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JIS CODE: PTD

PETITION TO TERMINATE MODIFY GUARDIAN FOR ALLEGED CIRCUIT COURT - FAMILY DIVISION DEVELOPMENTALLY DISABLED INDIVIDUAL In the matter of 1. I,
Name (type or print) State interest/relationship

STATE OF MICHIGAN PROBATE COURT COUNTY

FILE NO.

, an individual with an alleged developmental disability , am interested in this matter and make this petition as .

2. His/her presumptive heirs are as follows: (Attach additional page if needed.)
NAME AGE RELATIONSHIP ADDRESS

3. The reasons why the court should take action are:

I REQUEST that the court: 4. Terminate a. all b. all

part part

of the plenary guardian of the of the partial guardian of the

individual. individual.

estate. estate.

5. Accept the resignation of the a. plenary guardian of the b. partial guardian of the c. standby guardian. 6. Remove the a. plenary guardian of the b. partial guardian of the c. standby guardian, who has has not

individual. individual.

estate. estate.

individual individual been suspended.

estate, estate,

(PLEASE SEE OTHER SIDE)
Do not write below this line - For court use only

MCL 330.1604, MCL 330.1634, MCL 330.1637 PC 677 (9/08)

PETITION TO MODIFY/TERMINATE GUARDIAN FOR ALLEGED DEVELOPMENTALLY DISABLED INDIVIDUAL

7. Appoint
Name City Address State Zip Telephone no.

as successor 8. Appoint
Name City

plenary guardian

partial guardian

of the

individual.

estate.

Address State Zip Telephone no.

as standby guardian of the 9. Modify the powers of the

individual. plenary guardian

estate. partial guardian of the individual estate as follows:

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 Telephone no. Bar no.

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