Fill and Sign the Personal Representative Form

JDF 911 SC R6/19 ACCEPTANCE OF APPOINTMENT ❑ 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 ACCEPTANCE OF APPOINTMENT I accept appointment to, and agree to perform the duties and discharge the trust of, the office of : ❑ Personal Representative ; ❑ Successor Personal Representative; ❑ Special Administrator ; or ❑ Other : . I submit personally to the jurisdiction of this court in any proceeding relating to this matter. 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) Note : • This form is for decedent estate matter s only. • For guardianships and conservatorships matters use the Acceptance of Office (JDF 805).