How to Fill Out Form PC 675

Form PC 675 at a glance

What it is: Form PC 675 is the Petition to Terminate or Modify Guardianship for a legally incapacitated individual or a minor.

Who signs: Write the Date and sign on the Petitioner signature line. If there is an attorney, the attorney writes the Date and signs on the Attorney signature line.

A filled-in Form PC 675 example: a parent asks to terminate a minor's guardianship

Form PC 675 example filled out, example: a parent asks to terminate a minor's guardianship
Mary Sample, a parent, files Form PC 675 to terminate a guardianship. The ward is a 9-year-old minor in Wayne County, and the guardian is Robert Doe. The picture shows page one, and every value in it is made up. John Sample is the other parent of the minor. MODIFY is left blank because Mary asks to terminate, and LEGALLY INCAPACITATED INDIVIDUAL is left blank because the ward is a minor. Mary files without an attorney, so the Petitioner's attorney box stays empty. The minor has no conservator, so the Conservator row stays empty. Robert Doe is both the guardian and the person with care and custody of the minor, so both rows name Robert Doe. The name of the tribe is left blank because the minor is not an Indian child. Page two holds The reasons why the court should take action and I REQUEST that the court, and page three holds Appoint, so the picture leaves them out.

How to fill out Form PC 675, box by box

Probate court, case no. and petition to terminate or modify

Form PC 675 example filled out, probate court, case no. and petition to terminate or modify

Under PROBATE COURT, write the COUNTY, the Court address and the Court telephone no.

Write the CASE NO. and JUDGE.

Mark TERMINATE or MODIFY, and LEGALLY INCAPACITATED INDIVIDUAL or MINOR.

In the matter of

Form PC 675 example filled out, in the matter of

Under In the matter of, write the First, middle, and last name.

Fill in the Court ORI, Current age of ward, Race, Sex and Current address of ward.

Petitioner, Petitioner's attorney and interest in this matter

Form PC 675 example filled out, petitioner, Petitioner's attorney and interest in this matter

Write the Petitioner's name, address, and telephone no. and the Petitioner's attorney, bar no., address, and telephone no.

After 1. I am interested in this matter as, write the State relationship/interest.

The interested persons for the minor

Form PC 675 example filled out, the interested persons for the minor

Under 2. a., list the interested persons for the minor, their relationship to the minor, and their addresses, as NAME, RELATIONSHIP and ADDRESS AND TELEPHONE NUMBER.

Under RELATIONSHIP: Parent/Age, Parent/Age, Conservator, Guardian and Person with care/ custody of minor.

Write the Street address, City, State, Zip and Telephone no.

Person with care/ custody of minor: also list persons who had principal care and custody of the minor during the 63 days preceding filing the petition.

The minor and an Indian tribe

Form PC 675 example filled out, the minor and an Indian tribe

Mark the box if the minor is a member of an Indian tribe, or is eligible for membership in an Indian tribe, and write the name of the tribe.

Mark The minor is not an Indian child as defined by MCR 3.002(12), or It is unknown whether the minor is an Indian child as defined by MCR 3.002(12).

If this guardianship is terminated

Form PC 675 example filled out, if this guardianship is terminated

Under 2. (continued) c., fill in: If this guardianship is terminated, the minor child will be returned to

The incapacitated individual and presumptive heirs

Form PC 675 example filled out, the incapacitated individual and presumptive heirs

Under 3., fill in: The incapacitated individual, whose telephone number is, has a guardian whose, address is.

On Page 2, mark a spouse, adult child(ren), living parents whose name(s) and address(es) are listed under NAME, RELATIONSHIP and ADDRESS AND TELEPHONE NUMBER; or no spouse, adult child(ren), or parent(s), and the names and addresses of presumptive heirs** are listed under NAME, RELATIONSHIP and ADDRESS AND TELEPHONE NUMBER; or none of the above (must notify the Attorney General***).

For the names and addresses of presumptive heirs**: Presumptive heirs includes minor children, if any. If none of the above (must notify the Attorney General***), notify the Attorney General by sending a copy of this form to: Attorney General, Public Administration, PO Box 30755, Lansing, MI 48909.

Under NAME, RELATIONSHIP and ADDRESS AND TELEPHONE NUMBER, write the Street address, City, State, Zip and Telephone no. Guardian. Standby Guardian.

The reasons why the court should take action

Form PC 675 example filled out, the reasons why the court should take action

Write the reasons why the court should take action.

I REQUEST that the court

Form PC 675 example filled out, i REQUEST that the court

I REQUEST that the court: 5. Terminate the guardianship.

Mark 6. Accept the guardian's resignation.

Mark 7. Remove the guardian who has or has not been suspended, and mark has or has not.

Mark 8. Remove, and write the Name (type or print) as standby guardian.

Mark 9. Designate, and write the Name (type or print), Address, City, State, Zip and Telephone no. as standby guardian.

Appoint

Form PC 675 example filled out, appoint

Mark 10. Appoint, and write the Name (type or print), Address, City, State, Zip and Telephone no. as successor full guardian.

Mark 11. Appoint, and write the Name (type or print), Address, City, State, Zip and Telephone no. as temporary guardian pending appointment of a successor.

Mark 12. Appoint, and write the Name (type or print), Address, City, State, Zip and Telephone no. as successor limited guardian with only the following powers; write the powers.

Modify the powers of the guardian as follows

Form PC 675 example filled out, modify the powers of the guardian as follows

Mark 13. Modify the powers of the guardian as follows; write the powers.

Petitioner signature and Attorney signature

Form PC 675 example filled out, petitioner signature and Attorney signature

"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."

Write the Date and sign on the Petitioner signature line.

If there is an attorney, the attorney writes the Date and signs on the Attorney signature line.

Nomination by minor

Form PC 675 example filled out, nomination by minor

NOMINATION BY MINOR: mark I am 14 years of age or older, then I nominate the Name (type or print), Address, City, State, Zip as my guardian.

Write the Date and the Signature of minor.

Sources

[1] Form PC 675 (Rev. 7/24), Petition to Terminate/Modify Guardianship, Michigan State Court Administrative Office (the Official source link on this page).

Form PC 675 PDF Details

State your relationship or interest in this matter and the reasons why the court should take action.

Minor: Also list persons who had principal care and custody of the minor during the 63 days preceding filing the petition.

Incapacitated individual: if there is no spouse, adult child, parent or presumptive heir to list, notify the Attorney General by sending a copy of this form.

Guardian: The petitioner requests that the court accept the guardian's resignation, remove the guardian or modify the powers of the guardian.

Standby guardian: The petitioner requests that the court remove a standby guardian or designate a standby guardian.

Nomination by minor: A minor who is 14 years of age or older nominates a guardian.

QuestionAnswer
Form NameForm PC 675
Form Length3 pages
Fillable?Yes
Fillable fields140
Avg. time to fill out24 min
Edition7/24
Where to fileProbate Court
Who signsThe petitioner
Other namesPC 675, PC675, Form PC 675, Michigan PC 675, Petition to Terminate/Modify Guardianship
Official sourceForm PC 675 (Rev 7/24), Michigan Probate Court