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 Case Number: ________________________ In the Matter of the Estate of WAIVER OF RIGHT TO APPOINTMENT AS PERSONAL REPRESENTATIVE AND CONSENT TO APPOINTMENT OF PERSONAL REPRESENTATIVE _______________________________________ an Adult a Minor, deceased THE UNDERSIGNED PERSON STATES AS FOLLOWS: 1. I am: (check one box) (Check only if there is no Will) an heir of the decedent’s estate without a Will or (Check only if there is a Will) a person named in the decedent’s Will. § 2. I have priority for appointment as Personal Representative of this estate under A.R.S. 14-3203 because: (check which box applies) (Check only if there is a Will) I am named as Personal Representative in the Will of the person who died; (Check only if there is a Will) I am the surviving spouse of the person who died and I am named in the Will; (Check only if there is a Will) I am another person named in the Will of the person who died: I am the surviving spouse of the person who died; I am another person entitled to inherit the property of the person who died because (explain) 3. I waive and want to give up any right I have to appointment as the Personal Representative of this estate. 4. I consent to the appointment of (name) _____________________________________ as Personal Representative of the estate. OATH OR AFFIRMATION STATE OF ARIZONA County of Mohave ) )ss. I declare under penalty of perjury that the contents of this document are true and correct to the best of my knowledge and belief. __________________________________________________ Signature __________________________ Date Subscribed and sworn to (or affirmed) before me on the ____________ day of _____________, 20______ By:__________________________________________ My Commission Expires:________________________ 03/04/09 _________________________________ Notary Public / Deputy Clerk Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com