Approved, SCAO JIS CODE: NAF STATE OF MICHIGAN PROBATE COURT COUNTY OF FILE NO. NOTICE OF ANCILLARY ADMINISTRATION FILING Estate of 1. I, Name (type or print) County and state of decedent's domicile , am a domiciliary foreign personal representative of an . Attached is an Also attached is an authenticated copy of the official bond I have given. estate being administered in authenticated copy of my appointment. 2. No local administration is pending in Michigan. 3. No application or petition for local administration is pending in Michigan. 4. The decedent has property located in this Michigan county. Date Signature of domiciliary personal representative Attorney name (type or print) Address City, state, zip Telephone no. Bar no. Name (type or print) Address City, state, zip Telephone no. ACCEPTANCE An authenticated copy of the appointment of the domiciliary foreign personal representative named above is accepted for filing. An authenticated copy of the official bond given by the representative is also accepted for filing. Register/Deputy register Date NOTE: This form is not required for filing an authenticated copy of the appointment of domiciliary foreign personal representative and any official bond the representative has given. See MCL 700.4203 for details. Do not write below this line - For court use only PC 619 (9/10) NOTICE OF ANCILLARY ADMINISTRATION FILING MCL 700.4203, MCR 5.113(D) American LegalNet, Inc. www.FormsWorkFlow.com