APPLICATION FOR
APPOINTMENT OF SUCCESSOR
PERSONAL REPRESENTATIVE
(ESTATE NOT CLOSED)

JIS CODE:  ASP

FILE NO.

, appointed personal representative of the estate,

.

Approved, SCAO

STATE OF MICHIGAN
PROBATE COURT
COUNTY OF

Estate of

1. I am interested in this estate as

2.

a.

Name

died on

b.

Name

and his/her appointment is terminated. (A copy of the certificate of death or letters of conservatorship is attached.)

,

is now subject to a conservatorship,

written statement of resignation and it is

attached to this application.

already on file in this court.

3. I adopt the statements in the application or petition that led to the appointment of the current personal representative, except as

specifically changed or corrected as follows: (Attach separate sheet if necessary.)

, personal representative of the estate, has executed a

4. I have priority to be appointed and/or to nominate a qualified person to act as a successor personal representative as follows:

5. The interested persons, addresses, and their representatives are identical to those appearing on the initial application/petition

except  as  follows:  (For  each  person  whose  address  changed,  list  the  name  and  new  address;  attach  separate  sheet  if  necessary.)

6. It is necessary that a successor personal representative be appointed to continue and complete administration of the estate.

7. Pending the appointment of a successor personal representative, it is necessary that a special personal representative be

appointed in place of the personal representative who is deceased or under a conservatorship. A special personal representative
    .
should be appointed because

8. I REQUEST that

Name

, residing at

Address

City

                                                 State

Zip

successor personal representative in place of the personal representative whose appointment has been terminated.

, or some other suitable person, be appointed

(SEE SECOND PAGE)

Do not write below this line - For court use only

PC 620   (9/12)   APPLICATION FOR APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE

(ESTATE NOT CLOSED)

MCL  700.3301(1)(f),
MCL 700.3609, MCL 700.3610, MCL 700.3611, MCL 700.3614(a)

9. I REQUEST that

Name

, residing at

Address

City

                                                 State

Zip

special personal representative.

          , or some other suitable person, be appointed

  I declare under the penalties of perjury that this application has been examined by me and that its contents are true to the best of
  my information, knowledge, and belief.

Attorney  name  (type  or  print)

Bar no.

Applicant name (type or print)

Date

Applicant  signature

Address

Attorney  signature

Address

City, state, zip

Telephone no.

City, state, zip

Telephone no.