Approved, SCAO JIS CODE: NCT STATE OF MICHIGAN PROBATE COURT COUNTY OF FILE NO. NOTICE TO CREDITORS Decedent's Estate Estate of TO ALL CREDITORS: * Date of birth: NOTICE TO CREDITORS: The decedent, , died Date . Creditors of the decedent are notified that all claims against the estate will be forever barred unless presented to , personal representative, or to both the probate court at Address City and the personal representative within 4 months after the date of publication of this notice. Date Attorney name (type or print) Address City, state, zip Telephone no. Bar no. Personal representative name (type or print) Address City, state, zip Telephone no. PUBLISH ABOVE INFORMATION ONLY Publish one time in Furnish Name of publication in County copies to Furnish affidavit of publication to the probate court with copy to Forward statement for publication charges to *NOTE TO PREPARER: If there is a known creditor whose address is unknown and cannot be ascertained after diligent inquiry, insert "including [name of creditor] whose address and whereabouts are unknown." Do not write below this line - For court use only PC 574 (9/12) NOTICE TO CREDITORS, DECEDENT'S ESTATE MCL 700.3801, MCR 5.106(A), MCR 5.208(A) American LegalNet, Inc. www.FormsWorkFlow.com