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STATE OF MICHIGAN

PROBATE COURT
COUNTY

PETITION TO

TERMINATE

MODIFY

GUARDIANSHIP

LEGALLY INCAPACITATED INDIVIDUAL

MINOR

CASE NO. and JUDGE

Court address

Court telephone no.

In the matter of

First, middle, and last name

Court ORI

Current age of ward Race

Sex Current address of ward

Petitioner’s name, address, and telephone no.

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

1. I am interested in this matter as

State relationship/interest

2. a. The interested persons for the minor, their relationship to the minor, and their addresses are:

NAME

RELATIONSHIP

ADDRESS AND TELEPHONE NUMBER

Parent/Age

Conservator

Guardian

Street address

City

Street address

State

Zip

Telephone No.

State

Zip

Telephone No.

State

Zip

Telephone No.

State

Zip

Telephone No.

Person with care/
custody of minor*

State

Zip

Telephone No.

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

The minor is a member of an Indian tribe, or is eligible for membership in an Indian tribe. The name of the tribe

The minor is not an Indian child as defined by MCR 3.002(12).
It is unknown whether the minor is an Indian child as defined by MCR 3.002(12).

Approved, SCAO
Form PC 675, Rev. 5/21
MCL 700.5208, MCL 700.5210, MCL 700.5219, MCR 5.125(C)(26),
MCR 5.404(H)(4), (5), MCR 5.408
Page 1 of 3

PCS Code: PTGTCS Code: PMGCPetition to Terminate/Modify Guardianship
Page 2 of 3

(5/21)

Case No.

2. (continued)

address is

c. If this guardianship is terminated, the minor child will be returned to

3. The incapacitated individual, whose telephone number is

, has a guardian whose

a spouse
whose name(s) and address(es) are listed below.
no spouse, adult child(ren), or parent(s). The names and addresses of presumptive heirs** are listed below.
none of the above (must notify the Attorney General***).

adult child(ren)

living parents

NAME

RELATIONSHIP

ADDRESS AND TELEPHONE NUMBER

City

Street address

State

Zip

Telephone no.

State

Zip

Telephone no.

State

Zip

Telephone no.

Guardian

City

State

Zip

Telephone no.

**Presumptive heirs includes minor children, if any.
***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

I REQUEST that the court:

5. Terminate the guardianship.
6. Accept the guardian's resignation.
7. Remove the guardian who

has

has not

been suspended.

8. Appoint

Name (type or print) Address

City State Zip Telephone no.

as successor guardian.

9. Appoint

Name (type or print) Address

City State Zip Telephone no.

as a temporary guardian pending appointment of a successor.

and has

Petition to Terminate/Modify Guardianship
Page 3 of 3

(5/21)

Case No.

10. Modify the powers of the guardian as follows:

Date

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.

NOMINATION BY MINOR:

I am 14 years of age or older. I nominate

Name

Address City State Zip

as my guardian, who lives

Petitioner signature

Attorney signature

Signature of minor

PC 675, Petition to Terminate/Modify 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): 121
Average fields per page: 40
Reading Level: Grade 8
LIST Grouping(s): Unknown

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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.

