Fill and Sign the Notice of Contract No 071b0200299 State of Michigan Form

JDF 922 SC R6/19 PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 1 of 5 ❑ 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 PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ****** Use this form if the decedent did not leave a will ******* The petitioner, an interested person pursuant to § 15 -10 -201(27), C.R.S., makes the following statements: 1. Information about the petitioner : 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. The decedent , __________, died on (date) at the age of years. The decedent was domiciled or resided in the City of County of , State of . 3. Venue for this proceeding is proper in this county because the decedent: ❑ had his or her domicile or residence in this county on the date of death. ❑ did not have his or her domicile or residence in Colorado, but had property located in this county on the date of death. 4. This petition is filed within the time period permitted by law. Three years or less have passed since the decedent’s death, or circumstances described in § 15-12 -108, C.R.S. authorize tardy probate or appointment. 5. The Petitioner: ❑ has not received a Demand for Notice of Filings or Orders and is unaware of any Demand for Notice of Filings or Orders concerning Decedent. ❑ has received or is aware of a Demand for Notice of Filings or Orders concerning Decedent. See attached Demand for Notice of Filings or Orders or explanation. JDF 922 SC R6/19 PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 2 of 5 6. ❑ No court has appointed a personal representative and no such appointment proceeding is pending in this state or elsewhere. ❑ A court has appointed a personal representative or an appointment proceeding is pending in the State of . (Attach a statement explaining the circumstances and indicating the name and address of the personal representative. Attach a certified copy of the appointing document if the appointment has been finalized.) 7. Except as may be disclosed on an attached explanation and after the exercise of reasonable diligence, the petitioner is unaware of any unrevoked will relating to property l ocated in Colorado. 8. Decedent’s marital and family status: a) Did a spouse or partner in a civil union survive the decedent? ❑ Yes ❑ No b) Did the decedent have a surviving parent? ❑ Yes ❑ No c) Did the decedent have surviving children or other descendants? ❑ Yes ❑ No d) Does the decedent’s surviving spouse or partner in a civil union have surviving descendants who are not descendants of the decedent? ❑ Yes ❑ No e) Are all of the decedent’s surviving descendants also descendants of the surviving spouse or partner in a civil union ? ❑ Yes ❑ No f) Are any of the decedent’s children minors? ❑ Yes ❑ No 9. List names and addresses of the decedent’s spouse, partner in a civil union, children, and other heirs as defined by the Colorado law of intestate succession. (§§ 15 -11 -101, C.R.S. through 15 -11 -114, C.R.S.) ◆ If a guardian or conservator has been appointed for one of the persons listed below, also provide the name and address of the guardian or conservator. ◆ If a minor child is listed, list the child’s parent(s), guardian or conservator. ◆ If a spouse, partner in a civil union, or child has predeceased the decedent, include the date of death. ◆ A sample of this section is included in the Instructions - JDF 907. Name Address or Date of Death Age, only if Minor Relationship (e.g. spouse, partner in a civil union, child, brother, guardian for spouse, etc.) 10. ❑ Petitioner is 21 years of age or older and nominates himself or herself to be appointed as personal representative. Or ❑ Petitioner is 21 years of age or older and nominates himself/herself to be appointed as co -personal representative along with the following as a co -personal representative. JDF 922 SC R6/19 PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 3 of 5 Name: The Nominee is 21 years of age or older. Street Address: City: _________________________ State: _________ Zip Code: _____________________ Mailing Address, if different: City: State: Zip Code: Primary Phone: _____________________________ Alternate Phone: ____________________________ Email Address: Or ❑ Petitioner nominates the following person be appointed as personal representative. Name: The Nominee is 21 years of age or older . Street Address: City: _____________________ State: ___________________ Zip Code: ______________________ Mailing Address, if different: City: State: Zip Code: Primary Phone: ________________________ Alternate Phone: _________________________________ Email Address: 11. The Nominee has priority for appointment because of: ❑ statutory priority. (§ 15 -12 -203, C.R.S.) ❑ reasons stated in the attached explanation. Persons with prior or equal rights to a ppointment are as follows: All person(s) (other than those identifie d in Paragraph 10 above) with prior or equal right to appointment have renounced their right to appointment (JDF 912SC). All required renouncements accompany this petition. 12. ❑ Bond is not required by the will and no interested person demanded that bond be filed. (Skip #1 3 below.) ❑ Bond is required by will or is being demanded by an interested person. (Complete #1 3 below.) ❑ Bond in the amount of $ __________________________ has been demanded. 13. Petitioner states the following regarding the decedent’s estate , if required by § 15 -12 -604, C.R.S. Estimate d value of real estate $ Estimate d value of personal property $ Annual income expected from all sources $ TOTAL $ 14. The 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, a re as stated below or in an attachment to this petition. * JDF 922 SC R6/19 PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 4 of 5 ❑ 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.) 15. The 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 charged to the estate will be calculated, a re as stated below or in an attachment to this petition. * ❑ 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.) 16. ❑ Unsupervised administration is requested. ❑ Supervised administration is requested (additional filing fee required). Terms of the requested supervision are as follows: After notice and hearing, the petitioner requests that the court determine that the decedent died without a will, determine the heirs of the decedent and formally appoint the nominee as personal representative to serve: ❑ without bond ❑ with bond in the amount of $ ❑ in unsupervised administration ❑ in supervised administration (additional filing fee required ) and that Letters of Administration be issued or that previously issued Letters be confirmed. Petitioner also requests: ❑ a setting aside of prior informal findings as to testacy. ❑ a setting aside of prior informal appointment of personal Representative. ❑ other: JDF 922 SC R6/19 PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 5 of 5 ❑ 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 Petitioner ) (Signature of Co -Petitioner , if any) ______________________ ___________________ __________________ Attorney Signature, (if any) Date Note: • Please remember to add any AKA names in the caption, if applicable .