Fill and Sign the This Petition is Submitted Pursuant to 15 14 1121 3 C Form

JDF 879 R8/17 PETITION FOR APPOINTMENT OF CO-CONSERVATOR OR SUCCESSOR CONSERVATOR Page 1 of 3©2017 Colorado Judicial Department for use in the Courts of ColoradoDistrict Court Denver Probate Court___________________ County, ColoradoCourt Address:In the Interest of:Protected Person COURT USE ONLY Attorney or Party Without Attorney (name and address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom PETITION FOR APPOINTMENT OF CO-CONSERVATOR SUCCESSOR CONSERVATOR This Petition is submitted pursuant to §15-14-112(1) – (3), C.R.S. and the Petitioner makes the following statements:1.Petitioner, (name), is an interested person. State relationship to Protected Person: 2.Letters of Conservatorship were issued on (date).3. The previously appointed Conservator, (name):joins in this petition.tendered a resignation approved by the Court on (date).died on (date of death). been removed by order of the Court issued on (date).is the Petitioner and hereby tenders his/her resignation.other: . 4.Petitioner is, 21 years of age or older, nominates himself/herself and requests to be appointed as Co- Conservator or Successor Conservator.orPetitioner nominates the following person, who is 21 years of age or older, to be appointed as  Co- Conservator or Successor Conservator.Name: Relationship to Protected Person: Street Address:Mailing Address, if different: City: State: Zip Code: Home Phone #:Email Address: Work Phone #: JDF 879 R8/17 PETITION FOR APPOINTMENT OF CO-CONSERVATOR OR SUCCESSOR CONSERVATOR Page 2 of 3©2017 Colorado Judicial Department for use in the Courts of Colorado5. The nominated Co-Conservator or Successor Conservator has priority for appointment because he/she is: (§15-14-413, C.R.S.)a Conservator, Guardian or other fiduciary appointed or recognized by a court in another jurisdiction where the Protected Person resides.nominated in writing by Protected Person, including nomination in a durable power of attorney or designated beneficiary.an agent appointed by the Protected Person to manage the Protected Person’s property under a durable power of attorney. the spouse or partner in a civil union of the Protected Person. an adult child of the Protected Person.a parent of the Protected Person. an adult with whom Protected Person has resided for more than six months immediately before the filing of this Petition.6. The Co-Conservator or Successor Conservator may receive compensation.The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this Petition. *The basis of compensation has not yet been determined.7.The Co-Conservator or Successor Conservator may compensate his, her, or its counsel.The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this Petition. *The basis of compensation has not yet been determined.* There is a continuing obligation to disclose any material changes to the basis for charging fees. (§ 15-10-602 C.R.S.)8.The Petitioner hereby adopts the statements in the original petition for appointment that led to the appointment of the current Conservator.9.Petitioner requests that the nominee be appointed as Co-Conservator or Successor Conservator and that Letters of Conservatorship be issued forthwith after the following event: JDF 879 R8/17 PETITION FOR APPOINTMENT OF CO-CONSERVATOR OR SUCCESSOR CONSERVATOR Page 3 of 3©2017 Colorado Judicial Department for use in the Courts of Colorado 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 AND ACKNOWLEDGMENT I (Petitioner) 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 Petitioner DateThe foregoing instrument was acknowledged before mein the County of ________________, State of Colorado, this ____day of __________, 20___, by the Petitioner.My Commission Expires: ________________ ____________________________________________ Notary Public/Deputy Clerk ______________________________________Signature of Attorney Date CERTIFICATE OF SERVICE I certify that on ________________________ (date) a copy of this Petition for Appointment of Co-Conservator or Successor Conservator was served on each of the following:Name of Person to Whom you are Sending this DocumentRelationship to Protected PersonAddressManner of Service* Protected Person*Insert one of the following: Hand Delivery, First-Class Mail, Certified Mail, E-Served or Faxed. ___________________________________________Signature Note: The Petitioner must contact the Court to set a date and time for a hearing.