In the matter of 

First, middle, and last name

TO: 

Name, address, city, state, and zip

 , an individual with a developmental disability

Guardian’s telephone no.

 
                                                                          
You have been appointed and have qualified as    

 partial guardian 
 plenary guardian 

  of the 

 

  of the individual

 estate
 person 

named above. By this instrument you are granted authority to perform all acts permitted or required by statute, court rules,

and order of this court unless limited below.

 The guardian’s authority is limited to those acts specifically set forth below:

Judge                                                                                                     Bar no.

The order appointing you as guardian expires on 

 .

Date

Date

Address

Attorney name (type or print)                                                            Bar no.

City, state, zip                                                                        Telephone no.

SEE NOTICE OF DUTIES ON SECOND PAGE

 

 

I certify that I have compared this copy with the original on file and that it is a correct copy of the whole of such original, and on
this date, these letters are in full force and effect.

Date

Deputy probate register/clerk

Do not write below this line - For court use onlyPC 662 (12/18) LETTERS OF GUARDIANSHIP OF INDIVIDUAL WITH DEVELOPMENTAL DISABILITYMCR 5.202, MCR 5.402(D)Approved, SCAO JIS CODE: LOGSTATE OF MICHIGANPROBATE COURTCOUNTYLETTERS OF GUARDIANSHIP OFINDIVIDUAL WITHDEVELOPMENTAL DISABILITYFILE NO. 
 

 
 
 
 

 
 
 

AS REQUIRED BY MICHIGAN COURT RULES YOU ARE NOTIFIED:

You are required to file with this court a written report on the indicated form(s) and at the indicated times. Forms are available
at the court.

CHANGE OF ADDRESS: You are required to promptly inform the court of any change in the ward’s address within 14 days of
  the change. You are also required to keep the court and interested persons informed in writing within 7 days of any change
 
  in your address.
 

 ANNUAL REPORT:
  Your annual report on the condition of the individual with developmental disability is due on 
  of each year. (Use form PC 663.)

Date

 ACCOUNTS: You must file with this court once a year, either on the anniversary date of your letters of guardianship or on
  another date you choose (you must notify the court of this date) or more often if the court directs, a complete itemized 
  accounting of your administration of the trust. On termination of the individual’s disability, you shall account to the court or
  to the individual or that individual’s successors. The accounts must be served on the required persons at the same
  time they are filed with the court, along with proof of service. (Use form PC 583 or PC 584: “Account.”)

 INVENTORY: You are required by law to prepare an inventory of the assets of the estate that you have been given authority
  over within 56 days from the date of your appointment. You must also provide the name and address of each financial 
  institution listed on your inventory at the time the inventory is presented to the court. The address for a financial institution
  shall be either that of the institution’s main headquarters or the branch used most frequently by the guardian.

DEATH OF WARD: If the ward dies during the guardianship, you must give written notification to the court within 14 days of the
  individual’s date of death. If accounts are required to be filed with the court, a final account must be filed within 56 days of
 
  the date of death.
 

DELEGATION OF DUTIES: You are required by law to notify the court when you delegate duties under a durable power of  
 

  attorney.

ATTENTION: The above provisions are reporting duties only and are not the only duties required of you. These mandatory
provisions are specified in court rules adopted by the Michigan Supreme Court. Your failure to comply may require the court to
appoint a special fiduciary in your place and to suspend your powers. This may result in your removal as fiduciary. The court is
prohibited by statute from giving you legal advice.

KEEP THIS NOTICE FOR FUTURE REFERENCE