Michigan Compiled Laws, Chapter 554. Real and Personal Property § 554.534

Sec. 14.  An instrument in substantially the following form satisfies the requirements of section 13(2)(b) and 13(8):   1

I, ____________ (name of transferor or name and representative capacity, if a fiduciary) transfer to ____________ (name of custodian), as custodian for ____________ (name of minor) under the Michigan uniform transfers to minors act, the following:

(insert a description of the custodial property sufficient to identify it).

Dated:  ________

______________________________

(Signature)

________________ (name of custodian) acknowledges receipt of the property described above as custodian for the minor named above under the Michigan uniform transfers to minors act.

Dated:  ________

______________________________”

(Signature of Custodian)