Approved, SCAO OSM CODE: TRU STATE OF MICHIGAN FILE NO. PROBATE COURT REGISTRATION OF TRUST COUNTY OF In the matter of Name of trust 1. Trust Settlor(s): 2. Original Trustee: 3. Present Trustee: whose address is: 4. Date(s) of trust instrument and any amendments: 5. This trust is is not registered elsewhere. Name and address of other registration 6. The trust is a testamentary trust created by , whose last will and Name testament was admitted to probate in the probate court of County, . State 7. The trust is an oral trust created by Name on in the following manner: Date Terms of the trust, including the subject matter, beneficiaries, and time of performance are: Attorney signature Date Attorney name (type or print) Bar no. Trustee signature Address Address City, state, zip Telephone no. City, state, zip Telephone no. Do not write below this line - For court use only PC 610 (9/03) REGISTRATION OF TRUST MCL 700.7101, MCL 700.7102