Fillable STATE OF MICHIGAN CASE NO. and JUDGE PETITION (Michigan)

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STATE OF MICHIGAN CASE NO. and JUDGE PETITION (Michigan)

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STATE OF MICHIGAN
PROBATE COURT
COUNTY
PETITION FOR PROBATE
AND/OR APPOINTMENT OF
PERSONAL REPRESENTATIVE
TESTATE INTESTATE
CASE NO. and JUDGE
Court address Court telephone no.
In the matter of
First, middle, and last name
JIS Code: PFA
Petitioner’s name, address and telephone no. Petitioner’s attorney, bar no., address, and telephone no.
Approved, SCAO
Form PC 559, Rev. 12/21
MCL 700.1309, MCL 700.3402, MCL 700.3502, MCR 5.302, MCR 5.308,
MCR 5.310(B)
Page 1 of 3
1. I,
Name of petitioner
, am interested in the estate and make this petition as
Relationship to decedent, i.e., heir, devisee, child, spouse, creditor, beneficiary, etc.
as defined by MCL 700.1105(c).
2. Decedent information:
Date of death
Time (if known)
Date of birth
Last four digits of SSN
Domicile (at date of death):
City/Township/Village
County
State
Estimated value of estate assets: Real estate: $
Personal estate: $
3. A death certificate has been issued, and a copy accompanies this petition as a separate document.
No death certificate is available. Attached is alternative documentation of the decedent’s death.
4. As far as I know or could ascertain with reasonable diligence, the names and addresses of the heirs and devisees of the
decedent and other interested persons, the relationship to the decedent, and the ages of any who are minors are:
(Required testimony forms are attached.)
NAME ADDRESS
RELATIONSHIP
(Heir/Devisee)
AGE
(if minor)*
Street address
City State Zip
Street address
City State Zip
Street address
City State Zip
Street address
City State Zip
*If person is a minor, provide the date of birth on form MC 97a and put the Ref. No. from that form in the box above with the age.
XXX-XX-
Put DOB in Ref. No.
row 1 on MC 97.
Put last 4 digits of SSN in
Ref. No. row 2 on MC 97.
Petition for Probate and/or Appointment of Personal Representative (12/21)
Page 2 of 3
Case No.
4. (continued)
Of the interested persons listed above, the following are under legal disability or otherwise represented and presently
have or will require representation:
NAME LEGAL DISABILITY
REPRESENTED BY
Name, address, and capacity
5. a. Venue is proper in this county because the decedent was domiciled in this county on the date of death.
b. The decedent was not domiciled in Michigan, but venue is proper in this county because property of the decedent
was located in this county at the date of death.
6. An application was previously filed and a personal representative was appointed informally.
7. A personal representative has been previously appointed in
County,
State
and the appointment has not been terminated. The personal representative’s name and address are
Name
Address
City State Zip
8. a. The decedent’s will, dated
, with codicil(s) dated
is/are offered for probate and is/are attached to this petition. already in the court’s possession.
b. An authenticated copy of the will and codicil(s), if any, probated in
County,
State
is/are offered for probate, and documents establishing its probate accompany this petition.
c. Neither the original will nor an authenticated copy of a will probated in another jurisdiction accompanies the
petition. The will is lost, destroyed, or otherwise unavailable, but its contents are (Attach additional sheets as necessary.)
.
9. The decedent’s will was formally informally probated on
in
County.
10. To the best of my knowledge, I believe that the instrument(s) subject to this petition, if any, was/were validly executed
and is/are the decedent’s last will. After exercising reasonable diligence, I am unaware of an instrument revoking the
will or codicil(s).
a. After exercising reasonable diligence, I am unaware of any unrevoked testamentary instrument relating to property
located in this state as defined under MCL 700.1301.
b. I am aware of an unrevoked testamentary instrument relating to property located in this state as defined under
MCL 700.1301, but the instrument is not being probated because
.
The instrument is attached to this petition. is already in the court’s possession.
11. I nominate
Name
as personal representative, who is qualified and has the
following priority for appointment:
.
His/her address is
Address
City State Zip
.
Petition for Probate and/or Appointment of Personal Representative (12/21)
Page 3 of 3
Case No.
12. Other persons have prior or equal right to appointment. They are:
Name
Name
Name
Name
13. The will expressly requests that the personal representative serve with bond.
14. a. The decedent left a will that directs supervised administration.
b. The decedent left a will that directs unsupervised administration, but supervised administration is necessary for
the protection of persons interested in the estate because (Complete on line below.)
c. The decedent died intestate or left a will that does not direct supervised administration, but supervised
administration is necessary because (Complete on line below.)
15. A special personal representative is necessary because
.
I REQUEST:
16. An order determining heirs and that the decedent died intestate. testate and the document(s) stated
in item 8 is/are valid and admitted to probate.
17. Formal appointment of the nominated personal representative with without bond.
18. Supervised administration.
19. Appointment of a special personal representative pending the appointment of the nominated personal representative.
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
Petitioner signature
Date
Attorney signature
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STATE OF MICHIGAN CASE NO. and JUDGE PETITION (Michigan)

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Completed 25 April 2022

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