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STATE OF MICHIGAN

CASE NO. and JUDGE

PROBATE COURT
COUNTY

ORDER REGARDING APPOINTMENT OF
LIMITED GUARDIAN

GUARDIAN

OF A MINOR INDIAN CHILD

Court address

Court telephone no.

In the matter of

First, middle, and last name of minor Indian child

Name of tribe and identification no. (if one)

THE COURT FINDS:

1. Notice of hearing was given to or waived by all interested persons, venue is proper, and a qualified person seeks
appointment.

2. The minor named above is not in need of a guardian.

3. The tribe has exclusive jurisdiction.

a. parental rights of both parents or of the surviving parent have been

4. The minor named above is unmarried and is in need of a guardian because

suspended
prior court order.
death.
disappearance.

terminated

judgment of divorce or separate maintenance.
judicial determination of mental incompetency.
confinement in a place of detention.

b. the parent(s) permit the minor to reside with another person and do not provide the other person with the legal
authority for the care and maintenance of the minor who was not residing with a parent when the petition was
filed.

c. the biological parents of the minor were never married to each other, the custodial parent has

proposed guardian is related to the minor within the fifth degree by marriage, blood, or adoption.

and the other parent has not been granted legal custody by court order. The

disappeared,

died,

5. The minor named above is unmarried, and it is in the Indian child’s best interests to order the guardianship.

suspension of parental rights. A limited guardianship placement plan has been filed and approved.

a. The parent(s)/Indian custodian consented to the appointment of a limited guardian and voluntarily consented to

b. The parent(s)/Indian custodian consented to the appointment of a guardian under MCL 712B.13.

c. The parent(s)/Indian custodian has/have not consented to the appointment of a guardian under MCL 712B.13.
Upon clear and convincing evidence, including testimony of at least one expert witness who has knowledge of
child- rearing practices of the Indian child’s tribe, active efforts have been made to provide remedial services and
rehabilitative programs designed to prevent the breakup of the Indian family, those active efforts were
unsuccessful, and the continued custody of the child by the parent or Indian custodian is likely to result in serious
emotional or physical damage to the child. The active efforts took into account the prevailing social and cultural
conditions and way of life of the Indian child’s tribe. The placement requirements of MCR 5.404(C)(2) and (3)
have been met.

Approved, SCAO
Form PC 653-I, Rev. 1/21
MCL 700.5106, MCL 700.5204, MCL 700.5205, MCL 700.5212,
MCL 700.5213, MCL 712B.15(2), MCL 712B.17, MCL 712B.23,
MCL 712B.25(2), MCR 5.402(E)
Page 1 of 2

JIS Code: OGIOrder Regarding Appointment of Guardian/Limited Guardian of a Minor Indian Child
Page 2 of 2

(1/21)

Case No.

6. The welfare of the minor will be served by the appointment,

payment of reasonable support.

and by

reasonable parenting time and contact by the parent(s).

7. There is no qualified, suitable individual willing to act as guardian, and the appointment of a nonprofit corporation as
guardian is in the best interest of the minor. A personal bond must be filed.

IT IS ORDERED:

Name (type or print)

8. The petition is

granted.

denied on the merits.

dismissed/withdrawn.

, whose address and telephone number are

Address

City State Zip Telephone no.

is appointed

full

limited

temporary

guardian of the minor named above, and an

acceptance of appointment shall be filed.

Personal bond at $

must be filed.

The guardian is not permitted to act until letters of guardianship are issued. After qualification, the guardian shall

comply with all relevant requirements under the law.

10. This appointment is

regular.

temporary, expiring on

Date

11. Parenting time shall be

as stated in the placement plan.

12. Child support shall be paid:

as stated in the placement plan.

13. Other:

14. The

attorney

guardian ad litem

lawyer-guardian ad litem

for the minor is discharged.

Judge signature and date

Attorney name (type or print) Bar no.

Address

City, state zip Telephone no.

PC 653i, Order Regarding Appointment of Guardian/Limited Guardian of a Minor Indian Child

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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): 69
Average fields per page: 34
Reading Level: Grade 10
LIST Grouping(s): ES-03-00-00-00, FA-00-00-00-00.

