Approved, SCAO JIS CODE: DTO STATE OF MICHIGAN PROBATE COURT COUNTY OF Estate of 1. I, Name PETITION TO DETERMINE HEIRS Separate Proceedings FILE NO. , make this petition as State your interest/relationship . City, township, or village 2. Decedent died intestate on Date in this county. , a resident of 3. The property of the decedent at the date of his/her death had an estimated total value of $ . 4. The names, relationships, and addresses of the heirs of the decedent are set forth below: (Attach a separate sheet if necessary.) NAME Street address City Street address City Street address City State Zip State Zip State Zip ADDRESS RELATIONSHIP AGE/DOB (if minor) 5. Of the above heirs, none is under legal disability or otherwise represented, except as follows: 6. No other proceedings have been instituted in this or any other court to administer the estate of the decedent, and it is not necessary that a personal representative be appointed. I REQUEST that the court determine and adjudge: 7. a) the date of death of the decedent; b) the domicile of the decedent at the time of death; c) that the decedent died intestate; d) the heirs of the decedent; e) the inheritance tax due, if any. I declare under the penalties of perjury that this petition has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Attorney signature Name (type or print) Address City, state, zip Telephone no. Bar no. Date Petitioner signature Address City, state, zip Telephone no. Do not write below this line - For court use only American LegalNet, Inc. www.FormsWorkFlow.com PC 553 (9/14) PETITION TO DETERMINE HEIRS, Separate Proceedings MCL 700.1302(a)(v), MCL 700.3106, MCR 5.308(B)(2)