Petition To Terminate Modify Conservatorship Adult Minor {PC 676}

Approved, SCAO þ JIS CODE: PDGSTATE OF MICHIGANPROBATE COURTCOUNTY OFPETITION TO TERMINATE þ MODIFYCONSERVATORSHIP ADULT þ MINORFILE NO. en-USIn the estate of en-US þ en-USLast four digits of SSN 1. þ I am interested in this estate as en-USState relationship/interesten-US . 2. þ The protected individual222s address and telephone number are en-US en-US . 3. þ The protected individual has a conservator whose address is en-US en-US and has þ þ a spouse whose name and address are listed below. þ þ child(ren) whose name(s) and address(es) are listed below. þ þ descendants of deceased children whose name(s) and address(es) are listed below. þ þ if no child(ren) or descendants of deceased child(ren), parents whose name(s) and address(es) are listed below. þ þ if none of the above, presumptive heirs whose name(s) and address(es) are listed below. þ þ none of the above (must notify the Attorney General*). en-USNAMEen-USADDRESS AND TELEPHONE NUMBERen-USRELATIONSHIPen-USAGE/DOBen-US(if minor)en-USStreet addressen-USCityen-USStateen-USZipen-USTelephone no.en-USStreet addressen-USCityen-USStateen-USZipen-USTelephone no.en-USStreet addressen-USCityen-USStateen-USZipen-USTelephone no.en-US*Notify the Attorney General by sending a copy of this form to: Attorney General, Public Administration, PO Box 30755, Lansing, MI 48909. 4. þ The reasons why the court should take action are en-US þ en-US þ en-US en-USI REQUESTen-US that the court: þ 5. þ Terminate the conservatorship. þ 6. þ Accept the conservator222s resignation. þ 7. þ Remove the conservator who þ has þ has not þ been suspended. þ 8. þ Appoint en-USName (type or print) Address þ en-USCity State Zip Telephone no. þ as successor conservator. en-USUSE NOTE:en-US If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form.en-USXXX-XX- American LegalNet, Inc. www.FormsWorkFlow.com File No. þ 9. þ Appoint en-USName (type or print) Address þ en-USCity State Zip Telephone no. þ as temporary conservator pending appointment of a successor. þ 10. þ Modify the powers of the conservator as follows: en-US þ en-US þ en-US þ en-US þ en-US þ en-US þ en-US þ en-US en-USI declare under the penalties of perjury that this petition has been examined by me and that its contents are true to the best ofen-USmy information, knowledge, and belief. þ en-USDate en-USAttorney signature þ en-USPetitioner signature en-USName (type or print) Bar no. þ en-USName (type or print) en-USAddress þ en-USAddress en-USCity, state, zip Telephone no. þ en-USCity, state, zip Telephone no. þ en-USNOMINATION BY MINOR: þ I am 14 years of age or older. I nominate en-USNameen-US as conservator, who lives at þ en-USAddress City State Zipen-US . en-USDate þ en-USSignature of minor American LegalNet, Inc. www.FormsWorkFlow.com