Approved, SCAO
JIS CODE: PAO
STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION
FILE NO. PETITION AND ORDER
In the matter of 1. I am interested in this matter and make this petition as .
State interest/relationship
2. The interested persons, addresses, and their representatives are identical to those appearing on the initial application/petition, except as follows: (for each person whose address changed, list the name and new address; attach separate sheet if necessary)
3. I state: (state facts)
4. I REQUEST that:
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 my information, knowledge, and belief.
Date Attorney signature Name (type or print) Address City, state, zip Telephone no. Bar no. Petitioner signature Petitioner name (type or print) Address City, state, zip Telephone no.
ORDER IT IS ORDERED that the above petition is
Date
granted.
denied.
Judge
granted in part as follows:
Bar no.
Do not write below this line - For court use only
PC 586 (9/05)
PETITION AND ORDER
MCR 5.113