Approved, SCAO þ en-USPCS CODE: OAMen-USTCS CODE: OAGMen-USSTATE OF MICHIGANen-USPROBATE COURTen-USCOUNTY OFen-USORDER REGARDING APPOINTMENT OF GUARDIAN þ en-US LIMITED GUARDIANen-USOF A MINORen-USFILE NO.en-USIn the matter of First, middle, and last name en-US , a minoren-USUSE NOTE:en-US Use form PC 653-I if the minor is an Indian child. 1. þ Date of hearing: þ Judge: Bar no. en-USTHE COURT FINDS: 2. þ þ 3. þ The minor named above is not in need of a guardian. þ 4. þ The minor named above is unmarried and is in need of a guardian because þ þ a. þ parental rights of both parents or of the surviving parent have been þ þ terminated þ suspended þ by þ þ prior court order. þ en-US judgment of divorce or separate maintenance. death. þ en-US judicial determination of mental incompetency. þ disappearance. þ en-US confinement in a place of detention. þ en-USor þ þ b. þ the parent(s) permit the minor to reside with another person and do not provide the other person with the legal þ authority for the care and maintenance of the minor who was not residing with a parent when the petition was filed. þ en-USor þ þ c. þ the biological parents of the minor were never married to each other, the custodial parent has þ died, þ disappeared, þ and the other parent has not been granted legal custody by court order. The þ proposed guardian is related to the minor within the fifth degree by marriage, blood, or adoption. þ 5. þ The minor named above is unmarried, and the custodial parent(s) consented to the appointment of a limited guardian and þ voluntarily consented to suspension of parental rights. A limited guardianship placement plan has been filed and approved. þ 6. þ The welfare of the minor will be served by the appointment, þ þ and by þ payment of reasonable support. þ en-US reasonable parenting time and contact by the parent(s). þ 7. þ There is no qualified, suitable individual willing to act as guardian, and the appointment of a nonprofit corporation as þ guardian is in the best interest of the minor. A personal bond must be filed. en-USIT IS ORDERED: þ 8. þ The petition is þ granted. þ denied on the merits. þ en-US dismissed/withdrawn. þ 9. þ Name (type or print) en-US , whose address and telephone number are þ Address City State Zip Telephone no. en-US , þ þ full þ limited þ temporary þ guardian of the minor named above, and an þ acceptance of appointment shall be filed. þ en-US Personal bond at $ en-US must be filed. þ The guardian is not permitted to act until letters of guardianship are issued. After qualification, the guardian shall comply þ with all relevant requirements under the law. þ 10. þ This appointment is þ þ regular. þ en-US temporary, expiring on Date en-US . þ 11. þ Parenting time shall be en-US as stated in the placement plan. þ en-US þ 12. þ Child support shall be paid: þ en-US as stated in the placement plan. þ en-US þ 13. þ The þ attorney þ guardian ad litem þ lawyer-guardian ad litem þ for the minor is discharged. þ 14. þ Other: Date þ Judge Attorney name (type or print) Bar no. Address City State Zip Telephone no. American LegalNet, Inc. www.FormsWorkFlow.com