Skip to content
LitigationForms
PC 669Mandatory

Proof of Restricted Account and Annual Verification of Funds on Deposit (Conservatorship of Minor)

Michigan · Michigan State Court Administrative Office · Effective January 1, 2021

This form is used to prove that a minor's money is kept in a special, restricted account and to confirm the amount of money in that account each year. It requires a financial institution to certify that the funds cannot be taken out without a written order from the court.

The court describes it as: Court rule / statute: MCR 5.409(C)(4)

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form must be filled out and given to the court within 28 days of when the conservator is officially appointed, and then it must be done again every year after that.

Prepared by the court or clerk.

Common questions

Who fills out this form?
The form requires information from the financial institution or brokerage firm where the minor's money is kept. It is filed with the court.
How often must this form be filed?
It must be filed within 28 days of the conservator's qualification, and then it must be filed again every year after that.
What does the financial institution certify?
The institution certifies that the minor's funds are in a restricted account and cannot be released without a written order from the court.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2021.

Related forms

  • CC 531

    Notice of Appointment of Interim Administrator

    This form is a notice that tells people that someone has been officially appointed as an Interim Administrator. It records who was appointed and when the appointment happened.

    Fillable PDF
  • MC 202

    Certification of Records/Attestation of Exemplified Copies

    This form is used to officially state that copies of court records are true copies of the original documents kept in the court. It requires signatures from the court clerk/register and the judge.

    Fillable PDF
  • MC 97

    Protected Personal Identifying Information

    This form is used to give the court private identifying information (PII) for a person who is a defendant, respondent, or decedent. It is designed so that sensitive details, like dates of birth, are kept private instead of being written on public court papers.

    Fillable PDF
  • MC 97a

    Addendum to Protected Personal Identifying Information

    This form is an addendum used to give the court private personal identifying information (PII) that cannot be put on a public document. It is used when the person whose information is being given is not the defendant, respondent, or the person who passed away.

    Fillable PDF
  • PC 548

    Authorization to Release Will Held for Safekeeping

    This form is used to give permission to the court to give out a sealed envelope that holds a person's will and any changes to it. It requires signatures from the person giving permission and a witness.

    MandatoryFillable PDF
  • PC 552

    Safe-Deposit Box Certificate and Receipt

    This form is a certificate and receipt used in probate court to document the opening of a safe-deposit box. It records whether certain items, like a will or burial plot deed, were found or removed from the box.

    MandatoryFillable PDF
  • PC 563a

    Publication of Notice

    This form is used to officially publish a notice in court records when the court needs to notify people whose addresses are unknown. It requires listing the names of interested people and the specific information that needs to be made public.

    MandatoryFillable PDF
  • PC 565

    Testimony to Identify Heirs

    This form is used to gather information about the people who might inherit property from someone who has passed away. It asks for details about the deceased person's family, including surviving spouse, children, parents, and siblings.

    MandatoryFillable PDF