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Here is the text we could read:

STATE OF MICHIGAN

PROBATE COURT
COUNTY

PETITION FOR ASSIGNMENT

CASE NO. and JUDGE

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.

I,

Name and relationship

1. Decedent died on

Date

.

, represent that:

2.

Decedent was a resident of

City/Township

in this county.

Decedent lived outside of Michigan and left an estate within this county to be administered.

3. The decedent’s personal and real property, gross values, and lien amounts (if any) are listed below. The values of all
property are calculated as of the decedent’s date of death. *For real property only, if the date of death is on or after
March 28, 2013, the gross value of a parcel can be reduced by any lien amount on that parcel; however the remaining
inventory value of that parcel cannot be less than zero. For personal property, the gross value and inventory value are

the same. (Attach separate sheet if necessary.)
Note: Do not provide financial account numbers on this form. If an account number is necessary to distinguish between accounts, put it on form MC 97.

Legal description of real property

Gross value

Lien amount

Inventory value (less lien)*

Legal description of real property

Gross value

Lien amount

Inventory value (less lien)*

Description of personal property

Gross value

Inventory value

Description of personal property

Gross value

Inventory value

Description of personal property

Gross value

Inventory value

Description of personal property

Gross value

Inventory value

Description of personal property

Gross value

Inventory value

Totals

Total Gross Value

Total Inventory Value

JIS Code: PERApproved, SCAOForm PC 556m, Rev. 8/21MCL 700.1210, MCL 700.1302, MCL 700.3982Page 1 of 2Put last 4 digits of SSN in box 2 on MC 97.XXX-XX-Petition for Assignment
Page 2 of 2

(8/21)

Case No.

4. Funeral and burial expenses are $
The following persons have paid the following amounts toward the funeral and burial expenses:

(Statements and receipts are attached.)

.

NAME

AMOUNT

NAME

AMOUNT

The amount of funeral and burial expenses remaining unpaid is $

.

The gross value of the decedent’s property remaining after payment of funeral and burial expenses does not/will not
exceed $15,000 as adjusted annually for cost of living.

5. The name and address of the surviving spouse or, if there is not a spouse, the name, age, relationship, and address of
each of the decedent’s heirs are as follows:

NAME

AGE

RELATIONSHIP

ADDRESS

City

City

City

City

Street address

Street address

Street address

Street address

State

Zip

State

Zip

State

Zip

State

Zip

, and $

.

6. I REQUEST that the property listed above be 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,

Date

Date

Petitioner signature

Attorney signature

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.

,

.

PC 556m, Petition for Assignment

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/Estates-Trusts (2023-03)
Page(s): 2
Fields(s): 91
Average fields per page: 45
Reading Level: Grade 10
LIST Grouping(s): ES-02-00-00-00, HO-00-00-00-00, 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)
first_middle_last_name was First middle and last name of decedent (0.43 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_relationship was Name and relationship (0.39 conf)
signature_date__1 was Date (1.00 conf)
city_township was CityTownship (0.36 conf)
decedent_resident was Decedent was a resident of (0.39 conf)
outside_michigan_county was Decedent lived outside of Michigan and left an estate within this county to be administered (0.53 conf)
legal_description_real__1 was Legal description of real property (0.44 conf)
gross_value__1 was Gross value (0.39 conf)
lien_amount__1 was Lien amount (0.51 conf)
inventory_value_less_lien__1 was Inventory value less lien (0.42 conf)
legal_description_real__2 was Legal description of real property_2 (0.45 conf)
gross_value__2 was Gross value_2 (0.34 conf)
lien_amount__2 was Lien amount_2 (0.51 conf)
inventory_value_less_lien__2 was Inventory value less lien_2 (0.38 conf)
description_personal_property__1 was Description of personal property (0.47 conf)
gross_value__3 was Gross value_3 (0.34 conf)
inventory_value__1 was Inventory value (0.35 conf)
description_personal_property__2 was Description of personal property_2 (0.46 conf)
gross_value__4 was Gross value_4 (0.34 conf)
inventory_value__2 was Inventory value_2 (0.35 conf)
description_personal_property__3 was Description of personal property_3 (0.46 conf)
gross_value__5 was Gross value_5 (0.34 conf)
inventory_value__3 was Inventory value_3 (0.35 conf)
description_personal_property__4 was Description of personal property_4 (0.46 conf)
gross_value__6 was Gross value_6 (0.34 conf)
inventory_value__4 was Inventory value_4 (0.35 conf)
description_personal_property__5 was Description of personal property_5 (0.46 conf)
gross_value__7 was Gross value_7 (0.34 conf)
inventory_value__5 was Inventory value_5 (0.35 conf)
total_gross_value was Total Gross Value (0.32 conf)
total_inventory_value was Total Inventory Value (0.36 conf)
judge was Judge (0.39 conf)
text__1 was Text2 (0.35 conf)
text__2 was Text3 (0.35 conf)
paid_toward_expenses was The following persons have paid the following amounts toward the funeral and burial expenses (0.35 conf)
name_row__1 was NAMERow1 (0.43 conf)
amount_row__1 was AMOUNTRow1 (0.38 conf)
name_row__2 was NAMERow1_2 (0.30 conf)
amount_row__2 was AMOUNTRow1_2 (0.36 conf)
name_row__3 was NAMERow2 (0.43 conf)
amount_row__3 was AMOUNTRow2 (0.38 conf)
name_row__4 was NAMERow2_2 (0.30 conf)
amount_row__4 was AMOUNTRow2_2 (0.36 conf)
remaining_payment_expenses was The gross value of the decedents property remaining after payment of funeral and burial expenses does notwill not (0.44 conf)
name_row__5 was NAMERow1_3 (0.30 conf)
age_row__1 was AGERow1 (0.36 conf)
relationship_row__1 was RELATIONSHIPRow1 (0.39 conf)
users1_address_line_one 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)
name_row__6 was NAMERow2_3 (0.30 conf)
age_row__2 was AGERow2 (0.36 conf)
relationship_row__2 was RELATIONSHIPRow2 (0.39 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)
name_row__7 was NAMERow3 (0.43 conf)
age_row__3 was AGERow3 (0.36 conf)
relationship_row__3 was RELATIONSHIPRow3 (0.39 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)
name_row__8 was NAMERow4 (0.43 conf)
age_row__4 was AGERow4 (0.36 conf)
relationship_row__4 was RELATIONSHIPRow4 (0.39 conf)
street_address__3 was Street address_4 (0.43 conf)
city__3 was City_4 (0.39 conf)
state__3 was State_4 (0.39 conf)
zip__3 was Zip_4 (0.36 conf)
to was to (0.43 conf)
users1_name was Name (1.00 conf)
funeral_burial_expenses was a for funeral and burial expenses (0.33 conf)
b_surviving_spouse was b to the surviving spouse (0.42 conf)
following_stated_proportions was c to the following heirs in the stated proportions (0.37 conf)
undefined__1 was undefined (0.38 conf)
name__1 was Name_2 (0.30 conf)
and was and (0.41 conf)
name__2 was Name_3 (0.30 conf)
undefined__2 was undefined_2 (0.39 conf)
undefined__3 was undefined_3 (0.39 conf)
undefined__4 was undefined_4 (0.39 conf)
signature_date__2 was Date_2 (1.00 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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