PETITION FOR APPOINTMENT
OF GUARDIAN AD LITEM / ATTORNEY /
LAWYER GUARDIAN AD LITEM

JIS CODE: PGL

FILE NO.

1. I am interested in this matter and make this petition as

State  interest/relationship

    .

Approved, SCAO

STATE OF MICHIGAN

PROBATE COURT
COUNTY
CIRCUIT COURT - FAMILY DIVISION

In the matter of

2. I represent that

Name(s)

is/are interested in the hearing on

3. It is necessary that a lawyer guardian ad litem be appointed by the court to represent  the minor,

the minor guardianship proceeding.

4. It is necessary and in the best interests of the person that

be appointed to represent

an attorney
a guardian ad litem

,  whose interests are or may be inadequately represented in

minor.

 incapacitated individual.

protected individual.

other

        at the hearing and at all future hearings because the person is a

,

Address

or some other suitable person be appointed

attorney
lawyer guardian ad litem
guardian ad litem

for the individual for the purposes stated above.

b. a suitable person be appointed guardian ad litem under MCL 700.5108.

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.

5. I REQUEST:

a.

Name

Attorney signature

Name (type or print)

Address

City, state, zip

Bar no.

Petitioner name (type or print)

Date

Petitioner signature

Address

City, state, zip

Do not write below this line - For court use only

PC 641   (9/05)   PETITION FOR APPOINTMENT OF GUARDIAN AD LITEM / ATTORNEY / LAWYER GUARDIAN AD LITEM

MCL 700.1403(d), MCL 700.5108, MCL 700.5208(2)(c), MCL 700.5213(4),
MCL 700.5219(4), MCL 700.5406, MCR 5.121