en-USEstate of en-US en-US***USE THIS FORM ONLY IF A DEVISEE NAMED IN THE WILL OR CODICIL IS NOT AN HEIR OF THE TESTATOR***en-USNOTE: TREAT ALL PERSONS WHO DIED WITHIN 120 HOURS AFTER THE DECEDENT AS IF THEY DID NOT SURVIVE THEen-US DECEDENT. List persons who died within 120 hours after the decedent in item 18 below.en-US16. The names of all devisees named in the will and codicils who are not heirs of the decedent (include testamentary trustees � and beneficiaries of testamentary trusts) are en-US � en-US � en-US en-US . � 17. � Of the devisees listed in 16, the following died before the decedent. Their names and relationships to the decedent are � en-US � en-US en-US . � 18. � The following devisees died within 120 hours after the decedent. Their names, relationships to decedent, and the date � and time of their deaths are: en-USNAMEen-USRELATIONSHIPen-USDATE OF DEATHen-USTIME OF DEATH � 19. � The following are descendants of the predeceased devisees named above, who survived the decedent: � en-US � en-US en-US . � 20. � Class gifts in the will or codicils, where the members are not specifically identified by name, are as follows: � en-US � en-US � en-US en-US . American LegalNet, Inc. www.FormsWorkFlow.com � � � en-USSignatureen-USSubscribed and sworn to before me on en-USDateen-US , en-US en-US County, Michigan.en-USMy commission expires: en-USDateen-US Signature: en-USJudge/Deputy register/Notary publicen-USNotary public, State of Michigan, County of en-US en-USAttorney signature � en-USName (type or print) Bar no. � en-USAddress � en-USCity, state, zip Telephone no. � � 21. � The following devisees named above are under legal disability. Their names, legal disabilities, and names of their � representative(s) are � en-US � en-US en-US . � 22. � The following deceased devisees survived the decedent by more than 120 hours. Their names and the names of those � who represent their interests are � en-US � en-US en-US . � 23. � The guardian ad litem for each devisee under the will and codicils who is unborn, unknown, or unascertainable is � en-US en-US . American LegalNet, Inc. www.FormsWorkFlow.com