Fill and Sign the Deceased Protected Person Form

CPC 19 R7/00 BOND OF  Personal representative  Conservator Page 1 of 2This form conforms in substance to CPC 19. District Court  Denver Probate Court_________________________________________ County, ColoradoCourt Address:IN THE MATTER OF THE ESTATE OF: Deceased  Protected Person COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg.#:Case Number:Division Courtroom BOND OF  PERSONAL REPRESENTATIVE  CONSERVATOR TO WHOM IT MAY CONCERN: We, ______________________________________________________________________ (Name) as principal, and ______________________________________of _______________________________________________ (Name) (address) and ________________________________________________of _______________________________________________ (Name)(address) as surety, are held and firmly bound unto the People of the State of Colorado for the benefit of persons interested in this estate in the penal sum of ______________________________________________________________________________Dollars,lawful money of the United States of America, for which payment we, and each of us, do hereby bind ourselves, our heirs, personal representatives, successors and assigns, jointly and severally.The condition of this obligation is that if the principal, as  personal representative  conservator of this estate, shallfaithfully discharge the duties of such office as provided by law and orders of Court, then this obligation shall be void, otherwise it shall be and remain in full force and effect.Executed on _________________________________, at _____________________________________________, Colorado. (Date) Approved on _________________________________ ___________________________________________ (Date)Signature of Principal ____________________________________________ ___________________________________________Judge/RegistrarSignature of Principal ___________________________________________Signature of Surety___________________________________________Signature of Surety The undersigned, being sworn, states: That the  value of the personal estate of the deceased  aggregate capital value of the property of the estate of the protected person in the undersigned’s control, less the value of such property deposited with the Clerk of this Court or held subject to Court order, is estimated to be $______________________, and that the income expected from the personal and real property of this estate during the next year is estimated to be $_____________________.STATE OF __________________________________ __________________________________________Signature of Principal________________COUNTY OF ________________Subscribed and sworn to before my by ___________________________________, as Principal on ____________________.My commission expires ________________________. ___________________________________________Notary Public/(Deputy) Clerk of Court CPC 19 R7/00 BOND OF  Personal representative  Conservator Page 2 of 2This form conforms in substance to CPC 19. JUSTIFICATION OF SURETIES STATE OF ________________________________________________COUNTY OF __________________I, (Name) _________________________________________________________________being sworn, state: That I reside at____________________________________________________________________________________________________and am seized and possessed in my own right, over and above all my just debts, liabilities and liens, of property within the State of Colorado of a value at least equal to the penal sum of this Bond; that such property is not exempt by law from levy and sale under execution; that I have made and assigned such property to the People of the State of Colorado, as obligee, for the use and benefit of all persons interested in this estate; and that such property is described as follows: ___________________________________________Signature of Surety Date Subscribed and sworn to before me on ____________________.My commission expires _________________________________. ___________________________________________ Notary Public/(Deputy) Clerk of Court