Approved, SCAO JIS CODE: IPA STATE OF MICHIGAN PROBATE COURT COUNTY OF Estate of 1. I, Name of applicant APPLICATION FOR INFORMAL PROBATE AND/OR APPOINTMENT OF PERSONAL REPRESENTATIVE (TESTATE/INTESTATE) FILE NO. , am interested in the estate and make this application as . XXX-XXDate of death City/Township/Village Time (if known) Date of birth County Last four digits of SSN State Relationship to decedent, i.e., heir, devisee, child, spouse, creditor, beneficiary, etc. 2. Decedent information: Domicile (at date of death): 3. A death certificate has been issued, and a copy is attached. 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 spouse, children, devisees, and heirs 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 Street address City Street address City Street address City *Specify spouse, child, devisee, or heir. State Zip State Zip State Zip ADDRESS RELATIONSHIP* AGE/DOB (if minor) 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. (SEE SECOND PAGE) Do not write below this line - For court use only PC 558 (9/14) APPLICATION FOR INFORMAL PROBATE AND/OR APPOINTMENT OF PERSONAL REPRESENTATIVE (TESTATE/INTESTATE) MCL 700.1309, MCL 700.3301, MCL 700.3311, MCL 700.3614, MCR 5.302, MCR 5.309 American LegalNet, Inc. www.FormsWorkFlow.com 6. a. The decedent died intestate and 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 (if this statement is true, the probate register must deny this application according to MCL 700.3311): The instrument c. The decedent's will, dated is/are offered for probate and is attached to this application. is already in the court's possession. , with codicil(s) dated is/are attached to this application. is/are already in the court's possession. , d. An authenticated copy of the will and codicil(s), if any, probated in County, is/are offered for probate, and documents establishing its probate are attached to this application. State 7. To the best of my knowledge, I believe that the instrument(s) subject to this application, if any, was/were validly executed and is the decedent's last will. After exercising reasonable diligence, I am unaware of an instrument revoking the will or codicil(s). 8. A personal representative has been previously appointed in County, and the appointment has not been terminated. The personal representative's name and address are: Name City State Name Address Zip State 9. I nominate for appointment: City as personal representative, who is qualified and has the following priority . His/her address is: State Address . Zip 10. Other persons have prior or equal right to appointment as personal representative. They are: Name Name Name Name Suitable renunciations, nominations, and/or a Notice of Intent to Seek Informal Appointment and proof of its service have been or will be filed. 11. The will expressly requests that the personal representative serve with bond. 12. A special personal representative is necessary because I REQUEST: 13. Informal probate of the will. 14. Informal appointment of the nominated personal representative with without bond. . 15. The appointment of a special personal representative pending the appointment of the nominated personal representative. I declare under the penalties of perjury that this application has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Attorney signature Attorney name (type or print) Address City, state, zip Telephone no. Bar no. Applicant signature Applicant name (type or print) Address City, state, zip American LegalNet, Inc. www.FormsWorkFlow.com Telephone no.