STATE OF MICHIGAN
PROBATE COURT
COUNTY
NOTICE TO CREDITORS
Decedent’s Estate
CASE NO. and JUDGE
Court address Court telephone no.
Estate of
First, middle, and last name
Date of birth:*
*NOTE TO PREPARER: If a copy of this form is filed with the court, you must
redact the date of birth from the copy being filed as required by court rule.
JIS Code: NCT
Approved, SCAO
Form PC 574, Rev. 5/21
MCL 700.3801, MCR 5.106(A), MCR 5.208(A)
Page 1 of 1
TO ALL CREDITORS:**
NOTICE TO CREDITORS: The decedent,
, died
Date
.
Creditors of the decedent are notified that all claims against the estate will be forever barred unless presented to
, personal representative, or to both the probate
court at
Address City
and the personal representative within 4 months after the date of publication of this notice.
Date
Attorney name (type or print) Bar no.
Personal representative name (type or print)
Address
Address
City, state, zip Telephone no.
City, state, zip Telephone no.
PUBLISH ABOVE INFORMATION ONLY
Publish one time in
Name of publication
in
County
Furnish
copies to
Furnish affidavit of publication to the probate court with copy to
Forward statement for publication charges to
**NOTE TO PREPARER: If there is a known creditor whose address is unknown and cannot be ascertained after diligent
inquiry, insert “including [name of creditor] whose address and whereabouts are unknown.”
