Approved, SCAO JIS CODE: PGL STATE OF MICHIGAN PROBATE COURT COUNTY CIRCUIT COURT - FAMILY DIVISION PETITION FOR APPOINTMENT OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM FILE NO. In the matter of 1. I am interested in this matter and make this petition as State interest/relationship . 2. I represent that Name(s) is/are interested in the hearing on 3. It is necessary that a lawyer guardian ad litem be appointed by the court to represent the minor, , whose interests are or may be inadequately represented in the minor guardianship proceeding. an attorney a guardian ad litem 4. It is necessary and in the best interests of the person that minor. incapacitated individual. be appointed to represent at the hearing and at all future hearings because the person is a protected individual. other 5. I REQUEST: a. , Name Address or some other suitable person be appointed attorney lawyer guardian ad litem guardian ad litem for the individual for the purposes stated above. b. a suitable person be appointed guardian ad litem under MCL 700.5108. I declare under the penalties of perjury that this 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) Petitioner signature Bar no. Petitioner name (type or print) Address Address City, state, zip City, state, zip Do not write below this line - For court use only MCL 700.1403(d), MCL 700.5108, MCL 700.5208(2)(c), MCL 700.5213(4), MCL 700.5219(4), MCL 700.5406, MCR 5.121 PC 641 (9/05) PETITION FOR APPOINTMENT OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM American LegalNet, Inc. www.FormsWorkflow.com