STATE OF MICHIGAN

CASE NO. and JUDGE

PROBATE COURT
COUNTY

ORDER FOR ASSIGNMENT
(Part 1)

Court address              

 

 

 

Court telephone no.

In the matter of 

First, middle, and last name of decedent

  

Last four digits of SSN

Petitioner’s name, address, and telephone no.

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

A petition for assignment was filed on 

 .

Date

IT IS ORDERED:

 1. The property described in the above-referenced petition for assignment is assigned as follows:

   

 a. for funeral and burial expenses, $ 
 

 to 

Name

            $ 
 

            to 

Name

 to 

Name

   

 b. to the surviving spouse, 

 

   

 c.  to the following heirs in the stated proportions, 

 

 .

 , and $ 
 

 .

 

 

 

 

 

 

 

 
 
 

           

           

 

 

        For 63 days from the date of this order, the share of each heir other than a surviving spouse or minor child 
        shall be subject to any unsatisfied debt of the decedent up to the value of property received through this 
        order.

 2. The petition is 

 

 denied. 

 

 dismissed/withdrawn.

 

                     

Judge signature and date

I certify that I have compared this copy with the original on file and that it is a correct copy of the original.

Date

 

Deputy register

 ,

 .

PCS Code:  OAATCS Code:  OFAApproved, SCAOForm PC 556o, Rev. 8/21MCL 700.1210, MCL 700.1302, MCL 700.3982Page 1 of 1Distribute form to:Court, Part 2Petitioner, Part 1XXX-XX-STATE OF MICHIGAN

CASE NO. and JUDGE

PROBATE COURT
COUNTY

ORDER FOR ASSIGNMENT
(Part 2)

Court address              

 

 

 

Court telephone no.

In the matter of 

First, middle, and last name of decedent

  

Last four digits of SSN

Petitioner’s name, address, and telephone no.

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

A petition for assignment was filed on 

 .

Date

IT IS ORDERED:

 1. The property described in the above-referenced petition for assignment is assigned as follows:

   

 a. for funeral and burial expenses, $ 
 

 to 

Name

            $ 
 

            to 

Name

 to 

Name

   

 b. to the surviving spouse, 

 

   

 c.  to the following heirs in the stated proportions, 

 

 .

 , and $ 
 

 .

 

 

 

 

 

 

 

 
 
 

           

           

 

 

        For 63 days from the date of this order, the share of each heir other than a surviving spouse or minor child 
        shall be subject to any unsatisfied debt of the decedent up to the value of property received through this 
        order.

 2. The petition is 

 

 denied. 

 

 dismissed/withdrawn.

 

                     

Judge signature and date

I certify that I have compared this copy with the original on file and that it is a correct copy of the original.

Date

 

Deputy register

 ,

 .

PCS Code:  OAATCS Code:  OFAApproved, SCAOForm PC 556o, Rev. 8/21MCL 700.1210, MCL 700.1302, MCL 700.3982Page 1 of 1Distribute form to:Court, Part 2Petitioner, Part 1XXX-XX-