Estate of Last four digits of SSN STATE OF MICHIGANPROBATE COURTCOUNTY OF PETITION FOR � APPOINTMENT OF CONSERVATOR � PROTECTIVE ORDER FILE NO. . Date County at � Address � County. assigned to Judge � � � � is no longer � � pending. � � a guardian. a representative payee for social security. 5. � � � � � � � � � � � disappearance � � � � � � � � � � property or interest in real property. B C D E F G A American LegalNet, Inc. www.FormsWorkFlow.com $ Real property � $ Personal property $ Insurance $ � � Social Security � $ � SSI � $ � MDHHS � $ � $ NAMEADDRESS AND TELEPHONE NUMBERRELATIONSHIPAGE/DOB(if minor)Street addressCityStateZipStreet addressCityStateZip . . .I REQUEST 13. Appoint . � interest in real property. Attorney signature � Date Petitioner signature Attorney address Petitioner address 17. NOMINATION BY PERSON TO BE PROTECTED: . Date H I J K L M N O P Q R S American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR COMPLETING"PETITION FOR APPOINTMENT OF CONSERVATOR"Please type or print neatly in black or blue ink.A B C D A E � F � G � F and H � � accounts. I � J K - � J K . If you J L M N Q .O M .P Q R S American LegalNet, Inc. www.FormsWorkFlow.com