JIS CODE: PDG Approved, SCAO STATE OF MICHIGAN PROBATE COURT COUNTY FILE NO. PETITION TO TERMINATE OR MODIFY GUARDIANSHIP CONSERVATORSHIP CIRCUIT COURT - FAMILY DIVISION In the matter/estate of Court ORI Date of birth 1. I am interested in this matter as Race Sex Current address of individual . State your relationship/interest 2. The interested persons, addresses, and their representatives are identical to those appearing on the initial petition except as follows: (for each person whose address changed, list the name and new address; attach separate sheet if necessary) I REQUEST that the court: 3. Terminate the guardianship/conservatorship. Accept the guardian's/conservator's resignation. Remove the guardian/conservator who has has not Appoint been suspended. Address Name (type or print) City, state, zip Telephone no. as successor guardian/conservator. Appoint a temporary guardian/conservator pending appointment of a successor. Appoint Address Name (type or print) City, state, zip Telephone no. as standby/successor standby guardian under MCL 330.1640. Modify the powers of the guardian/conservator as follows: (PLEASE SEE OTHER SIDE) Do not write below this line - For court use only MCL 330.1637, MCL 700.1309, MCL 700.5208, MCL 700.5210, MCL 700.5219, MCL 700.5310, MCL 700.5415(1)(d), MCL 700.5431, MCR 5.125(C)(24), MCR 5.404(E)(4), (5), MCR 5.408 PC 638 (9/07) PETITION TO TERMINATE OR MODIFY GUARDIANSHIP/CONSERVATORSHIP American LegalNet, Inc. www.FormsWorkflow.com 4. The reasons why the court should take action as requested are: 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 Petitioner signature Name (type or print) Bar no. Name (type or print) Address Address City, state, zip City, state, zip Telephone no. Telephone no. NOMINATION BY MINOR: I am 14 years of age or older. I nominate as my guardian/conservator, who Name lives at . Address Date City State Zip Signature of minor American LegalNet, Inc. www.FormsWorkflow.com