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Petition to Terminate/Modify Conservatorship

 

INSTRUCTIONS: MICHIGAN PETITION TO TERMINATE/MODIFY CONSERVATORSHIP (Form PC 676)

 

 

The form discussed in this article is filed to request the termination or modification of a Michigan conservatorship. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 1: Indicate with check marks whether you are filing to terminate or modify the conservatorship of an adult or minor.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 2: Enter the file number where indicated.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 3: On the first blank line, enter the name of the person whose estate is involved.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 4: On line 1, state your relationship to or interest in the estate.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 5: On line 2, enter the protected individual's address and telephone number.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 6: On line 3, enter the address of the conservator and place a check mark to any applicable statements below.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 7: On line 4, write the reasons why the court should take action.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 8: Check the box on line 5 if you are requesting that the court terminate the conservatorship.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 9: Check the box on line 6 if you are requesting that the court accept the conservator's resignation.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 10: Check the box on line 7 if you are requesting that the court remove a conservator. Indicate whether or not they have been suspended with a check mark.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 11: Check the box on line 8 if nominating a successor conservator and enter their name, address and telephone number.

 

 Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 12: Check the box on line 9 if nominating a temporary conservator pending appointment of a successor and enter their name, address and telephone number.

 

Michigan Petition To Terminate/Modify Conservatorship PC 676 Step 13: Check the box on line 10 if requesting modification of the powers of the conservator and provide a description. Sign and date the form where indicated.

 

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Report of Guardian on Condition of Individual with Developmental Disability

 

INSTRUCTIONS: MICHIGAN REPORT OF GUARDIAN ON CONDITION OF INDIVIDUAL WITH DEVELOPMENTAL DISABILITY (Form PC 663)

 

 

The form discussed in this article must be filed by the Michigan guardian of an individual with a developmental disability on an annual basis or more often if directed so by the court. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 1: Enter the file number where indicated.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 2: On the first blank line, enter the name of the individual with the developmental disability.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 3: On line 1, type or print your name and enter the beginning and ending dates of the period you are reporting for.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 4: On line 2, enter the individual's present age and date of birth.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 5: On line 3, enter the current address and telephone number of the individual.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 6: On line 4, indicate the individual's present living arrangement by placing a check mark next to the applicable statement.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 7: On line 5, enter the date on which the individual began living at this residence and enter descriptions and address of all residences where the individual has lived during this reporting period, as well as the duration of each stay.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 8: On line 6, indicate whether you rate the individual's present living arrangements as excellent, average or below average with a check mark. If the latter, explain.

 

Michigan Report Of Guardian On Condition Of Individual With Developmental Disability PC 663 Step 9: On line 7, indicate with a check mark whether you believe the individual is content or unhappy with the living situation. If you believe they would benefit from a more suitable residence, describe it. Complete the rest of the form as instructed.

 

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Report of Physician or Mental Health Professional

 

INSTRUCTIONS: MICHIGAN REPORT OF PHYSICIAN OR MENTAL HEALTH PROFESSIONAL (Form PC 630)

 

 

The form discussed in this article is filed by a Michigan physician or mental health professional to evaluate the ability of a person to care for themselves and make informed services as part of a probate case. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 1: Enter the file number where indicated.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 2: On the first blank line, enter the name of person being evaluated.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 3: On line 1, indicate with a check mark whether you are a physician or a mental health professional. If you have a specialty, enter it where indicated.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 4: On line 2, enter the date on which you last examined the individual.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 5: On line 3, enter the psychological or physical infirmities the individual suffers from.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 6: On line 4, describe the ways in which these infirmities interfere with the individual's ability to receive or evaluate information when making decisions.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 7: On line 5, list all medications the individual is receiving, the dosage of each medication and a description of the effects of each medication upon the individual's behavior.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 8: On line 6, indicate with a check mark all areas in which the individual is unable to make informed decisions.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 9: On line 7, enter the prognosis for improvement in the individual's conditions.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 10: Check the box on line 8 if you have attached further comments on a separate sheet.

 

Michigan Report Of Physician Or Mental Health Professional PC 630 Step 11: On the last five blank lines, enter the date, your signature, your typed or printed name, your street address, and your city, state, zip code and telephone number.

 

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Order Regarding Petition for Protective Order

 

INSTRUCTIONS: MICHIGAN ORDER REGARDING PETITION FOR PROTECTIVE ORDER (Form PC 644)

 

 

The form discussed in this article is issued by a Michigan court as an order concerning a petition for a protective order in probate court. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 1: Where indicated, enter the file number.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 2: On the first blank line, enter the name of the person concerning whom a petition for protective order has been filed.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 3: On line 1, enter the date of the hearing and the name of the judge, as well as their bar number.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 4: Check the box on line 3 if ruling that the individual is not in need of a protective order.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 5: Check the box on line 4 if ruling that the individual is in need of a protective order and indicate why with a check mark next to the appropriate statement.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 6: Check the box on line 5 if ruling a minor is in need of a protective order and indicate why with a check mark next to the appropriate statements on lines 5a through 5c.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 7: Check the box on line 6 if a protective order is necessary to authorize, direct or ratify a transaction specified below that is necessary or desirable to achieve a security, service or care arrangement meeting the individual's foreseaable need.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 8: Check the box on line 7 if a protective order is in the best interests of the individual in order to authorize, direct or ratify a contract, trust or other transaction related to the individual's property and business affairs. Specify below.

