. The welfare of the minor will be served by the appointment, and by payment of reasonable support. reasonable parenting time and contact by the parent(s). 7. There is no qualified, suitable individual willing to act as guardian, and the appointment of a nonprofit corporation as guardian is in the best interest of the minor. A personal bond must be filed. 8. Other: IT IS ORDERED: 9. The petition is granted. denied on the merits. dismissed/withdrawn. 10. , whose address and telephone number are
Name (type or print)

,
Address City State Zip Telephone no.

is appointed full limited temporary guardian of the minor named above, and an acceptance of appointment shall be filed. Personal bond at $ must be filed. After qualification, the guardian shall comply with all relevant requirements under the law. 11. This appointment is regular. temporary, expiring on . Date 12. Parenting time shall be as stated in the placement plan. 13. Child support shall be paid as follows: father: 14. Other:
Date Attorney name (type or print) Address Bar no. City State Zip Telephone no.

as stated in the placement plan. mother:

Judge

Do not write below this line - For court use only

MCL 700.5106, MCL 700.5204, MCL 700.5205, MCL 700.5212, MCL 700.5213 PC 653 (9/08)

ORDER REGARDING APPOINTMENT OF GUARDIAN/LIMITED GUARDIAN OF A MINOR