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Approved, SCAO PCS CODE: OAMTCS CODE: OAGM STATE OF MICHIGAN PROBATE COURT COUNTY OF ORDER REGARDING APPOINTMENT OF GUARDIAN LIMITED GUARDIAN OF A MINOR FILE NO. In the matter of First, middle, and last name , a minor USE NOTE: Use form PC 653-I if the minor is an Indian child. 1. Date of hearing: Judge: Bar no. THE COURT FINDS: 2. Notice of hearing was given to or waived by all interested persons, venue is proper, and a qualified person seeks appointment. 3. The minor named above is not in need of a guardian. 4. The minor named above is unmarried and is in need of a guardian because a. parental rights of both parents or of the surviving parent have been terminated suspended by prior court order. judgment of divorce or separate maintenance. death. judicial determination of mental incompetency. disappearance. confinement in a place of detention. or b. the parent(s) permit the minor to reside with another person and do no\ t provide the other person with the legal authority for the care and maintenance of the minor who was not residing\ with a parent when the petition was filed. or c. the biological parents of the minor were never married to each other, the custodial parent has died, disappeared, and the other parent has not been granted legal custody by court order. The proposed guardian is related to the minor within the fifth degree by mar\ riage, blood, or adoption. 5. The minor named above is unmarried, and the custodial parent(s) consented to the appointmen\ t of a limited guardian and voluntarily consented to suspension of parental rights. A limited guardianship placement plan has been filed and approved. 6. The welfare of the minor will be served by the appointment, and by payment of reasonable support. reasonable parenting time and contact by the parent(s). 7. There is no qualified, suitable individual willing to act as guardian, a\ nd the appointment of a nonprofit corporation as guardian is in the best interest of the minor. A personal bond must be filed. IT IS ORDERED: 8. The petition is granted. denied on the merits. dismissed/withdrawn. 9. Name (type or print) , whose address and telephone number are Address \ City \ State Zip Telephone no. , is appointed full limited temporary guardian of the minor named above, and an acceptance of appointment shall be filed. Personal bond at $ must be filed. The guardian is not permitted to act until letters of guardianship are i\ ssued. After qualification, the guardian shall comply with all relevant requirements under the law. 10. This appointment is regular. temporary, expiring on Date . 11. Parenting time shall be as stated in the placement plan. 12. Child support shall be paid: as stated in the placement plan. 13. The attorney guardian ad litem lawyer-guardian ad litem for the minor is discharged. 14. Other: Date Judge Attorney name (type or print) \ Bar no. Address \ City \ State Zip Telephone no. Do not write below this line - For court use only PC 653 (12/17) ORDER REGARDING APPOINTMENT OF GUARDIAN/LIMITED GUARDIAN OF A MINOR MCL 700.5106, MCL 700.5204, MCL 700.5205,MCL 700.5212, MCL 700.5213, MCR 5.402(E)