Approved, SCAO JIS CODE: ASP STATE OF MICHIGAN PROBATE COURT COUNTY OF APPLICATION FOR APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE (ESTATE NOT CLOSED) FILE NO. Estate of 1. I am interested in this estate as 2. a. Name . , appointed personal representative of the estate, died on and his/her appointment is terminated. b. Name , is now subject to a conservatorship, (A copy of the certificate of death or letters of conservatorship is attached.) , personal representative of the estate, has executed a written statement of resignation and it is attached to this application. already on file in this court. 3. I adopt the statements in the application or petition that led to the appointment of the current personal representative, except as specifically changed or corrected as follows: (Attach separate sheet if necessary.) 4. I have priority to be appointed and/or to nominate a qualified person to act as a successor personal representative as follows: 5. 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.) 6. It is necessary that a successor personal representative be appointed to continue and complete administration of the estate. 7. Pending the appointment of a successor personal representative, it is necessary that a special personal representative be appointed in place of the personal representative who is deceased or under a conservatorship. A special personal representative should be appointed because . 8. I REQUEST that Name City State Zip , residing at Address , or some other suitable person, be appointed successor personal representative in place of the personal representative whose appointment has been terminated. (SEE SECOND PAGE) Do not write below this line - For court use only PC 620 (9/12) MCL 700.3301(1)(f), APPLICATION FOR APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE (ESTATE NOT CLOSED) MCL 700.3609, MCL 700.3610, MCL 700.3611, MCL 700.3614(a) American LegalNet, Inc. www.FormsWorkFlow.com 9. I REQUEST that City Name State , residing at Zip Address , or some other suitable person, be appointed special personal representative. I declare under the penalties of perjury that this application has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Attorney signature Attorney name (type or print) Address City, state, zip Telephone no. Bar no. Applicant signature Applicant name (type or print) Address City, state, zip Telephone no. American LegalNet, Inc. www.FormsWorkFlow.com