Form Pc 662 - Letters Of Guardianship Of Individual With Developmental Disability
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1
2Approved, SCAO
JIS CODE: LOG
FILE NO.
STATE OF MICHIGAN
LETTERS OF GUARDIANSHIP OF
PROBATE COURT
INDIVIDUAL WITH
COUNTY
DEVELOPMENTAL DISABILITY
CIRCUIT COURT - FAMILY DIVISION
In the matter of
, an individual with a developmental disability
Name, address, city, state, and zip
TO:
partial guardian
estate
You have been appointed and have qualified as
plenary guardian
of the
person
of the individual
named above. By this instrument you are granted authority to perform all acts permitted or required by statute, court rules, and
order of this court unless limited below.
The guardian's authority is limited to those acts specifically set forth below:
The order appointing you as guardian expires on
.
Date
Date
Judge
Bar no.
Attorney name (type or print)
Bar no.
Address
City, state, zip
Telephone no.
SEE NOTICE OF DUTIES ON SECOND PAGE
I certify that I have compared this copy with the original on file and that it is a correct copy of the whole of such original, and on this
date, these letters are in full force and effect.
Deputy probate register/clerk
Date
Do not write below this line - For court use only
MCR 5.202, MCR 5.402(D)
LETTERS OF GUARDIANSHIP OF INDIVIDUAL WITH DEVELOPMENTAL DISABILITY
PC 662 (10/07)
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