STATE OF MICHIGAN

PROBATE COURT
COUNTY

NOTICE TO CREDITORS
Decedent’s Estate

CASE NO. and JUDGE

Court address              

 

 

 

Court telephone no.

First, middle, and last name

Estate of 
                                                                                             *NOTE TO PREPARER:  If a copy of this form is filed with the court, you must    
                                                                                                                      redact the date of birth from the copy being filed as required by court rule.  
TO ALL CREDITORS:**

  Date of birth:* 
 

 

 

 

                     

Address

NOTICE TO CREDITORS: The decedent, 
 

 , died 

Date

 .

Creditors of the decedent are notified that all claims against the estate will be forever barred unless presented to

 , personal representative, or to both the probate 

court at 

Address                                                                                                                                                         City

and the personal representative within 4 months after the date of publication of this notice.

Date

Address

 

  

  

  

Attorney name (type or print)                                                             Bar no.

Personal representative name (type or print)

City, state, zip                                                                          Telephone no.

City, state, zip                                                                    Telephone no.

 
PUBLISH ABOVE INFORMATION ONLY

 in 
 

 County

Publish one time in 

Furnish 

 

Name of publication

 copies to 

 

Furnish affidavit of publication to the probate court with copy to 

 

Forward statement for publication charges to 

 

**NOTE TO PREPARER: If there is a known creditor whose address is unknown and cannot be ascertained after diligent 
inquiry, insert “including [name of creditor] whose address and whereabouts are unknown.”  

Approved, SCAO
Form PC 574, Rev. 5/21
MCL 700.3801, MCR 5.106(A), MCR 5.208(A)
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JIS Code: NCT