Fill and Sign the Designating Clerk of Court as Agent for Service of Process Form

JDF 721SC R9/18 IRREVOCABLE POWER OF ATTORNEY DESIGNATING CLERK OF COURT AS AGENT FOR SERVICE OF PROCESSDistrict Court $%&$ Probate Court__________________ County, ColoradoCourt Address:In the Interest of:In the Matter of the Estate of: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg.#:Case Number:Division Courtroom IRREVOCABLE POWER OF ATTORNEY DESIGNATING CLERK OF COURT AS AGENT FOR SERVICE OF PROCESS I, (nominated fiduciary), a nonresident of the State of Colorado, irrevocably designate and appoint the clerk of this court, and any successor in that office, as the person upon whom may be served all notices and process issued by a court or tribunal in the State of Colorado. This power of attorney is applicable only for notices and process issued to me in my fiduciary capacity and that affect or pertain to the above captioned matter. This power of attorney must not be affected by my disability and it will terminate upon my final discharge. 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) The foregoing instrument was acknowledged before mein the County of _____________, State of Colorado, this ____day of ____________, 20___, by the Proposed Fiduciary. My Commission Expires: ________________. ______________________________________ Notary Public Note:The address provided to the court is the address where the clerk of court will forward all notices and processes. Therefore, it is important that you provide current contact information to the court in writing.