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Statement and Proof of Claim
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pc579.pdf

Form Instructions

INSTRUCTIONS: MICHIGAN STATEMENT AND PROOF OF CLAIM (Form PC 579)

The form discussed in this article is a claim filed by a creditor or estate personal representative against a Michigan estate for an obligation incurred before the death of the decedent. This document can be obtained from the website maintained by the Michigan Courts system.

Michigan Statement And Proof Of Claim PC 579 Step 1: Where indicated, enter the file number.

Michigan Statement And Proof Of Claim PC 579 Step 2: On the first blank line, enter the name of the person whose estate is concerned.

Michigan Statement And Proof Of Claim PC 579 Step 3: On the second blank line, enter the name of the creditor.

Michigan Statement And Proof Of Claim PC 579 Step 4: On the third blank line, enter the address of the creditor.

Michigan Statement And Proof Of Claim PC 579 Step 5: In the first column of the table provided, enter a description of each claimed item.

Michigan Statement And Proof Of Claim PC 579 Step 6: In the second column, enter the amount of each claim.

Michigan Statement And Proof Of Claim PC 579 Step 7: Total the claim sum at the bottom of the table.

Michigan Statement And Proof Of Claim PC 579 Step 8: Check the box where indicated if the person filing this form is a personal representative.

Michigan Statement And Proof Of Claim PC 579 Step 9: On the first blank line on the left side of the form, your attorney should enter their signature.

Michigan Statement And Proof Of Claim PC 579 Step 10: On the second blank line, your attorney should type or print their name and enter their bar number.

Michigan Statement And Proof Of Claim PC 579 Step 11: On the third blank line, your attorney should enter their street address.

Michigan Statement And Proof Of Claim PC 579 Step 12: On the fourth blank line, your attorney should enter their city, state, zip code and telephone number.

Michigan Statement And Proof Of Claim PC 579 Step 13: On the first blank line on the right side of the form, enter the date.

Michigan Statement And Proof Of Claim PC 579 Step 14: On the next three blank lines, enter your signature, street address, and city, state, zip code and telephone number.

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