Fill and Sign the Renunciation Personal Representative Form

 District Court  Denver Probate Court _________________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: Deceased: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom RENUNCIATION AND/OR NOMINATION OF PERSONAL REPRESENTATIVE I, (Name) _________________________________________________________, make the following statements to this Court. 1.  I am 21 years of age or older and I have the right to be appointed personal representative of this estate. I renounce my right to appointment. (Section 15-12-203(1), C.R.S.)  the decedent left a will dated _________________________________________________. The dates of all codicils are _______________________________________________________________________________________________. The will and any codicils are referred to as the will.  I am nominated by the will or under a power conferred by the will.  I am the surviving spouse of the decedent and a devisee of the decedent.  I am a devisee of the decedent  The decedent did not leave a will.  I am the surviving spouse of the decedent.  I am an heir of the decedent. (State relationship to the decedent which creates heirship.) _____________________________________________________________________________________________ 2.  I am 18 years of age or older and I have the right to nominate a qualified person to act as personal representative of this estate. (Section 15-12-203(3), C.R.S.)  The decedent left a will.  I am the surviving spouse and a devisee of the decedent.  I am a devisee of the decedent.  The decedent did not leave a will.  I am the surviving spouse of the decedent.  I am an heir of the decedent. (State relationship to the decedent which creates heirship.) _____________________________________________________________________________________________  (State any other right to nominate.) ______________________________________________________________________ _______________________________________________________________________________________________ Having the right to nominate a qualified person to act as personal representative,  I nominate (Name) ______________________________________________________________________________ to act as personal representative of this estate.  I renounce my right to nominate a qualified person to act as personal representative of this estate. DATE: ______________________________________ ___________________________________________ Signature (Type or Print name, address & tele. # below) ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ CPC 17-A R7/00 RENUNCIATION AND/OR NOMINATION OF PERSONAL REPRESENTATIVE 1 This form conforms in substance to CPC 17-A.