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STATE OF MICHIGAN

PROBATE COURT
COUNTY

PETITION TO

TERMINATE

MODIFY

CONSERVATORSHIP
MINOR

ADULT

CASE NO. and JUDGE

Court address

Court telephone no.

In the matter of

First, middle, and last name

Petitioner’s name, address, and telephone no.

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

1. I am interested in this estate as

State relationship/interest

2. The protected individual’s address and telephone number are

3. The protected individual has a conservator whose address is
a spouse whose name and address are listed below.

child(ren) whose name(s) and address(es) are listed below.

descendants of deceased children whose name(s) and address(es) are listed below.

if no child(ren) or descendants of deceased child(ren), parents whose name(s) and address(es) are listed below.

if none of the above, presumptive heirs whose name(s) and address(es) are listed below.

none of the above (must notify the Attorney General*).

and has

NAME

ADDRESS AND TELEPHONE NUMBER

RELATIONSHIP

AGE
(if minor)

Street address

City

State

Zip

Telephone no.

State

Zip

Telephone no.

State

Zip

Telephone no.

*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

Approved, SCAO
Form PC 676, Rev. 5/21
MCL 700.5414, MCL 700.5415, MCL 700.5431, MCR 5.125(C)(26)
Page 1 of 2

JIS Code: PDGPetition to Terminate/Modify Conservatorship
Page 2 of 2

(5/21)

I REQUEST that the court:

5. Terminate the conservatorship.
6. Accept the conservator’s resignation.
7. Remove the conservator who

8. Appoint

Name (type or print) Address

has

has not

been suspended.

Case No.

City State Zip Telephone no.

as successor conservator.

9. Appoint

Name (type or print) Address

City State Zip Telephone no.

as temporary conservator pending appointment of a successor.

10. Modify the powers of the conservator as follows:

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 conservator, who lives

Petitioner signature

Attorney signature

Signature of minor

Date

PC 676, Petition to Terminate/Modify Conservatorship

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/conservatorship-protected-individuals (2023-03)
Page(s): 2
Fields(s): 79
Average fields per page: 39
Reading Level: Grade 9
LIST Grouping(s): ES-02-00-00-00, ES-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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)
adult was ADULT (0.46 conf)
minor was MINOR (0.43 conf)
first_middle_last_name was First middle and last name (0.37 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)
undefined was undefined (0.38 conf)
protected_individuals_number was 2 The protected individuals address and telephone number are (0.39 conf)
spouse_whose_name_address was a spouse whose name and address are listed below (0.38 conf)
children_whose_addresses__1 was children whose names and addresses are listed below (0.45 conf)
children_whose_addresses__2 was descendants of deceased children whose names and addresses are listed below (0.42 conf)
children_whose_addresses__3 was if no children or descendants of deceased children parents whose names and addresses are listed below (0.44 conf)
presumptive_heirs_addresses was if none of the above presumptive heirs whose names and addresses are listed below (0.37 conf)
none_must_attorney_general was none of the above must notify the Attorney General (0.38 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)
relationship_row__1 was RELATIONSHIPRow1 (0.39 conf)
ag_e_minor_row__1 was AGE if minorRow1 (0.45 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)
relationship_row__2 was RELATIONSHIPRow2 (0.39 conf)
ag_e_minor_row__2 was AGE if minorRow2 (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)
relationship_row__3 was RELATIONSHIPRow3 (0.39 conf)
ag_e_minor_row__3 was AGE if minorRow3 (0.45 conf)
notify_general_form_public was Notify the Attorney General by sending a copy of this form to Attorney General Public Administration PO Box 30755 Lansing MI 48909 (0.45 conf)
reasons_court_take_action__1 was 4 The reasons why the court should take action are 1 (0.36 conf)
reasons_court_take_action__2 was 4 The reasons why the court should take action are 2 (0.36 conf)
judge was Judge (0.39 conf)
text__1 was Text2 (0.35 conf)
text__2 was Text3 (0.35 conf)
terminate_conservatorship was 5 Terminate the conservatorship (0.33 conf)
accept_resignation was 6 Accept the conservators resignation (0.37 conf)
remove_conservator was 7 Remove the conservator who (0.43 conf)
appoint__1 was 8 Appoint (0.38 conf)
appoint__2 was 9 Appoint (0.38 conf)
modify_powers_follows was 10 Modify the powers of the conservator as follows (0.48 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__3 was City_4 (0.39 conf)
telephone__4 was Telephone no_4 (0.45 conf)
name_type_print__2 was Name type or print_2 (0.40 conf)
address__1 was Address_2 (0.35 conf)
city__4 was City_5 (0.39 conf)
telephone__5 was Telephone no_5 (0.45 conf)
pending_appointment was as temporary conservator pending appointment of a successor (0.48 conf)
unknown__1 was 1 (0.38 conf)
unknown__2 was 2 (0.38 conf)
unknown__3 was 3 (0.38 conf)
unknown__4 was 4 (0.38 conf)
unknown__5 was 5 (0.38 conf)
unknown__6 was 6 (0.38 conf)
unknown__7 was 7 (0.38 conf)
signature_date__1 was Date (1.00 conf)
signature_date__2 was Date_2 (1.00 conf)
nominatio_n_b_minor was NOMINATION BY MINOR (0.40 conf)
users1_name was Name (1.00 conf)
address__2 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)

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

PC 676, Petition to Terminate/Modify Conservatorship

About This Form:

Identified Data Fields:

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