Approved, SCAO JIS CODE: NKC STATE OF MICHIGAN PROBATE COURT COUNTY OF Estate of FILE NO. NOTICE TO KNOWN CREDITORS TO: Name Address City, state, zip The fiduciary believes you may be a creditor of the estate. The attached notice to creditors was published Date . You have four months from the above date of publication or one month from the date this notice is sent to you, whichever is later, to present your written claim or it will be forever barred. You may use the Statement and Proof of Claim (form PC 579) to submit your claim. The written claim must be timely delivered or mailed to the fiduciary listed below. You may also send it to the probate court for filing along with a filing fee of $20.00. You may also commence a suit against the estate in a court. Date Attorney name (type or print) Address City, state, zip Telephone no. Bar no. Name of fiduciary to whom claim should be presented Title Address City, state, zip PROOF OF SERVICE I certify that on Date , I served a copy of this notice on the creditor by personal delivery to the creditor. mailing, with postage prepaid, to the address indicated in this notice. I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Signature Do not write below this line - For court use only PC 578 (9/10) NOTICE TO KNOWN CREDITORS American LegalNet, Inc. www.FormsWorkFlow.com MCL 700.3801, MCL 700.3803, MCL 700.3804, MCR 5.208(B)