Petition For Appointment Of Guardian Ad Litem Or Attorney Or Lawyer Guardian Ad Litem {PC 641}

Approved, SCAO OSM CODE: PGL STATE OF MICHIGAN FILE NO. PETITION FOR APPOINTMENT PROBATE COURT COUNTY OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM CIRCUIT COURT - FAMILY DIVISION In the matter of 1. I am interested in this matter and make this petition as State interest/relationship 2. I represent that Name(s) is/are interested in the hearing on 3. It is necessary that a lawyer guardian ad litem be appointed by the court to represent the minor, , whose interests are or may be inadequately represented in the minor guardianship proceeding. an attorney 4. It is necessary and in the best interests of the person that a guardian ad litem be appointed to represent at the hearing and at all future hearings because the person is a minor. incapacitated individual. protected individual. other 5. I REQUEST: a. , Name Address attorney or some other suitable person be appointed lawyer guardian ad litem for the individual for the purposes stated above. b. a suitable person be appointed guardian ad litem. 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 myinformation, knowledge, and belief. Date Attorney signature Petitioner signature Name (type or print) Bar no. Petitioner name (type or print) Address Address City, state, zip City, state, zip Do not write below this line - For court use only MCL 700.1403(d); MSA 27.11403(d), MCL 700.5208(2)(c); MSA 27.15208(2)(c), MCL 700.5213(4); MSA 27.15213(4), MCL 700.5219(4); MSA 27.15219(4), MCL 700.5406; MSA 27.15406, MCR 5.121PC 641 (4/01) PETITION FOR APPOINTMENT OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM