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Approved SCAO JIS CODE ARW FILE NO. STATE OF MICHIGAN PROBATE COURT COUNTY OF AUTHORIZATION TO RELEASE WILL HELD FOR SAFEKEEPING Will of I authorize the court to deliver to Name the sealed envelope containing my will and codicils if any being held for safekeeping in the County Probate Court. Date Signature of testator Address City state zip XXX-XX- or Last four digits of SSN or Michigan driver s license number OATH OF WITNESS NOTE The witness and the notary are not authorized to accept delivery. Approved SCAO JIS CODE ARW FILE NO. STATE OF MICHIGAN PROBATE COURT COUNTY OF AUTHORIZATION TO RELEASE WILL HELD FOR SAFEKEEPING Will of I authorize the court to deliver to Name the sealed envelope containing my will and codicils if any being held for safekeeping in the County Probate Court. Date Signature of testator Address City state zip XXX-XX- or Last four digits of SSN or Michigan driver s license number OATH OF WITNESS NOTE The witness and the notary are not authorized to accept delivery. I being duly sworn say that the named testator signed the above Name of witness authorization in my presence. Signature of witness Subscribed and sworn to before me on My commission expires County Michigan* Signature Notary public State of Michigan County of Do not write below this line - For court use only PC 548 9/07 MCL 700. Date Signature of testator Address City state zip XXX-XX- or Last four digits of SSN or Michigan driver s license number OATH OF WITNESS NOTE The witness and the notary are not authorized to accept delivery. I being duly sworn say that the named testator signed the above Name of witness authorization in my presence. I being duly sworn say that the named testator signed the above Name of witness authorization in my presence. Signature of witness Subscribed and sworn to before me on My commission expires County Michigan* Signature Notary public State of Michigan County of Do not write below this line - For court use only PC 548 9/07 MCL 700. Date Signature of testator Address City state zip XXX-XX- or Last four digits of SSN or Michigan driver s license number OATH OF WITNESS NOTE The witness and the notary are not authorized to accept delivery. I being duly sworn say that the named testator signed the above Name of witness authorization in my presence. Signature of witness Subscribed and sworn to before me on My commission expires County Michigan* Signature Notary public State of Michigan County of Do not write below this line - For court use only PC 548 9/07 MCL 700.

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