Fill and Sign the Information About the Applicant

JDF 951 SC R6/19 APPLIC ATION FOR INFORMAL APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE Page 1 of 3 ❑ District Court ❑ Denver Probate Court ___________________ County, Colorado Court Address: In the Matter of the Estate of : Deceased COURT USE ONLY Attor ney or Party W ithout Attorney (n ame and ad dress): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom APPLICATION FOR INFORMAL APPOINTMENT OF SUCCES SOR PERSONAL REPRESENTATIVE (THIS FORM MAY NOT BE USED WITH SUPERVISED ADMINISTRATION ) Applicant makes the following statements: 1. Information about the applicant : Name: Relationship to Decedent Street Address : City: _____________________ State: _____________ Zip Code: __________________ Mailing Address, if different: City: State: Zip Code: Primary Phone: ______________________________ Alternate Phone: _______________________ Email Address: 2. Letters ❑ Testamentary ❑ of A dministration were issued on (date). 3. Administration is unsupervised . 4. The previously appointed personal representative , (name) has: ❑ tendered a resignation . ❑ died (date of death ). ❑ been removed by order of the court issued on (date). ❑ other: . 5. Applicant: ❑ has not received a demand for notice and is unaware of any demand for notice of any probate or appointment proceeding concerning the decedent that may have been filed in this state or elsewhere. ❑ has received, or is aware of, a demand for notice. See attached demand or explanation. 6. Name, address , and telephone number of the nominee for successor personal representative is: JDF 951 SC R6/19 APPLIC ATION FOR INFORMAL APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE Page 2 of 3 The nomine e is 21 years of age or older and has priority for appointment because of: ❑ nomination by w ill. ❑ nomination by person(s) with priority. ❑ statutory priority. ❑ other: Those persons having prior or equal rights to appointment have renounced their rights to appointment or have received notice of these proceedings , pursuant to § 15 -12 -31 0, C.R.S. Any required renouncements accompany this application . 7. The successor personal representative may receive compensation. ❑ The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated , are as stated below or in an attachment to this application. * ❑ The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15 -10 -602 , C.R.S.) 8. The successor personal representative may compensate his, her , or its counsel. ❑ The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee char ged to the estate will be calculated , are as stated below or in an attachment to this application. * ❑ The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15 -10 -602 , C.R.S.) 9. The applicant hereby adopts the statements in the application or petition for appointment that led to the appointment of the person being succeeded , except for the fo llowing changes or corrections : JDF 951 SC R6/19 APPLIC ATION FOR INFORMAL APPOINTMENT OF SUCCESSOR PERSONAL REPRESENTATIVE Page 3 of 3 10. Applicant requests that the nominee be informally appointed as successor personal representative to serve without bond in unsupervised administration and that Letters be issued to the successor personal representative. ❑ By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. ❑ By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of Executed on the ______ day of (date) (date) ____ ___________________, _________, _______________________, _________, (month) (year) (month) (year) at ______________________________________ at ______________________________________ (city or other location, and state OR country) (city or other location, and state OR country) ______________________________________ ______________________________________ (printed name) (printed name) ______________________________________ ______________________________________ (Signature of Applicant) (Signature of Co -Applicant , if any) ________________________________________ __________________ Attorney Signature, (if any) Date