In the matter of
1. Titles of the papers served or mailed:
PC 564 (9/10) PROOF OF SERVICE
JIS CODE: PSV
Approved, SCAO
FILE NO.
PROOF OF SERVICE
MCL 700.1306, MCL 700.1401, MCR 5.104(A), MCR 5.105, MCR 5.107
Do not write below this line - For court use only
Name
2. According to court rule, I served by first-class mail registered mail (copy of return receipt attached)
certified mail (copy of return receipt attached) the papers described above on:
3. According to court rule, I served by personal service the papers described above on:
4. After diligent search and inquiry, I have been unable to find and serve the following interested persons. I have served these
persons by publication. Attached are copies of form PC 617.
I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best
of my information, knowledge, and belief.
DateComplete address of service
Name
Complete address of service Date and Time
Date
Signature
STATE OF MICHIGAN
PROBATE COURT
COUNTY OF
$$
Service fee Miles traveled Fee
Incorrect address fee Miles traveled Fee TOTAL FEE
$$$
USE NOTE: If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form.
Name (type or print)
