Order Establishing Death Of Accident Or Disaster Victim
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Order Establishing Death Of Accident Or Disaster Victim Form. This is a Michigan form and can be use in Probate Statewide.
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Tags: Order Establishing Death Of Accident Or Disaster Victim, PC 550, Michigan Statewide, Probate
Approved, SCAO
JIS CODE: OED
STATE OF MICHIGAN
PROBATE COURT
COUNTY OF
FILE NO.
ORDER ESTABLISHING DEATH
OF
ACCIDENT OR DISASTER VICTIM
In the matter of
, presumed decedent
1. Date of hearing:
Judge:
Bar no.
THE COURT FINDS:
2. Notice of hearing was given to or waived by all interested persons.
3. An accident or disaster occurred on
in which the following person was killed or may be presumed
Date
to have died:
Name
XXX-XXLast four digits of social security no.
Street address
Date of birth
City
State
Zip
4. The accident or disaster occurred at
.
5. The above described person is dead.
6. The date of death is
.
Date
7. The time of death
is at or about
m.
Time
is not possible to ascertain.
IT IS ORDERED the death of the presumed decedent is established in accordance with the above findings.
Date
Judge
Do not write below this line - For court use only
PC 550 (9/05)
ORDER ESTABLISHING DEATH OF ACCIDENT OR DISASTER VICTIM
MCL 700.1207, MCL 700.1208
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