Form PC687 "Withdrawal of Consent to Guardianship of Indian Child" - Michigan

What Is Form PC687?

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 October 1, 2014;
  • 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 PC687 by clicking the link below or browse more documents and templates provided by the Michigan Probate Court.

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Download Form PC687 "Withdrawal of Consent to Guardianship of Indian Child" - Michigan

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Approved, SCAO
JIS CODE: PCS/TCS - WGI
FILE NO.
STATE OF MICHIGAN
WITHDRAWAL OF CONSENT TO
PROBATE COURT
GUARDIANSHIP OF INDIAN CHILD
COUNTY OF
Court address
Court telephone no.
In the matter of
,
Full name of child
Name of tribe and identification no. (if one)
1. On
I,
, consented
Name
Date
to guardianship of the child named above.
2. I withdraw my consent and demand the immediate return of the child.
Parent signature
Date
Address
City
State
Zip
EX PARTE ORDER
3. IT IS ORDERED:
a. Pursuant to law, the guardianship is terminated, effective immediately, and the child shall be returned to the parent(s)/Indian
custodian.
b. Because both parents consented to guardianship of the child but only one parent withdrew consent, a hearing shall be held on
at
at
.
Date
Time
Location
Date
Judge
Bar no.
Do not write below this line - For court use only
MCL 700.5204, MCL 700.5205, MCL 712B.13(4),
WITHDRAWAL OF CONSENT TO GUARDIANSHIP OF INDIAN CHILD
MCL 712B.25(4), (5), MCR 5.404(B)
PC 687 (10/14)
Approved, SCAO
JIS CODE: PCS/TCS - WGI
FILE NO.
STATE OF MICHIGAN
WITHDRAWAL OF CONSENT TO
PROBATE COURT
GUARDIANSHIP OF INDIAN CHILD
COUNTY OF
Court address
Court telephone no.
In the matter of
,
Full name of child
Name of tribe and identification no. (if one)
1. On
I,
, consented
Name
Date
to guardianship of the child named above.
2. I withdraw my consent and demand the immediate return of the child.
Parent signature
Date
Address
City
State
Zip
EX PARTE ORDER
3. IT IS ORDERED:
a. Pursuant to law, the guardianship is terminated, effective immediately, and the child shall be returned to the parent(s)/Indian
custodian.
b. Because both parents consented to guardianship of the child but only one parent withdrew consent, a hearing shall be held on
at
at
.
Date
Time
Location
Date
Judge
Bar no.
Do not write below this line - For court use only
MCL 700.5204, MCL 700.5205, MCL 712B.13(4),
WITHDRAWAL OF CONSENT TO GUARDIANSHIP OF INDIAN CHILD
MCL 712B.25(4), (5), MCR 5.404(B)
PC 687 (10/14)