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STATE OF MICHIGAN

PETITION TO

CASE NO. and JUDGE

PROBATE COURT
COUNTY

TERMINATE

MODIFY

GUARDIAN FOR DEVELOPMENTALLY
DISABLED INDIVIDUAL

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.

, am interested in this matter and make this petition as

1. I,

Name (type or print)

State interest/relationship

3. The guardian’s address is

2. The developmentally disabled individual’s address and telephone number are

Address

City State Zip Telephone no.

City State Zip

4. The developmentally disabled individual’s presumptive heirs are: (Attach a separate sheet if more space is needed.)

NAME

ADDRESS AND TELEPHONE NUMBER

RELATIONSHIP

AGE
(if minor)

Street address

City

State

Zip

Telephone no.

State

Zip

Telephone no.

State

Zip

Telephone no.

State

Zip

Telephone no.

Approved, SCAO
Form PC 677, Rev. 5/21
MCL 330.1604, MCL 330.1634, MCL 330.1637
Page 1 of 2

JIS Code: PTDPetition to Terminate/Modify Guardian for Developmentally Disabled Individual
Page 2 of 2

(5/21)

Case No.

5. The reasons why the court should take action are

I REQUEST that the court:

part
part

6. Terminate

all
a.

all
b.

7. Accept the resignation of the
a. plenary guardian of the

b. partial guardian of the

c. standby guardian.

8. Remove the

who

a. plenary guardian of the
b. partial guardian of the
c. standby guardian,
has

has not

individual
individual

estate.
estate.

individual
individual

estate,
estate,

been suspended.

of the plenary guardian of the

of the partial guardian of the

individual.
individual.

estate.
estate.

Name Address

City State Zip Telephone no.

temporary guardian

successor partial guardian

successor plenary guardian

of the

individual

estate.

Name Address

City State Zip Telephone no.

as standby guardian of the

individual.

estate.

11. Modify the powers of the

plenary guardian

partial guardian

of the

individual

estate

9. Appoint

10. Appoint

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.

Date

Attorney signature

Petitioner signature

PC 677, Petition to Terminate/Modify Guardian for Developmentally Disabled Individual

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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): 2
Fields(s): 108
Average fields per page: 54
Reading Level: Grade 11
LIST Grouping(s): HO-00-00-00-00, 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__1 was TERMINATE (0.33 conf)
modify was MODIFY (0.42 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)
name_type_print was Name type or print (0.45 conf)
state_interestrelationship was State interestrelationship (0.46 conf)
users1_address_line_one__1 was Address (1.00 conf)
users1_address_city was City (1.00 conf)
telephone__1 was Telephone no (0.44 conf)
guardians_address was 3 The guardians address is (0.42 conf)
city__1 was City_2 (0.39 conf)
name_row__1 was NAMERow1 (0.43 conf)
users1_address_line_one__2 was Street address (1.00 conf)
city__2 was City_3 (0.39 conf)
state__1 was State_3 (0.39 conf)
zip__1 was Zip_3 (0.36 conf)
telephone__2 was Telephone no_2 (0.45 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__3 was City_4 (0.39 conf)
state__2 was State_4 (0.39 conf)
zip__2 was Zip_4 (0.36 conf)
telephone__3 was Telephone no_3 (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__4 was City_5 (0.39 conf)
state__3 was State_5 (0.39 conf)
zip__3 was Zip_5 (0.36 conf)
telephone__4 was Telephone no_4 (0.45 conf)
relationship_row__3 was RELATIONSHIPRow3 (0.39 conf)
ag_e_minor_row__3 was AGE if minorRow3 (0.45 conf)
name_row__4 was NAMERow4 (0.43 conf)
street_address__3 was Street address_4 (0.43 conf)
city__5 was City_6 (0.39 conf)
state__4 was State_6 (0.39 conf)
zip__4 was Zip_6 (0.36 conf)
telephone__5 was Telephone no_5 (0.45 conf)
relationship_row__4 was RELATIONSHIPRow4 (0.39 conf)
ag_e_minor_row__4 was AGE if minorRow4 (0.45 conf)
judge was Judge (0.39 conf)
text__1 was Text2 (0.35 conf)
text__2 was Text3 (0.35 conf)
reasons_court_take_action was 5 The reasons why the court should take action are (0.31 conf)
undefined was undefined (0.38 conf)
terminate__2 was 6 Terminate (0.34 conf)
accept_resignation was 7 Accept the resignation of the (0.30 conf)
remove was 8 Remove the (0.38 conf)
appoint__1 was 9 Appoint (0.38 conf)
appoint__2 was 10 Appoint (0.38 conf)
modify_powers was 11 Modify the powers of the (0.42 conf)
a was a (0.32 conf)
all was all (0.37 conf)
part__1 was part (0.37 conf)
individual__1 was individual (0.38 conf)
estate__1 was estate (0.47 conf)
b was b (0.34 conf)
all_2 was all_2 (0.32 conf)
part__2 was part_2 (0.35 conf)
individual__2 was individual_2 (0.36 conf)
estate__2 was estate_2 (0.39 conf)
plenary_guardian__1 was a plenary guardian of the (0.48 conf)
b_partial_guardian__1 was b partial guardian of the (0.38 conf)
c_standby_guardian__1 was c standby guardian (0.36 conf)
individual__3 was individual_3 (0.36 conf)
individual__4 was individual_4 (0.36 conf)
individual__5 was individual_5 (0.36 conf)
individual__6 was individual_6 (0.36 conf)
estate__3 was estate_3 (0.39 conf)
estate__4 was estate_4 (0.39 conf)
estate__5 was estate_5 (0.39 conf)
estate__6 was estate_6 (0.39 conf)
plenary_guardian__2 was a plenary guardian of the_2 (0.44 conf)
b_partial_guardian__2 was b partial guardian of the_2 (0.37 conf)
c_standby_guardian__2 was c standby guardian_2 (0.32 conf)
has was has (0.36 conf)
has_not was has not (0.37 conf)
users1_name was Name (1.00 conf)
address__1 was Address_2 (0.35 conf)
city__6 was City_7 (0.39 conf)
telephone__6 was Telephone no_6 (0.45 conf)
temporary_guardian was temporary guardian (0.38 conf)
successor_partial_guardian was successor partial guardian (0.54 conf)
successor_plenary_guardian was successor plenary guardian (0.39 conf)
individual__7 was individual_7 (0.36 conf)
estate__7 was estate_7 (0.39 conf)
name was Name_2 (0.30 conf)
address__2 was Address_3 (0.35 conf)
city__7 was City_8 (0.39 conf)
telephone__7 was Telephone no_7 (0.45 conf)
individual__8 was individual_8 (0.36 conf)
estate__8 was estate_8 (0.39 conf)
plenary_guardian__3 was plenary guardian (0.38 conf)
partial_guardian was partial guardian (0.38 conf)
individual__9 was individual_9 (0.36 conf)
estate__9 was estate_9 (0.39 conf)
follows__1 was as follows 1 (0.46 conf)
follows__2 was as follows 2 (0.46 conf)
follows__3 was as follows 3 (0.46 conf)
signature_date__1 was Date (1.00 conf)
signature_date__2 was Date_2 (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 677, Petition to Terminate/Modify Guardian for Developmentally Disabled Individual

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