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Original - Court 1st copy - Addressee JIS CODE: NEP

STATE OF MICHIGAN
JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE Court address

CASE NO. NOTICE OF INTENT TO ESCHEAT UNCLAIMED PERSONAL PROPERTY
Court telephone no.

TO:

Court Use Note: This notice is to be sent not less than 60 days or more than 365 days before filing a report with the State Treasurer regarding the property (MCL 567.238).

The court holds unclaimed personal property to which you are entitled, as described below.
Description Date received Receipt number

Check number

was written and sent to you on
Date

.

The check was returned to the court by the postal service. The check has not been cashed. Other:

If you do not claim this property by contacting the court by

Date

, it will be deposited

with the State Treasurer. Bring this form with you when you come to claim your property. After that, you must claim your property from: Michigan Department of Treasury Unclaimed Property Division Lansing, Michigan 48922 Telephone: (517) 636-5320 www.michigan.gov/treasury
Deputy clerk

Date

CERTIFICATE OF MAILING I certify that on this date I served a copy of this notice on the individual named above by first-class mail addressed to his/her lastknown addresses as defined in MCR 2.107(C)(3).
Date Deputy clerk

MC 25 (3/08)

NOTICE OF INTENT TO ESCHEAT UNCLAIMED PERSONAL PROPERTY

MCL 567.234, MCL 567.238(5)