 

Michigan Order Regarding Petition For Protective Order PC 644 Step 9: Check the box on line 8 if it is in the ward's best interests for their guardian to sell or otherwise dispose of their real property or interest in real property. Complete the rest of the form as instructed.

 

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Petition and Order to Use Funds (Conservatorship)

 

INSTRUCTIONS: MICHIGAN PETITION AND ORDER TO USE FUNDS (CONSERVATORSHIP) (Form PC 673)

 

 

The form discussed in this article is filed by a Michigan conservator to request permission to use their ward's funds for the ward's benefit. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 1: At the top right-hand corner, enter the file number.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 2: On the first blank line, enter the name of the ward.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 3: On line 1, enter your name.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 4: On line 2, enter the names of any interested persons, addresses and their representatives which are not identical to those appearing on the initial application or petition.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 5: On line 3, enter the date and the value of the ward's total assets.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 6: On line 4, enter the amount you are requesting permission to withdraw from the ward's funds, the account number and the name of the financial institution and the purpose for which the funds will be used.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 7: On the next blank line, enter the date.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 8: On the next blank line, your attorney should enter their signature.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 9: On the next blank line, your attorney should print or type their name and enter their bar number.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 10: On the next blank line, your attorney should enter their street address.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 11: On the next blank line, your attorney should enter their city, state, zip code and telephone number.

 

Michigan Petition And Order To Use Funds (Conservatorship) PC 673 Step 12: Enter your signature, printed or typed name, address, city, state, zip code and telephone number where indicated, then submit the form to the court.

 

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Petition for Appointment of Conservator and/or Protective Order

 

INSTRUCTIONS: MICHIGAN PETITION FOR APPOINTMENT OF CONSERVATOR AND/OR PROTECTIVE ORDER (Form PC 639)

 

 

The form discussed in this article is filed to request that a conservator be appointed or a protective order issued for a Michigan adult who is mentally or physically disabled or a minor. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 1: Where indicated, enter the file number.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 2: On line A, enter the name of the individual alleged to need protection and their Social Security number.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 3: On line B, enter your name and your relation to the individual alleged to need protection or interest in them.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 4: On line C, enter the date on which the individual alleged to need protection was born, their county of residence, their address, city, state, zip code and the county in which they own property.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 5: On line D, check the box if an action within the jurisdiction of the family division of circuit court involving the family or family members of the above individual has been previously filed. If so, enter the court number, case number and judge name, as well as indicating with a check mark whether the case remains or is no longer pending.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 6: On line E, indicate with a check mark if the individual has a power of attorney, guardian or representative payee for Social Security. Specify the name and address of this person below.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 7: On line F, indicate the type of individual with a check mark.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 8: On line G, enter support for your claim on line F. Attach additional sheets as necessary.

 

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 9: Complete the rest of the form as instructed.

 

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Order for Administrative Closing (Conservatorship)

 

INSTRUCTIONS: MICHIGAN ORDER FOR ADMINISTRATIVE CLOSING (CONSERVATORSHIP) (Form PC 671)

 

 

The form discussed in this article is issued by a Michigan court to order the administrative closing of a conservatorship. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 1: Enter the file number where indicated.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 2: On the first blank line, enter the name of the individual whose estate is concerned.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 3: On line 1, enter the date of the hearing, the judge and their bar number.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 4: Check the box on line 2 if notice of suspension was given as required by MCR 5.203(D).

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 5: Check the box on line 3a if the conservatorship should be administratively closed because there are insufficient assets in the estate to employ a successor or special fiduciary.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 6: Check the box on line 3b if the conservatorship should be administratively closed for good cause. Provide an explanation below.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 7: Line 4 states that the conservatorship is administratively closed in accordance with MCR 5.144(A).

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 8: Line 5 states that this administrative closing does not release the conservator from liability.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 9: On the next blank line, enter the date.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 10: On the last blank line, the judge will enter their signature.

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 11: Upon completion, a copy of this document should be sent to the State Court Administrative Office. 

 

Michigan Order For Administrative Closing (Conservatorship) PC 671 Step 12: In addition to filing this order, the court will also be required to file form PC 599, a Memorandum Of Administrative Closing, which is provided for separate documentation after the order has taken effect. This document can also be obtained from the website maintained by the Michigan Courts system.

