Approved, SCAO JIS CODE: FAC STATE OF MICHIGAN PROBATE COURT COUNTY MINOR CONSERVATORSHIP FINAL ACCOUNT, WAIVER AND CONSENT, AND ORDER CIRCUIT COURT - FAMILY DIVISION FILE NO. In the matter of , minor FINAL ACCOUNT 1. I, , am the conservator of the estate of the minor named above. The Name (type or print) following is my final account from to : Date Date INCOME DISBURSEMENTS Balance on hand from last account, or value of inventory if first accounting $ $ Interest earned . . . . . . . . . . . . . . . . $ $ $ $ $ $ Total receipts . . . . . . . . . . . . . . . . . $ Total disbursements . . . . . . $ Subtract total disbursements . . . . . $ Balance of remaining assets* . . . . . $ ITEMIZED REMAINING ASSETS $ $ $ Balance of remaining assets (*same amount as above) 2. The protected individual became 18 years of age on $ . Date (PLEASE SEE OTHER SIDE) Do not write below this line - For court use only PC 648 (9/06) MCL 700.5418, MCL 700.5431, MCR 5.409(C) MINOR CONSERVATORSHIP - FINAL ACCOUNT, WAIVER AND CONSENT, AND ORDER American LegalNet, Inc. www.FormsWorkflow.com 3. I REQUEST that this final account (and all accounts previously filed by me but not yet allowed) be approved and allowed and that the remainder of the assets be ordered turned over to the protected individual and that the conservatorship be terminated. I declare under the penalties of perjury that this account and petition has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Attorney signature Name (type or print) Bar no. Address City, state, zip Signature of conservator Address Telephone no. City, state, zip Telephone no. NOTICE TO PROTECTED INDIVIDUAL The above itemization is a final accounting of your property that was managed by the petitioner while you were a minor. It shows both income and disbursements made by the petitioner. There may have been previous accounts filed with the court that have not been allowed but you should have received a copy of each such account. 1. You are entitled to have a copy of this final account and each prior account that has not been allowed. 2. The court might not audit this account or any prior account. 3. You have the right to review proofs of income and disbursements at a time reasonably convenient to the petitioner and you. 4. You may object to all or part of this or any other account not yet allowed by filing an objection with the court. If you want to object, do not sign the waiver and consent below. 5. If you file an objection and it cannot be resolved with the petitioner, the court will hold a hearing to determine the objection. WAIVER AND CONSENT I am interested in this estate as the protected individual. I have received a copy of the final account of the conservator and any previous accounts filed and not yet allowed. I waive notice of the hearing and consent to the allowance of the account(s). Date Signature of protected individual Address Name (type or print) City, state, zip ORDER THE COURT FINDS: 1. , conservator of the estate, has filed a petition requesting the Name (type or print) allowance of the final account and any accounts previously filed and not yet allowed. 2. Notice of hearing was waived by the protected individual, and s/he has consented to the allowance of the account(s). 3. The account(s) are correct and ought to be allowed. IT IS ORDERED: 4. The final account and all previous accounts are approved and allowed. 5. Any restrictions on the assets are removed and the remaining assets shall be turned over to Name of protected individual (type or print) . 6. A receipt for the remaining assets shall be signed by the protected individual and filed with the court within 7 days of this order at which time the conservatorship is terminated, the conservator is discharged and the bond, if any, is cancelled. 7. There are no assets. The conservatorship is terminated, the conservator is discharged and the bond, if any, is cancelled. Date Judge Bar no. American LegalNet, Inc. www.FormsWorkflow.com