Request For Notice Guardianship Conservatorship {PC 624}

Approved, SCAO OSM CODE: RFN STATE OF MICHIGAN FILE NO. PROBATE COURT REQUEST FOR NOTICE COUNTY GUARDIANSHIP CONSERVATORSHIP CIRCUIT COURT - FAMILY DIVISION In the matter of 1. The above named person is a resident of or is present in this county. His/her current address is: Address City State Zip 2. I request mailed notice under MCL 700.5104(1) be given to me only my attorney only at Name (type or print) Address City, state, zip Telephone no. 3. I am an interested person in this matter in that I am . State relationship 4. My interest in this matter is: Date Signature Do not write below this line - For court use only PC 624 (3/00) REQUEST FOR NOTICE MCL 700.5104(1); MSA 27.15104(1), MCR 5.125, MCR 5.126