 

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Order for Placement of Individual with Developmental Disability

 

INSTRUCTIONS: MICHIGAN ORDER FOR PLACEMENT OF INDIVIDUAL WITH DEVELOPMENTAL DISABILITY (Form PC 665)

 

 

This article discusses the form issued by Michigan courts to order placement of an individual with a developmental disability in a facility such as a child caring institution, boarding school, convalescent home, nursing home or home for the aged or a community residential program. This document can be obtained from the website maintained by the Michigan Courts system.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 1: Where indicated, enter the file number.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 2: On the first blank line, enter the name of the individual with a developmental disability.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 3: On line 1, enter the date of the hearing, the judge, and the judge's bar number.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 4: On line 4, enter the name of the guardian for the individual named above.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 5: On line 5, enter the name of the facility from which the individual with a developmental disability requires care and services.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 6: Check the first box on line 8 if executing the necessary application for temporary administrative admission not to exceed 30 days.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 7: Check the second box if executing the necessary application for administrative admission.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 8: Check the third box if executing the necessary application for admission.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 9: Enter the name of the facility on the next blank line.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 10: Enter the date on the next blank line.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 11: Enter the signature of the judge on the next blank line.

 

Michigan Order For Placement Of Individual With Developmental Disability PC 665 Step 12: Once completed, the form will take effect. 

 

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Order Regarding Appointment of Conservator

 

INSTRUCTIONS: MICHIGAN ORDER REGARDING APPOINTMENT OF CONSERVATOR (Form PC 640)

 

 

The form discussed in this article is issued by a Michigan court to appoint a conservator for an adult or minor. This document can be obtained from the website maintained by the Michigan Courts system. 

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 1: Where indicated, enter the file number.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 2: On the first blank line, enter the name of the individual to whose estate a conservator is being appointed.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 3: On line 1, enter the date of hearing, the name of the presiding judge and their bar number.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 4: Check the box on line 3 if ruling that the individual is not in need of a conservator.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 5: Check the box on line 4 if ruling an adult individual is in need of a conservator. Indicate the reason with a check mark next to the applicable statement.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 6: Check the box on line 5 if ruling that the individual is mentally competent unable to effectively manage their property or affairs due to age or physical infirmity and has requested a conservator.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 7: Check the box on line 6 if ruling that a minor is in need of a conservator. Indicate the reason with a check mark next to the applicable statement on lines 6a through 6c.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 8: Check the box on line 7 if it is in the ward's best interests for the guardian to sell or otherwise dispose of the ward's real property or interest in real property.

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 9: Check the box on line 8 if there is no suitable, qualified individual willing to act as a conservator and the appointment of a professional conservator is in the best interests of the adult or minor. This means a bond must be established. 

 

Michigan Order Regarding Appointment Of Conservator PC 640 Step 10: Complete the remainder of the form as instructed.

 

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Order Appointing Attorney (General)

 

INSTRUCTIONS: MICHIGAN ORDER APPOINTING ATTORNEY (Form PC 628)

 

 

The form discussed in this article is issued by a Michigan court to appoint an attorney to represent someone in a probate court matter. This document can be obtained from the website maintained by the Michigan Courts system. This form is not to be confused with form PC 642, which can be used to appoint a guardian ad litem, attorney, or lawyer-guardian ad litem. This document can also be obtained from the website maintained by the Michigan Courts system.

 

Michigan Order Appointing Attorney PC 628 Step 1: Enter the file number where indicated.

 

Michigan Order Appointing Attorney PC 628 Step 2: On the first blank line, enter the name of the individual whose interests are concerned in the probate court proceedings.

 

Michigan Order Appointing Attorney PC 628 Step 3: On the second blank line, enter the date of the hearing.

 

Michigan Order Appointing Attorney PC 628 Step 4: On the third blank line, enter the name of the judge issuing the order and their bar number.

 

Michigan Order Appointing Attorney PC 628 Step 5: On the next blank line, print or type the name of the attorney being appointed.

 

Michigan Order Appointing Attorney PC 628 Step 6: On the next blank line, print or type the name of the person who is to be represented.

 

Michigan Order Appointing Attorney PC 628 Step 7: On line 4, if discharging a guardian ad litem, check the box and enter the name of the person being discharged.

 

Michigan Order Appointing Attorney PC 628 Step 8: On the next blank line, enter the complete date.

 

Michigan Order Appointing Attorney PC 628 Step 9: On the next blank line, the judge should enter their signature.

 

Michigan Order Appointing Attorney PC 628 Step 10: On the next blank line, enter the name of the attorney, as well as their bar number.

 

Michigan Order Appointing Attorney PC 628 Step 11: On the next blank line, enter the street address of the attorney.

 

Michigan Order Appointing Attorney PC 628 Step 12: On the next blank line, enter the city, state and zip code of the attorney. Also enter their telephone number, including the area code.

 

Michigan Order Appointing Attorney PC 628 Step 13: Upon completion, the form will take effect.

 

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