Fill and Sign the Administration of Wills Trusts and Estates Form

JDF 929 SC R6/19 DOMICILIARY FOREIGN PERSONAL REPRESENTATIVE’S SWORN STATEMENT ❑ District Court ❑ Denver Probate Court ___________________ County, Colorado Court Address: In the Matter of the Estate of : Deceased COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom DOMICILIARY FOREIGN PERSONAL REPRESENTATIVE’S SWORN STATEMENT I, ________ _____________________________, as the domiciliary foreign personal representative (§ 15 -10 - 201(16.5) C.R.S.), state that no administration, or application or petition for administration, is pending in Colorado. I hereby file with this court the following documents: ❑ Certified, exempl ified , or authenticated copies of the foreign court’s order appointing me as personal representative; ❑ Certified, exemplified , or authenticated copies of the foreign court’s letters or other documents evidencing or affecting my authority to act as personal representative; ❑ Other: VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of ___________, _________, (date) (month) (year) at ______________________________________ (city or other location, and state OR country) _____________________ __________ (printed name) _______________________________ (signature)