Approved, SCAO JIS CODE: PSV FILE NO. STATE OF MICHIGAN PROBATE COURT COUNTY OF PROOF OF SERVICE In the matter of 1. Titles of the papers served or mailed: 2. According to court rule, I served by certified mail (copy of return receipt attached) Name first-class mail registered mail the papers described above on: Complete address of service (copy of return receipt attached) Date 3. According to court rule, I served by personal service the papers described above on: Name Complete address of service Date and Time 4. After diligent search and inquiry, I have been unable to find and serve the following interested persons. I have served these persons by publication. Attached are copies of form PC 617. I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Service fee $ Miles traveled Fee Date $ Incorrect address fee Miles traveled Fee TOTAL FEE $ $ $ Signature Name (type or print) USE NOTE: If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form. Do not write below this line - For court use only PC 564 (9/10) PROOF OF SERVICE MCL 700.1306, MCL 700.1401, MCR 5.104(A), MCR 5.105, MCR 5.107 American LegalNet, Inc. www.FormsWorkFlow.com