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 þ and beneficiaries of testamentary trusts) are en-US þ en-US þ en-US en-US . þ 17. þ Of the devisees listed in 16, the following died before the decedent. Their names and relationships to the decedent are þ en-US þ en-US en-US . þ 18. þ The following devisees died within 120 hours after the decedent. Their names, relationships to decedent, and the date þ and time of their deaths are: en-USNAMEen-USRELATIONSHIPen-USDATE OF DEATHen-USTIME OF DEATH þ 19. þ The following are descendants of the predeceased devisees named above, who survived the decedent: þ en-US þ en-US en-US . þ 20. þ Class gifts in the will or codicils, where the members are not specifically identified by name, are as follows: þ en-US þ en-US þ en-US en-US . American LegalNet, Inc. www.FormsWorkFlow.com þ þ þ 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 þ en-USName (type or print) Bar no. þ en-USAddress þ en-USCity, state, zip Telephone no. þ þ 21. þ The following devisees named above are under legal disability. Their names, legal disabilities, and names of their þ representative(s) are þ en-US þ en-US en-US . þ 22. þ The following deceased devisees survived the decedent by more than 120 hours. Their names and the names of those þ who represent their interests are þ en-US þ en-US en-US . þ 23. þ The guardian ad litem for each devisee under the will and codicils who is unborn, unknown, or unascertainable is þ en-US en-US . American LegalNet, Inc. www.FormsWorkFlow.com