In the matter of First, middle, and last name Petitioner’s name, address and telephone no.
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STATE OF MICHIGAN |
APPLICATION FOR INFORMAL PROBATE |
CASE NO. and JUDGE |
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PROBATE COURT |
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COUNTY |
AND/OR APPOINTMENT OF PERSONAL |
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REPRESENTATIVE (TESTATE/INTESTATE) |
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Court address |
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Court telephone no. |
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Petitioner’s attorney, bar no., address, and telephone no.
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I, |
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, am interested in the estate and make this application as |
Name of applicant |
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Relationship to decedent, i.e., heir, devisee, child, spouse, creditor, beneficiary, etc. |
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Put last 4 digits of SSN in |
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Decedent information: |
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Put DOB in Ref. No. |
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row 1 on MC 97. |
XXX-XX- Ref. No. row 2 on MC 97. |
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Date of death |
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Time (if known) |
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Date of birth |
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Last four digits of SSN |
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Domicile (at date of death): |
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City/Township/Village |
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County |
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3.
A death certificate has been issued, and a copy accompanies this application as a separate document.

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 |
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ADDRESS |
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RELATIONSHIP* |
AGE |
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(if minor)** |
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Street address |
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Street address |
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Street address |
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*Specify spouse, child, devisee, or heir.
**If person is a minor, provide the date of birth on form MC 97a and put the Ref. No. from that form in the box above with the age.
Approved, SCAO
Form PC 558, Rev. 5/21
MCL 700.1309, MCL 700.3301, MCL 700.3311, MCL 700.3614, MCR 5.302,
MCR 5.309
Page 1 of 3
Application for Informal Probate and/or Appointment of Personal Representative (5/21) |
Case No. |
Page 2 of 3 |
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4.(continued)
Of the interested persons listed above, the following are under legal disability or otherwise represented and presently have or will require representation:
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.
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 MCL700.1301, 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
is attached to this application. 
is already in the court’s possession.
c. The decedent’s will, dated |
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, with codicil(s) dated |
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is/are offered for probate and |
is/are attached to this application. |
is/are already in the court’s |
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possession. |
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d. An authenticated copy of the will and codicil(s), if any, probated in |
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County, |
is/are offered for probate, and documents establishing its probate are attached to this application.
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).
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A personal representative has been previously appointed in |
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County, |
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and the appointment has not been terminated. The personal |
representative’s name and address are: State |
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I nominate |
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as personal representative, who is qualified and has the following |
Name |
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priority for appointment: |
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. His/her address is: |
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Address |
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10. Other persons have prior or equal right to appointment as personal representative. They are:
Suitable renunciations, nominations, and/or a Notice of Intent to Seek Informal Appointment and proof of its service have been or will be filed.
Application for Informal Probate and/or Appointment of Personal Representative (5/21) |
Case No. |
Page 3 of 3 |
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11. The will expressly requests that the personal representative serve with bond.

12. A special personal representative is necessary because
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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 |
Applicant signature |
Date |
Attorney signature |