Approved, SCAO STATE OF MICHIGAN PROBATE COURT COUNTY OF JIS CODE: RIO FILE NO. REGISTER'S STATEMENT Estate of 1. An application has been filed requesting informal probate of the will of the above named decedent. the appointment of a personal representative. the previously administered estate be reopened. appointment of a successor personal representative. 2. Upon consideration of the application, I determine that all of the following are true: a. Venue is proper. b. The application is complete and made in accordance with MCL 700.3301 or MCR 5.312. c. The applicant appears to be an interested person. d. An original, properly executed, and apparently unrevoked will dated with codicil(s) dated is in my possession. An authenticated copy of the will and codicil(s) probated in County is offered for informal proceedings and documents establishing probate in another state are in my possession. e. The application is not within MCL 700.3304 or MCR 5.144. f. A will to which the requested appointment relates has been formally or informally probated. g. The person whose appointment is sought has priority to the appointment, with or without appropriate nomination and/or renunciation. The applicant gave notice of his/her intention to seek an informal appointment to each person having a prior or equal right to an appointment not waived in writing and filed with the court. h. There is good cause to reopen the previously administered estate and appoint a personal representative. The estate was not closed under supervised administration. 3. The will dated to informal probate. with codicils dated is admitted 4. is appointed personal representative special personal representative successor personal representative of the decedent's estate and upon filing a statement of acceptance, letters shall issue to that personal representative without bond. upon filing a bond in the amount of $ . After qualification, the personal representative shall comply with all relevant requirements under the law. 5. The application is denied because: a personal representative has been appointed in this or another county of this state and continues to serve. this or another will of the decedent has been the subject of a previous probate order. the probate relates to one or more of a known series of testamentary instruments, the latest of which does not expressly revoke the earlier. other: 6. The estate is reopened. Letters of authority expire . Register Date Attorney name (type or print) Bar no. City, state, zip Address Telephone no. Do not write below this line - For court use only PC 568 (9/05) REGISTER'S STATEMENT MCL 700.3302, MCL 700.3303, MCL 700.3304, MCL 700.3305, MCL 700.3308, MCL 700.3601, MCR 5.309, MCR 5.312 American LegalNet, Inc. www.FormsWorkflow.com