Form PC651 "Petition for Appointment of Guardian of Minor" - Michigan

What Is Form PC651?

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;

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

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Download Form PC651 "Petition for Appointment of Guardian of Minor" - Michigan

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PCS CODE: FGM
Approved, SCAO
TCS CODE: PGM
STATE OF MICHIGAN
FILE NO.
PROBATE COURT
PETITION FOR APPOINTMENT OF
COUNTY OF
GUARDIAN OF MINOR
XXX-XX-
In the matter of
, a minor
First, middle, and last name
Last four digits of SSN
USE NOTE: If a parent is incarcerated and under the jurisdiction of the Michigan Department of Corrections, the petitioner must comply with MCR 2.004(B).
1. I,
, am interested in the welfare of the minor and make this
Name (type or print)
petition as
.
Relationship to minor (i.e. grandparent, aunt or uncle, friend, limited guardian, etc.)
2. 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:
.
3.
The minor is not an Indian child as defined in MCR 3.002(12).
It is unknown whether the minor is an Indian child as defined in MCR 3.002(12).
*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/
City
State
Zip
Telephone no.
custody of minor*
(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,
PETITION FOR APPOINTMENT OF GUARDIAN OF MINOR
PC 651 (12/17)
MCR 5.125(C)(19), MCR 5.404
PCS CODE: FGM
Approved, SCAO
TCS CODE: PGM
STATE OF MICHIGAN
FILE NO.
PROBATE COURT
PETITION FOR APPOINTMENT OF
COUNTY OF
GUARDIAN OF MINOR
XXX-XX-
In the matter of
, a minor
First, middle, and last name
Last four digits of SSN
USE NOTE: If a parent is incarcerated and under the jurisdiction of the Michigan Department of Corrections, the petitioner must comply with MCR 2.004(B).
1. I,
, am interested in the welfare of the minor and make this
Name (type or print)
petition as
.
Relationship to minor (i.e. grandparent, aunt or uncle, friend, limited guardian, etc.)
2. 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:
.
3.
The minor is not an Indian child as defined in MCR 3.002(12).
It is unknown whether the minor is an Indian child as defined in MCR 3.002(12).
*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/
City
State
Zip
Telephone no.
custody of minor*
(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,
PETITION FOR APPOINTMENT OF GUARDIAN OF MINOR
PC 651 (12/17)
MCR 5.125(C)(19), MCR 5.404
Petition for Appointment of Guardian of Minor (12/17)
File No.
4.
If neither parent is living, the names and addresses of the minor’s grandparents and nearest of kin who are adults are:
(continued)
NAME
RELATIONSHIP
ADDRESS AND TELEPHONE NUMBER
Street address
City
State
Zip
Telephone no.
None of these persons are under any legal incapacity except
.
Name, incapacity, and representative of the person, if any
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 limited
disappearance.
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 permits the minor to reside with another person and 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
, be appointed guardian of the minor.
City/Township
State
Zip
Telephone no.
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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