For Clerk’s Use Only Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, and Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ State Bar Number (if applicable):______________________________________ Self Representing: Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY In the Matter of the Estate of Case Number: ____________________________ ______________________________________ an Adult OR a Minor, deceased LETTERS OF APPOINTMENT OF PERSONAL REPRESENTATIVE AND ACCEPTANCE OF APPOINTMENT AS PERSONAL REPRESENTATIVE LETTERS OF PERSONAL REPRESENTATIVE ________________________________(name) is appointed as Personal Representative of this Estate without restriction except as follows: WITNESS:______________________(date) Clerk of the Superior Court or By_____________________________________ Deputy Clerk/Registrar ACCEPTANCE OF APPOINTMENT STATE OF ARIZONA ) MOHAVE COUNTY )ss. I accept the duties of Personal Representative of the Estate of the above-named person who has died and do solemnly swear that I will perform the duties as Personal Representative according to law. DATED_______________________ ___________________________________________ Signature of Personal Representative Subscribed and sworn to before me this _______day of ___________, ________ by __________________________________________ My Commission Expires:_________________________ ___________________________________________ Deputy Clerk / Notary Public 03/04/09 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com