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STATE OF MICHIGAN

PROBATE COURT
COUNTY

PETITION FOR APPOINTMENT OF
GUARDIAN OF MINOR INDIAN CHILD
(VOLUNTARY GUARDIANSHIP)

CASE NO. and JUDGE

Court address

Court telephone no.

In the matter of

First, middle, and last name

Name of tribe and identification no. (if one)

Petitioner’s name, address, and telephone no.

Petitioner’s attorney, bar no., address, and telephone no.

1. I am interested in this matter and make this petition as custodial parent or Indian custodian of the minor Indian child.

2. A consent to the voluntary guardianship will be or has been executed under MCL 712B.13 (form PC 686).

Address City/Township State Zip

3. The minor is currently

, is

female,

male, is unmarried, resides in

Age

County

and is presently located in

County

Address (only if different than above)

City/Township State Zip

The minor is a citizen of the following foreign country:

4. The persons interested in this proceeding are:

NAME

RELATIONSHIP

ADDRESS AND TELEPHONE NUMBER

Parent/Age

Conservator

Street address

City

State

Zip

Telephone no.

State

Zip

Telephone no.

State

Zip

Telephone no.

Approved, SCAO
Form PC 651ia, Rev. 5/21
MCL700.5204, MCL 700.5213, MCL 712B.13, MCL 712B.15, MCL 712B.25,
MCR 5.125(A)(4), MCR 5.125(C)(20), MCR 5.404
Page 1 of 3

JIS Code: PGVPetition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship)
Page 2 of 3

(5/21)

Case No.

4. (continued)
The persons interested in this proceeding are:

*Also list persons who had principal care and custody of the minor during
the 63 days before filing the petition.

NAME

RELATIONSHIP

ADDRESS AND TELEPHONE NUMBER

Guardian

Person with care/
custody of minor*

Street address

City

Street address

State

Zip

Telephone no.

State

Zip

Telephone no.

None of these persons are under any legal incapacity except

Name, incapacity, and representative of the person, if any

5. An action within the jurisdiction of the family division of circuit court involving the family or family members of the minor

has been previously filed in

was assigned to Judge

6. The minor is in need of a guardian because

death.
disappearance.
confinement in a place of detention.
judicial determination of mental incompetency. OR

a. the parental rights of both parents or of the surviving parent have been terminated or suspended by

a previous court order other than an order appointing a

limited guardian of the minor.

judgment of divorce or separate maintenance.

Court, Case Number

, and

remains

is no longer pending.

b. the parent(s) permit(s) the minor to reside with another person and the parent(s) do/does not provide the other
person with legal authority for the care and maintenance of the minor and the minor is not residing with a parent at
this time. OR

c. the biological parents of the minor were never married to each other and

the custodial parent
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.

has disappeared since

died

7. A temporary guardian is necessary because

I REQUEST:

Name

, whose address and telephone number are

Address City/Township State Zip Telephone no.

be appointed guardian of the minor.

9. The court order the parent(s) to provide
the minor.

reasonable support for

parenting time with

contact with

Petition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship)
Page 3 of 3

(5/21)

Case No.

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

Petitioner signature

Attorney signature

Signature of minor

10. I am 14 years of age or older. I nominate

Name

guardian who lives at

as my

Address City State Zip

USE NOTE: If a parent is incarcerated and under the jurisdication of the Michigan Department of Corrections, the petitioner must comply with
MCR 2.004(B).

