DE-104 (June 2012) STATE OF MAINE County Probate Court Docket No. Estate of Acceptance of Appointment of Deceased Personal Representative The undersigned: 1. Has applied/petitioned or has been nominated to be appointed personal representative of the above named estate. 2. Submits personally to the jurisdiction of this court in any proceeding relating to this estate. Notice of any proceeding relating to this estate may be delivered or mailed to me by ordinary mail at my address given below or at such other address as I may hereafter file with this court. Name and address of personal representative for court records: I accept appointment and hereby submit to the personal jurisdiction of this court. Dated: Signature Personal Representative American LegalNet, Inc. www.FormsWorkFlow.com