Form PC651-IA "Petition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship)" - Michigan

What Is Form PC651-IA?

This is a legal form that was released by the Michigan Probate Court - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Michigan Probate Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PC651-IA by clicking the link below or browse more documents and templates provided by the Michigan Probate Court.

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Download Form PC651-IA "Petition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship)" - Michigan

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Approved, SCAO
JIS CODE: PCS/TCS - PGV
STATE OF MICHIGAN
FILE NO.
PETITION FOR APPOINTMENT OF
PROBATE COURT
GUARDIAN OF MINOR INDIAN CHILD
COUNTY OF
(VOLUNTARY GUARDIANSHIP)
XXX-XX-
In the matter of
,
Name of minor Indian child
Last four digits of SSN
Name of tribe and identification no. (if one)
USE NOTE: If a parent is incarcerated and under the jurisdication of the Michigan Department of Corrections, the petitioner must comply with MCR 2.004(B).
1. I am interested in this matter and make this petition as custodial parent or Indian custodian of the minor Indian child.
2. A consent to the voluntary guardianship will be or has been executed under MCL 712B.13 (form PC 686).
3. The minor was born
, is
female,
male, is unmarried, resides in
Date
County
at
Address
City/Township
State
Zip
and is presently located in
at
County
Address (if different than above)
.
City/Township
State
Zip
The minor is a citizen of the following foreign country:
.
*Also list persons who had principal care and custody of the
4. The persons interested in this proceeding are:
minor during the 63 days before filing the petition.
NAME
RELATIONSHIP
ADDRESS AND TELEPHONE NUMBER
Street address
Parent/DOB
City
State
Zip
Telephone no.
Street address
Parent/DOB
City
State
Zip
Telephone no.
Street address
Conservator
City
State
Zip
Telephone no.
Street address
Guardian
City
State
Zip
Telephone no.
Street address
Person with care/
custody of minor*
City
State
Zip
Telephone no.
None of these persons are under any legal incapacity except
.
Name, incapacity, and representative of the person, if any
(SEE SECOND PAGE)
USE NOTE: If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form.
Do not write below this line - For court use only
MCL 700.5204, MCL 700.5213, MCL 712B.13, MCL 712B.15,
PETITION FOR APPOINTMENT OF GUARDIAN OF
PC 651-Ia (12/17)
MCL 712B.25, MCR 5.125(A)(4), MCR
MINOR INDIAN CHILD (VOLUNTARY GUARDIANSHIP)
5.125(C)(19), MCR 5.404
Approved, SCAO
JIS CODE: PCS/TCS - PGV
STATE OF MICHIGAN
FILE NO.
PETITION FOR APPOINTMENT OF
PROBATE COURT
GUARDIAN OF MINOR INDIAN CHILD
COUNTY OF
(VOLUNTARY GUARDIANSHIP)
XXX-XX-
In the matter of
,
Name of minor Indian child
Last four digits of SSN
Name of tribe and identification no. (if one)
USE NOTE: If a parent is incarcerated and under the jurisdication of the Michigan Department of Corrections, the petitioner must comply with MCR 2.004(B).
1. I am interested in this matter and make this petition as custodial parent or Indian custodian of the minor Indian child.
2. A consent to the voluntary guardianship will be or has been executed under MCL 712B.13 (form PC 686).
3. The minor was born
, is
female,
male, is unmarried, resides in
Date
County
at
Address
City/Township
State
Zip
and is presently located in
at
County
Address (if different than above)
.
City/Township
State
Zip
The minor is a citizen of the following foreign country:
.
*Also list persons who had principal care and custody of the
4. The persons interested in this proceeding are:
minor during the 63 days before filing the petition.
NAME
RELATIONSHIP
ADDRESS AND TELEPHONE NUMBER
Street address
Parent/DOB
City
State
Zip
Telephone no.
Street address
Parent/DOB
City
State
Zip
Telephone no.
Street address
Conservator
City
State
Zip
Telephone no.
Street address
Guardian
City
State
Zip
Telephone no.
Street address
Person with care/
custody of minor*
City
State
Zip
Telephone no.
None of these persons are under any legal incapacity except
.
Name, incapacity, and representative of the person, if any
(SEE SECOND PAGE)
USE NOTE: If this form is being filed in the circuit court family division, please enter the court name and county in the upper left-hand corner of the form.
Do not write below this line - For court use only
MCL 700.5204, MCL 700.5213, MCL 712B.13, MCL 712B.15,
PETITION FOR APPOINTMENT OF GUARDIAN OF
PC 651-Ia (12/17)
MCL 712B.25, MCR 5.125(A)(4), MCR
MINOR INDIAN CHILD (VOLUNTARY GUARDIANSHIP)
5.125(C)(19), MCR 5.404
Petition for Appointment of Guardian of Minor Indian Child (Voluntary Guardianship) (12/17)
File No.
5. An action within the jurisdiction of the family division of circuit court involving the family or family members of the minor
has been previously filed in
Court, Case Number
, was
assigned to Judge
, and
remains
is no longer
pending.
6. The minor is in need of a guardian because
a. the parental rights of both parents or of the surviving parent have been terminated or suspended by
death.
a previous court order other than an order appointing a
disappearance.
limited guardian of the minor.
confinement in a place of detention
judgment of divorce or separate maintenance.
judicial determination of mental incompetency. OR
b. the parent(s) permit(s) the minor to reside with another person and the parent(s) do/does not provide the other person
with legal authority for the care and maintenance of the minor and the minor is not residing with a parent at this time.
OR
c. the biological parents of the minor were never married to each other and
,
the custodial parent
died
has disappeared since
, and the other parent
has not been granted legal custody by court order. The proposed guardian is related to the minor within the fifth degree
by marriage, blood, or adoption.
7. A temporary guardian is necessary because
.
I REQUEST:
8.
, whose address and telephone number are
Name
,
Address
City/Township
State
Zip
Telephone no.
be appointed guardian of the minor.
9. The court order the parent(s) to provide
reasonable support for
parenting time with
contact with the minor.
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.
Date
Date
/s/
/s/
Signature of petitioner
Signature of petitioner
Address
Address
City, state, zip
Telephone no.
City, state, zip
Telephone no.
10. I am 14 years of age or older. I nominate
as my guardian,
Name
who lives at
.
Address
City
State
Zip
/s/
Date
Signature of minor
/s/
Attorney signature
Address
Attorney name (type or print)
Bar no.
City, state, zip
Telephone no.
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