STATE OF MICHIGAN
PROBATE COURT
COUNTY
ACCEPTANCE OF APPOINTMENT
CASE NO. and JUDGE
Court address Court telephone no.
In the matter of
First, middle, and last name
JIS Code: AOT
Approved, SCAO
Form PC 571, Rev. 9/20
MCL 700.3601, MCL 700.3602, MCL 700.5214, MCL 700.5301,
MCL 700.5307, MCL 700.5412, MCL 700.7202, MCR 5.501
Page 1 of 1
1. I have been appointed
Type of fiduciary
of the person/estate.
2. I accept the appointment, submit to personal jurisdiction of the court, and agree to file reports and to perform all required
duties.
3. For a period of
not to exceed 91 days
days from the date of my appointment, I exclude from the scope of my responsibility
the following real estate or ownership interest in a business entity:
Describe real property or business interest
because I reasonably believe the real estate or other property owned by the business entity is or may be contaminated
by a hazardous substance, or is or has been used in an activity directly or indirectly involving a hazardous substance
that could result in liability to the estate or otherwise impair the value of property held by the estate.
Date
Signature
Attorney name (type or print) Bar no.
Name (type or print)
Attorney Address
Address
City, state, zip Telephone no.
City, state, zip Telephone no.
Date of birth
Put DOB in row 10 on MC 97a.
