Approved, SCAO � JIS CODE: PDGSTATE OF MICHIGANPROBATE COURTCOUNTY OFPETITION TO TERMINATE � MODIFYCONSERVATORSHIP ADULT � MINORFILE NO. en-USIn the estate of en-US � en-USLast four digits of SSN 1. � I am interested in this estate as en-USState relationship/interesten-US . 2. � The protected individual222s address and telephone number are en-US en-US . 3. � The protected individual has a conservator whose address is en-US en-US and has � � a spouse whose name and address are listed below. � � child(ren) whose name(s) and address(es) are listed below. � � descendants of deceased children whose name(s) and address(es) are listed below. � � if no child(ren) or descendants of deceased child(ren), parents whose name(s) and address(es) are listed below. � � if none of the above, presumptive heirs whose name(s) and address(es) are listed below. � � none of the above (must notify the Attorney General*). en-USNAMEen-USADDRESS AND TELEPHONE NUMBERen-USRELATIONSHIPen-USAGE/DOBen-US(if minor)en-USStreet addressen-USCityen-USStateen-USZipen-USTelephone no.en-USStreet addressen-USCityen-USStateen-USZipen-USTelephone no.en-USStreet addressen-USCityen-USStateen-USZipen-USTelephone no.en-US*Notify the Attorney General by sending a copy of this form to: Attorney General, Public Administration, PO Box 30755, Lansing, MI 48909. 4. � The reasons why the court should take action are en-US � en-US � en-US en-USI REQUESTen-US that the court: � 5. � Terminate the conservatorship. � 6. � Accept the conservator222s resignation. � 7. � Remove the conservator who � has � has not � been suspended. � 8. � Appoint en-USName (type or print) Address � en-USCity State Zip Telephone no. � as successor conservator. en-USUSE NOTE:en-US If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form.en-USXXX-XX- American LegalNet, Inc. www.FormsWorkFlow.com File No. � 9. � Appoint en-USName (type or print) Address � en-USCity State Zip Telephone no. � as temporary conservator pending appointment of a successor. � 10. � Modify the powers of the conservator as follows: en-US � en-US � en-US � en-US � en-US � en-US � en-US � en-US en-USI declare under the penalties of perjury that this petition has been examined by me and that its contents are true to the best ofen-USmy information, knowledge, and belief. � en-USDate en-USAttorney signature � en-USPetitioner signature en-USName (type or print) Bar no. � en-USName (type or print) en-USAddress � en-USAddress en-USCity, state, zip Telephone no. � en-USCity, state, zip Telephone no. � en-USNOMINATION BY MINOR: � I am 14 years of age or older. I nominate en-USNameen-US as conservator, who lives at � en-USAddress City State Zipen-US . en-USDate � en-USSignature of minor American LegalNet, Inc. www.FormsWorkFlow.com