Approved, SCAO

STATE OF MICHIGAN

PROBATE COURT
COUNTY
CIRCUIT COURT - FAMILY DIVISION

Estate of

BOND OF FIDUCIARY

JIS  CODE: BND

FILE NO.

1. The principal has been appointed

Type of fiduciary

, accepts the duties of this appointment and,

with the surety(ies), agrees to pay $

to the State of Michigan as obligee for the benefit of the

persons interested in the estate if the principal fails to discharge all duties according to law.

2. The surety(ies) agree to be jointly and severally liable on the bond with the principal and with each other.

3. The surety(ies) consent to the jurisdiction of the court that issued letters of authority to the principal in a proceeding pertaining

to the principal's fiduciary duties.

4. If this is a bond for a special personal representative who is subsequently appointed personal representative, the obligations

and liabilities of this bond remain in effect.

Date

Principal signature

Address

Address

Attorney name (type or print)

Bar no.

Principal name (type or print)

Address

City, state, zip

Address

City, state, zip

Telephone no.

City, state, zip

Telephone no.

Surety signature

Surety signature

Surety name (type or print)

Surety name (type or print)

Telephone no.

City, state, zip

Telephone no.

Oath of Personal Surety The surety acknowledges personal worth of the amount of the penalty in the bond over and above all
debts and legal exemptions.

Subscribed and sworn to before me on

Date

My commission expires:

Date

Notary public, State of Michigan, County of

,

Signature:

Notary public/Deputy probate register

  County, Michigan.

I have examined and approve this bond.

Do not write below this line - For court use only

Date

Judge/Probate register

Bar no.

No new letters of authority are to be issued.

PC 570   (9/05)   BOND OF FIDUCIARY

MCL 700.3601, MCL 700.3604, MCL 700.5106(3), MCL 700.5410, MCL 700.5411