Fill and Sign the Received from Form

JDF 731 R8-17 RECEIPT AND RELEASE Page 1 of 2©2017 Colorado Judicial Department for use in the Courts of Colorado District Court Denver 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 RECEIPT AND RELEASE Received from _________________________________________, Personal Representative Conservator partial  full payment and satisfaction of the following:the devise to me in the Will under article(s) .my share of the estate as a devisee in the Will.my share of the estate as an heir.my distribution from the conservatorship case.Other: Cash in the amount of $ __________________.Tangible personal property described as: * Real property described as: * The following securities: * JDF 731 R8-17 RECEIPT AND RELEASE Page 2 of 2©2017 Colorado Judicial Department for use in the Courts of Colorado Other (describe): * I grant a partial release and satisfaction to the estate and to the fiduciary as to the above partial distribution.I grant a full and final release and satisfaction to the estate and to the fiduciary and his or her successors for any liability in connection with my interest in the estate. 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.(Checking this box requires you to remove JDF number and copyright at the bottom of the form.) VERIFICATION I, verify that the facts set forth in this document are true as far as I know or am informed. I understand that penalties for perjury follow deliberate falsification of the facts stated herein. (§15-10-310, C.R.S.) ____________________________________________ Signature of Person Signing Receipt and Release Date____________________________________________Print Name * Attach additional sheets as necessary.