Approved, SCAO JIS CODE: BND FILE NO. STATE OF MICHIGAN PROBATE COURT COUNTY BOND OF FIDUCIARY CIRCUIT COURT - FAMILY DIVISION Estate of 1. The principal has been appointed , accepts the duties of this appointment and, Type of fiduciary with the surety(ies), agrees to pay $ to the State of Michigan as obligee for the benefit of the persons interested in the estate if the principal fails to discharge all duties according to law. 2. The surety(ies) agree to be jointly and severally liable on the bond with the principal and with each other. 3. The surety(ies) consent to the jurisdiction of the court that issued letters of authority to the principal in a proceeding pertaining to the principal's fiduciary duties. 4. If this is a bond for a special personal representative who is subsequently appointed personal representative, the obligations and liabilities of this bond remain in effect. Date Principal signature Attorney name (type or print) Bar no. Address Principal name (type or print) Address City, state, zip Telephone no. City, state, zip Surety signature Surety signature Surety name (type or print) Surety name (type or print) Address Telephone no. Address City, state, zip Telephone no. City, state, zip Telephone no. Oath of Personal Surety The surety acknowledges personal worth of the amount of the penalty in the bond over and above all debts and legal exemptions. Subscribed and sworn to before me on My commission expires: , Date Signature: Date County, Michigan. Notary public/Deputy probate register Notary public, State of Michigan, County of Do not write below this line - For court use only I have examined and approve this bond. Judge/Probate register Date Bar no. No new letters of authority are to be issued. PC 570 (9/05) BOND OF FIDUCIARY MCL 700.3601, MCL 700.3604, MCL 700.5106(3), MCL 700.5410, MCL 700.5411 American LegalNet, Inc. www.FormsWorkflow.com