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 � en-US dismissed/withdrawn.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