stat_e_f_michiga_n_probat_cour_county was STATE OF MICHIGAN PROBATE COURT COUNTY (0.62 conf)
terminate was TERMINATE (0.33 conf)
modify was MODIFY (0.42 conf)
legall_incapacitate_individual was LEGALLY INCAPACITATED INDIVIDUAL (0.40 conf)
minor was MINOR (0.43 conf)
first_middle_last_name was First middle and last name (0.37 conf)
court_ori was Court ORI (0.49 conf)
sex was Sex (0.38 conf)
current_address_ward was Current address of ward (0.40 conf)
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)
state_relationshipinterest was State relationshipinterest (0.46 conf)
interested_minor_addresses was 2 a The interested persons for the minor their relationship to the minor and their addresses are (0.37 conf)
name_row__1 was NAMERow1 (0.43 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)
telephone__1 was Telephone No (0.44 conf)
name_row__2 was NAMERow2 (0.43 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)
name_row__3 was NAMERow3 (0.43 conf)
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)
name_row__4 was NAMERow4 (0.43 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)
name_row__5 was NAMERow5 (0.43 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)
minor_member_membership was The minor is a member of an Indian tribe or is eligible for membership in an Indian tribe The name of the tribe (0.38 conf)
minor_indian_child_mc_r was The minor is not an Indian child as defined by MCR 300212 (0.39 conf)
unknown_whether_minor_child_r was It is unknown whether the minor is an Indian child as defined by MCR 300212 (0.38 conf)
undefined__1 was undefined (0.38 conf)
judge was Judge (0.39 conf)
text__1 was Text2 (0.35 conf)
text__2 was Text3 (0.35 conf)
race was Race (0.41 conf)
parent_age__1 was parent age1 (0.35 conf)
parent_age__2 was parent age2 (0.35 conf)
current_age_ward was current age of ward (0.44 conf)
terminated_minor_returned was c If this guardianship is terminated the minor child will be returned to (0.39 conf)
undefined__2 was undefined_2 (0.39 conf)
individual_whose_number was 3 The incapacitated individual whose telephone number is (0.44 conf)
guardian_whose was has a guardian whose (0.46 conf)
address__1 was address is (0.38 conf)
spouse was a spouse (0.35 conf)
spouse_presumptive_heirs was no spouse adult children or parents The names and addresses of presumptive heirs are listed below (0.47 conf)
none_must_attorney_general was none of the above must notify the Attorney General (0.38 conf)
adult_children was adult children (0.48 conf)
living_parents was living parents (0.34 conf)
name_row__6 was NAMERow1_2 (0.30 conf)
relationship_row__1 was RELATIONSHIPRow1 (0.39 conf)
street_address__5 was Street address_6 (0.43 conf)
city__5 was City_6 (0.39 conf)
state__5 was State_6 (0.39 conf)
zip__5 was Zip_6 (0.36 conf)
telephone__6 was Telephone no (0.44 conf)
name_row__7 was NAMERow2_2 (0.30 conf)
relationship_row__2 was RELATIONSHIPRow2 (0.39 conf)
street_address__6 was Street address_7 (0.43 conf)
city__6 was City_7 (0.39 conf)
state__6 was State_7 (0.39 conf)
zip__6 was Zip_7 (0.36 conf)
telephone__7 was Telephone no_2 (0.45 conf)
name_row__8 was NAMERow3_2 (0.30 conf)
relationship_row__3 was RELATIONSHIPRow3 (0.39 conf)
street_address__7 was Street address_8 (0.43 conf)
city__7 was City_8 (0.39 conf)
state__7 was State_8 (0.39 conf)
zip__7 was Zip_8 (0.36 conf)
telephone__8 was Telephone no_3 (0.45 conf)
name_row__9 was NAMERow4_2 (0.30 conf)
street_address__8 was Street address_9 (0.43 conf)
city__8 was City_9 (0.39 conf)
state__8 was State_9 (0.39 conf)
zip__8 was Zip_9 (0.36 conf)
telephone__9 was Telephone no_4 (0.45 conf)
reasons_court_take_action was 4 The reasons why the court should take action are (0.31 conf)
undefined__3 was undefined_3 (0.39 conf)
terminate_guardianship was 5 Terminate the guardianship (0.39 conf)
accept_guardians_resignation was 6 Accept the guardians resignation (0.40 conf)
remove_guardian was 7 Remove the guardian who (0.34 conf)
appoint__1 was 8 Appoint (0.38 conf)
appoint__2 was 9 Appoint (0.38 conf)
has was has (0.36 conf)
has_not was has not (0.37 conf)
name_type_print__1 was Name type or print (0.45 conf)
users1_address_line_one__2 was Address (1.00 conf)
city__9 was City_10 (0.39 conf)
telephone__10 was Telephone no_5 (0.45 conf)
name_type_print__2 was Name type or print_2 (0.40 conf)
address__2 was Address_2 (0.35 conf)
city__10 was City_11 (0.39 conf)
telephone__11 was Telephone no_6 (0.45 conf)
modify_powers_guardian was 10 Modify the powers of the guardian as follows (0.39 conf)
undefined__4 was undefined_4 (0.39 conf)
unknown__1 was 1 (0.38 conf)
unknown__2 was 2 (0.38 conf)
signature_date__1 was Date (1.00 conf)
signature_date__2 was Date_2 (1.00 conf)
years_age_older_nominate was I am 14 years of age or older I nominate (0.39 conf)
users1_name was Name (1.00 conf)
address__3 was Address_3 (0.35 conf)
signature_date__3 was Date_3 (1.00 conf)
text__3 was Text4 (0.35 conf)
text__4 was Text5 (0.35 conf)
text__5 was Text6 (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 675, Petition to Terminate/Modify Guardianship

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Identified Data Fields:

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