Free Receipt of Ward and Discharge - Michigan

Approved, SCAO

OSM CODE: RGW, DIS

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

FILE NO. RECEIPT OF WARD AND DISCHARGE

In the matter of

, a protected individual

1. I am an adult . I have received from
Name

,

my guardian or conservator, the following personal property:

It is the balance of the estate due me in full. 2. I REQUEST that my guardianship or conservatorship be terminated.

Date

Signature Address City, state, zip Telephone no.

ORDER IT IS ORDERED the guardianship and/or conservatorship is terminated, the guardian and/or conservator is discharged and the bond, if any, is cancelled.
Bar no.

Date

Judge

Attorney name (type or print) Address City, state, zip

Bar no.

Telephone no.

Do not write below this line - For court use only

PC 649 (3/00)

RECEIPT OF WARD AND DISCHARGE