Approved, SCAO
JIS CODE: DBC, DBR
STATE OF MICHIGAN PROBATE COURT COUNTY OF Estate of
SAFE DEPOSIT BOX CERTIFICATE AND RECEIPT
FILE NO.
CERTIFICATE
1. The undersigned certify that they were present on this date at the opening of the safe deposit box number located in
Name of bank, trust or safe deposit company
, did did not did did not find a will of the decedent;
a. they
b. they
find a deed to a burial plot in which decedent is to be buried;
c. no item or items, other than such 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
Signatures of others present, if any:
Signature Signature
REGISTER'S RECEIPT
2. I acknowledge receipt from of the following items: a. b.
Name of person given authority by court order to examine contents of box
Will of the decedent Burial plot deed
Date
Deputy Probate Register
Do not write below this line - For court use only
PC 552 (9/06)
SAFE DEPOSIT BOX CERTIFICATE AND RECEIPT
MCL 700.2517