Fill and Sign the Representative Filed by Form

JDF 923 8/13 ORDER OF INTESTACY, DETERMINATION OF HEIRS AND Page 1 of 2 FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ©2013 Colorado Judicial Department for use in the Courts of Colorado District Court Denver Probate Court___________________ County, ColoradoCourt Address:In the Matter of the Estate of:Deceased COURT USE ONLY Case Number:Division: Courtroom: ORDER OF INTESTACY, DETERMINATION OF HEIRS ANDFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Upon consideration of the Petition for Adjudication of Intestacy and Formal Appointment of Personal Representative filed by (Petitioner) on (date),THE COURT FINDS, DETERMINES AND ORDERS: 1.The Petitioner is an interested person and has filed a complete and verified petition.2.The Decedent died on (date) and 120 hours have elapsed since the Decedent’s death.3.The Decedent was domiciled or resided in the City of County of , State of . 4.Venue is proper in this county.5. The Petition was filed within the time period permitted by law.6. Any required notices have been given or waived.7. The Decedent did not leave a Will. The prior informal finding as to testacy is set aside. JDF 923 8/13 ORDER OF INTESTACY, DETERMINATION OF HEIRS AND Page 2 of 2 FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ©2013 Colorado Judicial Department for use in the Courts of Colorado 8. The heirs of the Decedent are: Name Relationship (e.g. spouse, partner in a civil union, child, brother, guardian for spouse, etc.)Share/Percentage of Estate 9. The following person is qualified to serve and is appointed or confirmed as Personal Representative:Name: The Nominee is 21 years of age or older. Street Address: Mailing Address, if different: City: State: Zip Code: Home Phone #: Email Address: Work Phone #: The prior informal appointment of (name) is set aside and the Letters are revoked. 10. The Personal Representative shall serve without bond.with bond in the amount of $ .in unsupervised administration.in supervised administration as described in an attachment to this Order.11.Letters of Administration shall be issued or previously issued Letters are confirmed.Date: ________________________________ ______________________________________ Judge Magistrate