PC 651ia, Petition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/guardianship (2023-03)
Page(s): 3
Fields(s): 90
Average fields per page: 30
Reading Level: Grade 9
LIST Grouping(s): FA-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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matter was In the matter of (0.33 conf)
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petitioners_name_address was Petitioners name address and telephone no (0.40 conf)
petitioners_attorney_address was Petitioners attorney bar no address and telephone no (0.52 conf)
minor_currently was 3 The minor is currently (0.31 conf)
unmarried_resides was is unmarried resides in (0.28 conf)
at was at (0.35 conf)
presently_located__1 was and is presently located in 1 (0.38 conf)
presently_located__2 was and is presently located in 2 (0.38 conf)
at_2 was at_2 (0.33 conf)
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name_row__1 was NAMERow1 (0.43 conf)
parent_age__1 was ParentAge (0.46 conf)
users1_address_line_one__1 was Street address (1.00 conf)
users1_address_city was City (1.00 conf)
users1_address_state was State (1.00 conf)
users1_address_zip was Zip (1.00 conf)
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parent_age__2 was ParentAge_2 (0.52 conf)
street_address__1 was Street address_2 (0.43 conf)
city__1 was City_2 (0.39 conf)
state__1 was State_2 (0.39 conf)
zip__1 was Zip_2 (0.36 conf)
telephone__2 was Telephone no_2 (0.45 conf)
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street_address__2 was Street address_3 (0.43 conf)
city__2 was City_3 (0.39 conf)
state__2 was State_3 (0.39 conf)
zip__2 was Zip_3 (0.36 conf)
telephone__3 was Telephone no_3 (0.45 conf)
judge was Judge (0.39 conf)
text__1 was Text2 (0.35 conf)
text__2 was Text3 (0.35 conf)
citizen_foreign_country was The minor is a citizen of the following foreign country (0.31 conf)
female was female (0.38 conf)
male was male (0.40 conf)
street_address__3 was Street address_4 (0.43 conf)
city__3 was City_4 (0.39 conf)
state__3 was State_4 (0.39 conf)
zip__3 was Zip_4 (0.36 conf)
telephone__4 was Telephone no_4 (0.45 conf)
street_address__4 was Street address_5 (0.43 conf)
city__4 was City_5 (0.39 conf)
state__4 was State_5 (0.39 conf)
zip__4 was Zip_5 (0.36 conf)
telephone__5 was Telephone no_5 (0.45 conf)
none_persons_except was None of these persons are under any legal incapacity except (0.37 conf)
action_division_involving was 5 An action within the jurisdiction of the family division of circuit court involving the family or family members of the minor (0.37 conf)
previously_filed was has been previously filed in (0.40 conf)
court_case_number was Court Case Number (0.46 conf)
assigned_judge was was assigned to Judge (0.41 conf)
remains was remains (0.32 conf)
longer was is no longer (0.37 conf)
parental_rights_parent was a the parental rights of both parents or of the surviving parent have been terminated or suspended by (0.38 conf)
minor_reside_another_person was b the parents permits the minor to reside with another person and the parents dodoes not provide the other (0.34 conf)
biological_minor_never_married was c the biological parents of the minor were never married to each other and (0.31 conf)
death was death (0.37 conf)
disappearance was disappearance (0.38 conf)
confinement_place_detention was confinement in a place of detention (0.36 conf)
judicial_mental was judicial determination of mental incompetency OR (0.44 conf)
previous_court_order was a previous court order other than an order appointing a (0.40 conf)
divorce_separate_maintenance was judgment of divorce or separate maintenance (0.45 conf)
undefined__3 was undefined_3 (0.39 conf)
undefined__4 was undefined_4 (0.39 conf)
died was died (0.37 conf)
disappeared_since was has disappeared since (0.38 conf)
temporary_guardian_necessary was 7 A temporary guardian is necessary because (0.40 conf)
minor_within_fifth_degree was minor within the fifth degree by marriage blood or adoption (0.38 conf)
undefined__5 was undefined_5 (0.39 conf)
8_1 was 8 1 (0.38 conf)
8_2 was 8 2 (0.38 conf)
8_6 was 8 6 (0.38 conf)
court_order_parents_provide was 9 The court order the parents to provide (0.38 conf)
reasonable_support was reasonable support for (0.38 conf)
parenting_time was parenting time with (0.41 conf)
contact was contact with (0.40 conf)
text__3 was Text4 (0.35 conf)
text__4 was Text400 (0.35 conf)
signature_date__1 was Date (1.00 conf)
signature_date__2 was Date_2 (1.00 conf)
signature_date__3 was Date_3 (1.00 conf)
years_age_older_nominate was 10 I am 14 years of age or older I nominate (0.41 conf)
users1_name was Name (1.00 conf)
signature_date__4 was Date_4 (1.00 conf)
text__5 was Text5 (0.35 conf)
text__6 was Text6 (0.35 conf)
text__7 was Text7 (0.35 conf)
users1_address_line_one__2 was Address (1.00 conf)
text__8 was Text8 (0.35 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

PC 651ia, Petition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship)

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02