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Estate of 1. I, , am interested in the estate and make this petition as , as defined by MCL 700.1105(c). 2. Decedent information: Domicile (at date of death): Estimated value of estate assets: Real estate: $ Personal estate: $ 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 heirs and devisees 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.) Of the interested persons listed above, the following are under legal disability or otherwise represented and presently have or will require representation: 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 waslocated in this county at the date of death. 6. An application was previously filed and a personal representative was appointed informally. Date of death Time (if known) Date of birth Relationship to decedent, i.e., heir, devisee, child, spouse, creditor, beneficiary, etc. City/Township/Village State County Name of petitioner MCL 700.1309, MCL 700.3402, MCL 700.3502, MCR 5.302(A), MCR 5.308, MCR 5.310(B) PC 559 (9/12) PETITION FOR PROBATE AND/OR APPOINTMENT OF PERSONAL REPRESENTATIVE (TESTATE/INTESTATE) Approved, SCAO JIS CODE: PFA Name, address, and capacity NAME LEGAL DISABILITY REPRESENTED BY Do not write below this line - For court use only (SEE SECOND PAGE) NAME ADDRESS (if minor) STATE OF MICHIGAN PROBATE COURTCOUNTY OF (Heir / Devisee) PETITION FOR PROBATE AND/OR APPOINTMENT OF PERSONAL REPRESENTATIVE TESTATE INTESTATE FILE NO. Last four digits of SSNXXX-XX- State Street address City Zip State Street address City Zip State Street address City Zip AGE/DOB RELATIONSHIP 7. A personal representative has been previously appointed in County, and the appointment has not been terminated. The personal representative's name and address are . 8. a. The decedent's will, dated , with codicil(s) dated is/are offered for probate and is/are attached to this petition. already in the court's possession. b. An authenticated copy of the will and codicil(s), if any, probated in County, is/are offered for probate, and documents establishing its probate accompany this petition. c. Neither the original will nor an authenticated copy of a will probated in another jurisdiction accompanies the petition. The will is lost, destroyed, or otherwise unavailable, but its contents are (Attach additional sheets as necessary.) . 9. The decedent's will was formally informallyprobated on in County. 10. To the best of my knowledge, I believe that the instrument(s) subject to this petition, if any, was/were validly executed an d is/are the decedent's last will. After exercising reasonable diligence, I am unaware of an instrument revoking the will or cod icil(s). a. 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 . The instrument is attached to this petition. is already in the court's possession. 11. I nominate as personal representative, who is qualified and has the following priority for appointment: . His/her address is . 12. Other persons have prior or equal right to appointment. They are: 13. The will expressly requests that the personal representative serve with bond. 14. a. The decedent left a will that directs supervised administration. b. The decedent left a will that directs unsupervised administration, but supervised administration is necessary for theprotection of persons interested in the estate because (Complete on line below.) c. The decedent died intestate or left a will that does not direct supervised administration, but supervised administration is necessary because (Complete on line below.) . 15. A special personal representative is necessary because . I REQUEST: 16. An order determining heirs and that the decedent died intestate. testate and the document(s) stated in item 8 is/are valid and admitted to probate. 17. Formal appointment of the nominated personal representative with withoutbond. 18. Supervised administration. 19. Appointment of a special personal representative pending the appointment of the nominated personal representative. 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. Attorney name (type or print) Address City, state, zip Address City, state, zip Bar no. Telephone no. Telephone no. Petitioner signature Date Petitioner name (type or print) Attorney signature Address Name City State Name City Name Name Name Name State State Zip Address State Zip