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JDF 910 SC R6/19 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 1 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ❑ District Court ❑ Denver Probate Court __________________________________ County, Colorado Court Address: In the Matter of the Estate of : Deceased COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E -mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom APPLICATION FOR INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ****** Use this form i f the decedent left a will ******* The applicant, an interested person pursuant to § 15 -10 -201( 27), C.R.S., makes the following statements: 1. Information about the applicant : Name: Relationship to Decedent : Street Address : City: ______________________ State: __________ Zip Code: __________________________ Mailing Address, if different: City: State: Zip Code: Primary Phone: __________________________Alternate Phone: ________________________________ Email Address: 2. The Decedent ________________ (name) died on (date) at the age of years. The decedent was domiciled or resided in the City of County of _______________, the State of . 3. Venue for this proceeding is proper in this county because the decedent: ❑ had h is or her domicile or residence in this county on the date of death. ❑ did not have his or her domicile or residence in Colorado, but had property located in this county on the date of death. 4. This application is filed within the time period permitted by law. Three years or less have passed since the decedent’s death , or circumstances described in § 15 -12 -108, C.R.S. authorize tardy probate or appointment. 5. The applicant : ❑ has not received a Demand for Notice of Filings or Orders and is unaware of any Demand for Notice of Filings or Orders concerning the decedent. ❑ has received or is aware of a Demand for Notice of Filings or Orders concerning the Decedent . See attached Demand for Notice of Filings or Orders or explanation. JDF 910 SC R6/19 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 2 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE 6. ❑ No court has appointed a personal representative and no such appointment proceeding is pending in this state or elsewhere. ❑ A court has appointed a personal representative or an appointment proceeding is pending in the State of . (Attach a statement explaining the circumstances and indicating the name and address of the personal representati ve. Attach a certified copy of the appointing document if the appointment has been finalized.) 7. The date of the decedent’s last will is . The dates of all codicils are . The will and any codic ils are collectively referred to as “the W ill. ” The applicant believes that it is the decedent’s last will and that it was validly executed. Except as may be disclosed in an attached explanation and after the exercise of reasonable diligence, the applicant is unaware of any instrument revoking the will and is unaware of any prior wills relating to property in Colorado that were not expressly revoked by a later instrument. ❑ The original will ❑ was deposited with this court before the decedent’s death . (§ 15 -11 -515, C.R.S. ); ❑ has been delivered to this court since the decedent’s death . (§ 15 -11 -516, C.R.S. ); or ❑ is filed with this application. ❑ An e -filed copy of the will is filed with this application. ❑ The original will be delivered to the court forthwith . ❑ The will has been probated in the State of . Authenticated copies of the will and of the statement probating it are filed with this application. ( § 15 -12 -402 , C.R.S. ) 8. Deced ent’s marital and family status: a) Did a spouse or partner in a civil union survive the decedent? ❑ Yes ❑ No b) Did the decedent have a surviving parent? ❑ Yes ❑ No c) Did the decedent have surviving children or other descendants? ❑ Yes ❑ No d) Does the de cedent’s surviving spouse or partner in a civil union have surviving descendants who are not descendants of the decedent? ❑ Yes ❑ No e) Are all of the decedent’s surviving descendants also descendants of the surviving spouse or partner in a civil union? ❑ Yes ❑ No f) Are any of the decedent’s children minors? ❑ Yes ❑ No 9. The names and addresses of the decedent’s spouse, partner in a civil union, children, other heir s and devisees are as follows: • If a guardian or conservator has been appointed for one of the persons listed below, also provide the name and address of the guardian or conservator. • If a minor child is listed, list the child’s parent (s) , guardian or conservator. • If a spouse , partner in a civil union, or child has predeceased the decedent, include the date of death . • A sample of this section is included in the Instructions - JDF 90 6. Name Address or Date of Death Age, only if Minor Relationship (e.g. spouse, partner in a civil union, child, brother, guardian for spouse, etc.) JDF 910 SC R6/19 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 3 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE 10. ❑ Applicant is 21 years of age or older and nominates himself/herself to be appointed as personal representative. Or ❑ Applicant is 21 years of age or older and nominates himself/herself to be appointed as co -personal representative along with the following as a co -personal representative. Name: The Nominee is 21 years of age or older. Street Address: City: _________________________ State: _________ Zip Code: _____________________ Mailing Address, if different: City: State: Zip Code: Primary Phone: _____________________________ Alternate Phone: ____________________________ Email Address: Or ❑ App licant nominates the fo llowing person be appointed as personal representative. Name: The Nominee is 21 years of age or older . Street Address : City: _________________________ State: _________ Zip Code: _____________________ Mailing Address, if different: City: State: Zip Code: Primary Phone: _____________________________ Alternate Phone: ____________________________ Email Address: 11. The nominee has priority for appointment because of: ❑ statutory priority . (§ 15 -12 -203 , C.R.S .) ❑ reasons stated in the attached explanation. Persons with prior or equal rights to appointment are as follows: All person(s) (other than those identified in Paragraph 10 above) with prior or equal right to appointment have renounced their right to appointment (JDF 912SC). All required renouncements accompany this app lication. 12. The personal representative 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 application. * JDF 910 SC R6/19 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 4 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ❑ 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.) 13. The personal representative 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 application. * ❑ 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.) 14. ❑ Bond i s not required by the will and no interested person demanded that bond be filed. (Skip #15 below.) ❑ Bond is required by will or is being demanded by an interested person. (Complete #15 below.) ❑ Bond in the amount of $ has been demanded . 15. App licant states the following regarding the decedent’s estate if required by § 15 -12 -604, C.R.S. Estimate d value of real estate $ Estimate d value of personal property $ Annual income expected from all sources $ TOTAL $ 16. The applicant requests that the registrar informally admit the decedent’s will to probate and that the nominee be informally appointed as personal representative in unsupervised administration to serve: ❑ without bond ❑ with bond in the amount of $ and that Letters Testamentary be issued . ❑ 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. JDF 910 SC R6/19 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 5 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of Executed on the ______ day of (date) (date) _______________________, _________, _______________________, _________, (month) (year) (month) (year) at ______________________________________ at ______________________________________ (city or other location, and state OR country) (city or other location, and state OR country) _______________________________ _______________________________ (printed name) (printed name) _______________________________ _______________________________ (Signature of Applicant ) (Signature of Co -Applicant , if any) _________________________________________ __________________ Attorney Signature, (if any) Date Note: • Please remember to add any AKA names in the caption, if applicable.