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Fill and Sign the Form Pc 552 Safe Deposit Box Certificate and Receipt

Fill and Sign the Form Pc 552 Safe Deposit Box Certificate and Receipt

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CERTIFICATE 1. The undersigned certify that they were present on this date at the opening of the safe-deposit box number located in , and did did not did did not 2. No safe-deposit box was located. Signatures of others present, if any: REGISTER'S RECEIPT 3. I acknowledge receipt from of the following items:a. will of the decedent. b. burial plot deed. STATE OF MICHIGAN PROBATE COURTCOUNTY OF PC 552 (9/11) SAFE-DEPOSIT BOX CERTIFICATE AND RECEIPT Estate of FILE NO. Approved, SCAO JIS CODE: DBC, DBR SAFE-DEPOSIT BOX CERTIFICATE AND RECEIPT Name of bank, trust or safe-deposit company a. they find a will of the decedent; b. they find a deed to a burial plot in which decedent is to be buried; c. no item or items, other than the deed or will, were removed from the safe-deposit box. Date Signature of person named in order to examine contents of box Signature of bank officer or authorized employee Deputy probate register Date Do not write below this line - For court use only MCL 700.2517 Name of person given authority by court order to examine contents of box Signature Signature

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