Free pc641.p65 - Michigan

Approved, SCAO

JIS CODE: PGL

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

PETITION FOR APPOINTMENT OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM

FILE NO.

In the matter of 1. I am interested in this matter and make this petition as
State interest/relationship

. 2. I represent that
Name(s)

is/are interested in the hearing on

3. It is necessary that a lawyer guardian ad litem be appointed by the court to represent the minor, , whose interests are or may be inadequately represented in the minor guardianship proceeding. 4. It is necessary and in the best interests of the person that minor. 5. I REQUEST: a.
Name

an attorney a guardian ad litem

be appointed to represent

incapacitated individual.

at the hearing and at all future hearings because the person is a protected individual. other

,

Address

or some other suitable person be appointed for the individual for the purposes stated above. b. a suitable person be appointed guardian ad litem under MCL 700.5108.

attorney lawyer guardian ad litem guardian ad litem

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 Name (type or print) Address City, state, zip Bar no. Petitioner signature Petitioner name (type or print) Address City, state, zip

Do not write below this line - For court use only

MCL 700.1403(d), MCL 700.5108, MCL 700.5208(2)(c), MCL 700.5213(4), MCL 700.5219(4), MCL 700.5406, MCR 5.121 PC 641 (9/05)

PETITION FOR APPOINTMENT OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM