Fill and Sign the Personal Surety Bond of Form

Name:_________________________________________________ Address:_______________________________________________ City, State. Zip:_________________________________________ Telephone:_____________________________________________ State Bar Code:_________________________________________ Client:_________________________________________________ IN THE SUPERIOR COURT OF T HE STATE OF ARIZONA In and for the County of ___________________ ___________________________________________ IN THE MATTER OF THE ESTATE OF: CASE NO. ___ _______________________________ PERSONAL SURETY BOND OF PERSONAL REPRESENTATIVE, CONSERVATOR OR GUARDIAN [ ] Probate [ ] Conservatorship [ ] Guardianship ______________________ _______________________________________________________________PB27 1. On_______________, _________________________________________was appointed: Personal Representative of this estate. [ ] Conservator of this estate. [ ]Guardian of this protected p erson. [ ] Other: (specify) 2. The estimated value of this estate, including all real and personal less encumbrances thereon is $____________. The approximate income expected from the estate during the next 12 months beginning______________________is $ ________. 3. The statutes provide that if bond is required and the amount is not specified by Will or Order then the amount of the bond must be an amount not less than the estimated value of this estate plus the amount of income expected during the first year from t his estate. This bond may be reduced by the amount of any real estate, less encumbrances thereon, if this fiduciary, by express limitation of power, lacks power to sell or convey without court authorization. ARS 14 -3604, 14 -5105, 14 -5411. In Probate, the S tate of Arizona is the obligee for the persons interested in this estate, and this bond is conditioned upon the faithful discharge by this fiduciary of all duties according to law. ARS 14 -3606(l). 4. I designate as collateral the following items listed by description and approximate present fair market value of security to cover the amount of bond required in this estate: Cash $__________________ Stocks $_______________ Bank Account __________________ Securities ________________ Real Property __________________ Other ________________ (less encumbrances) Total fair market value of collateral___________________ 5. The documents evidencing the perfection of the security agreement or lien to collateralize this bond are attached. Where the bond is collateralized by a pledge security agreement, the property pledged has been receip ted for by the receipt of the Clerk of the Court, a copy if which is attached. This collateral shall be released only by order of this Court. 6. I, as personal surety, hold and firmly bind unto the State of Arizona for the benefit of persons interested in the estate the penal sum of $___________. I bind my successors in interest for payment of that sum and collateralize this bond with the collateral set forth in this bond. _________________________ _________ _________________________________ Date Signature of ____________________________________ _______ Signature of STATE OF ARIZONA ) )ss County of __________________) SUBSCRIBED AND SWORN BEFORE ME THIS DATE __________________ Notary _______________________________________________ Seal