Michigan > Statewide > Probate > Guardianships and Conservatorships
Petition To Terminate Modify Conservatorship Adult Minor PC 676 - Michigan
| Petition To Terminate Modify Conservatorship Adult Minor Form. This is a Michigan form and can be used in Guardianships and Conservatorships Probate Statewide . |
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Approved, SCAO JIS CODE: PDG STATE OF MICHIGAN PROBATE COURT COUNTY OF In the estate of 1. I am interested in this estate as PETITION TO TERMINATE MODIFY CONSERVATORSHIP ADULT MINOR FILE NO. . State relationship/interest 2. The protected individual's address is 3. The protected individual has a conservator whose address is and has a spouse whose name and address are listed below. child(ren) whose name(s) and address(es) are listed below. descendants of deceased children whose name(s) and address(es) are listed below. if no child(ren) or descendants of deceased child(ren), parents whose name(s) and address(es) are listed below. if none of the above, presumptive heirs whose name(s) and address(es) are listed below. none of the above (must notify the Attorney General*). NAME ADDRESS AND TELEPHONE NUMBER RELATIONSHIP AGE / DOB (if minor) . *Notify the Attorney General by sending a copy of this form to: Attorney General, Public Administration, PO Box 30736, Lansing, MI 48909. 4. The reasons why the court should take action are . I REQUEST that the court: 5. 6. 7. 8. Terminate the conservatorship. Accept the conservator's resignation. Remove the conservator who has Appoint Name (type or print) City State has not been suspended. Address Zip Telephone no. as successor conservator. (SEE SECOND PAGE) 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. Do not write below this line - For court use only PC 676 (9/10) PETITION TO TERMINATE/MODIFY CONSERVATORSHIP MCL 700.5414, MCL 700.5415, MCL 700.5431, MCR 5.125(C)(25) American LegalNet, Inc. www.FormsWorkFlow.com 9. Appoint Name (type or print) City State Address Zip Telephone no. as temporary conservator pending appointment of a successor. 10. Modify the powers of the conservator 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. NOMINATION BY MINOR: I am 14 years of age or older. I nominate Address Name City State as conservator, who lives at Zip . Date Signature of minor American LegalNet, Inc. www.FormsWorkFlow.com
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