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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)
guardian was GUARDIAN (0.44 conf)
limite_guardian was LIMITED GUARDIAN (0.41 conf)
first_last_name_minor_child was First middle and last name of minor Indian child (0.39 conf)
name_tribe_one was Name of tribe and identification no if one (0.43 conf)
minor_named_need_guardian was 2 The minor named above is not in need of a guardian (0.41 conf)
tribe_exclusive_jurisdiction was 3 The tribe has exclusive jurisdiction (0.31 conf)
minor_named_unmarried_guardian was 4 The minor named above is unmarried and is in need of a guardian because (0.39 conf)
minor_interests_guardianship was 5 The minor named above is unmarried and it is in the Indian childs best interests to order the guardianship (0.32 conf)
parental_parents_parent was a parental rights of both parents or of the surviving parent have been (0.39 conf)
minor_another_person_provide was b the parents permit the minor to reside with another person and do not provide the other person with the legal (0.40 conf)
minor_never_parent was c the biological parents of the minor were never married to each other the custodial parent has (0.39 conf)
terminated was terminated (0.38 conf)
suspended was suspended (0.33 conf)
prior_court_order was prior court order (0.36 conf)
death was death (0.37 conf)
disappearance was disappearance (0.38 conf)
divorce_separate_maintenance was judgment of divorce or separate maintenance (0.45 conf)
judicial_mental was judicial determination of mental incompetency (0.41 conf)
confinement_place_detention was confinement in a place of detention (0.36 conf)
died was died (0.37 conf)
disappeared was disappeared (0.37 conf)
custodian_appointment_limited was a The parentsIndian custodian consented to the appointment of a limited guardian and voluntarily consented to (0.48 conf)
indian_custodian_appointment_mc was b The parentsIndian custodian consented to the appointment of a guardian under MCL 712B13 (0.53 conf)
c_custodian_appointment_b was c The parentsIndian custodian hashave not consented to the appointment of a guardian under MCL 712B13 (0.55 conf)
judge was Judge (0.39 conf)
text__1 was Text2 (0.35 conf)
text__2 was Text3 (0.35 conf)
welfare_minor_appointment was 6 The welfare of the minor will be served by the appointment (0.35 conf)
suitable_individual_willing was 7 There is no qualified suitable individual willing to act as guardian and the appointment of a nonprofit corporation as (0.41 conf)
and_by was and by (0.40 conf)
payment_reasonable_support was payment of reasonable support (0.42 conf)
reasonable_contact_parents was reasonable parenting time and contact by the parents (0.39 conf)
petition was 8 The petition is (0.40 conf)
unknown was 9 (0.38 conf)
appointment was 10 This appointment is (0.39 conf)
undefined__1 was undefined_2 (0.39 conf)
13_the was 13 The (0.38 conf)
14_other was 14 Other (0.44 conf)
granted was granted (0.47 conf)
denied_merits was denied on the merits (0.35 conf)
dismissedwithdrawn was dismissedwithdrawn (0.35 conf)
name_type_print was Name type or print (0.45 conf)
users1_address_line_one was Address (1.00 conf)
telephone__1 was Telephone no (0.44 conf)
full was full (0.39 conf)
limited was limited (0.38 conf)
temporary was temporary (0.36 conf)
personal_bond was Personal bond at (0.38 conf)
must_filed was must be filed (0.42 conf)
regular was regular (0.28 conf)
temporary_expiring was temporary expiring on (0.30 conf)
signature_date was Date (1.00 conf)
stated_placement_plan__1 was as stated in the placement plan (0.27 conf)
stated_placement_plan__2 was as stated in the placement plan_2 (0.30 conf)
attorney was attorney (0.45 conf)
guardian_ad_litem was guardian ad litem (0.44 conf)
lawyerguardian_ad_litem was lawyerguardian ad litem (0.41 conf)
attorney_name_type_ro_print was Attorney name type ro print (0.50 conf)
bar was Bar no (0.41 conf)
address was Address_2 (0.35 conf)
users1_address_line_two was City state zip (1.00 conf)
telephone__2 was Telephone no_2 (0.45 conf)
text__3 was Text4 (0.35 conf)
checkbox__1 was checkbox100 (0.35 conf)
undefined__2 was undefined (0.38 conf)
checkbox__2 was checkbox101 (0.35 conf)
text__4 was Text5 (0.35 conf)
text__5 was Text6 (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 653i, Order Regarding Appointment of Guardian/Limited Guardian of a Minor Indian Child

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