Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Licensed Fiduciary Number: ____________________________________ Representing Self, without a Lawyer or Attorney for Petitioner FOR CLERK'S USE ONLY OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of the Estate of: Case No: PB an Adult or a Minor, deceased APPLICATION FOR INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE (Person Died Without a Will - "Intestate Estate") OR APPLICATION FOR INFORMAL PROBATE OF WILL and FOR INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE (Person Died With a Will - "Testate Estate") 1. This is an application for: (check one box) Informal Appointment of Personal Representative because the person died without a Will ("Intestate Estate") OR Informal Probate of Will and for Informal Appointment of Personal Representative because the person died with a Will ("Testate Estate"). 2. I live in (County) Application under A.R.S. 14-3301 because I am: The surviving spouse of the person who died; An adult child of the person who died; A parent of the person who died; A brother or sister of the person who died; (State), and I am entitled to file this (check the box that applies) (Check the box only if there is not a Will) A person entitled to property of the person who died under Arizona law; Page 1 of 4 © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIP13f 050115 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. (Check the box only if there is a Will) A person who was nominated/named as Personal Representative by a Will; At least 45 days have passed since the person died, and I am a creditor. 3. The name of the person who died is: This person died on , (date of death) at the age of _____ years. . At the time of death, the person who died lived in the following county and state: . and 120 hours or more have passed since the time of death. . 4. There is a Will and the original of the Will of the person who died, dated filed with this Application. , is 5. The person who died left behind the following persons who are the surviving spouse, children and others entitled to take property under Arizona law: (if you need more space, attach a separate page): Name Age Relationship Address 6. This is the correct county in which to file the probate because the person who died was a resident of this county or owned property in this county at the time of death. 7. To the best of my knowledge, (check one box) no personal representative for the estate has been appointed in this state or elsewhere OR a personal representative for the estate has been appointed in this state or elsewhere: (name of the person) (name of state) 8. I have OR I have not received a demand for notice from any interested person, and I am OR I am not aware of any demand for notice by any interested person or any proceedings concerning the person who died, in this state or elsewhere. American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 4 © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIP13f 050115 Use only most current version Case No. 9. I believe that the person who died had no Will. (Check the box only if there is not a Will.) I exercised reasonable diligence, and I am not aware of any unrevoked Will, amendment to a Will, or a trust signed by the person who died that relates to property in this state. OR I believe that the Will dated was validly executed and is the last Will of the person who died. I exercised reasonable diligence, and I am not aware of any document that revokes the Will, or any amendment to the Will signed by the person who died. 10. I have priority for appointment as Personal Representative because there is a will and: (Check boxes that apply ­ if there is a will) I am named as personal representative in the Will of the person who died; I am the surviving spouse of the person who died and am named in the 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): 11. The names, relationships and addresses of all parties who have a prior or equal right to appointment under A.R.S. 14-3203 are (if you need more space, attach a separate page): Name Relationship Address 12. BOND INFORMATION: (Check one box) A bond is not required of the Personal Representative under A.R.S. 14-3603 because all the legal heirs have filed written waivers of bond. I request to be appointed Personal Representative to administer the estate without bond, OR A bond is not required because the Will waives the bond for the Personal Representative. I request to be appointed Personal Representative to administer the estate without bond, OR A bond is required of the Personal Representative under A.R.S. 14-3603 because all the legal heirs have not filed written waivers of bond and my best estimate of the fair market value of all the property owned by the person who died and subject to the probate jurisdiction of the Court is as follows: American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 4 © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIP13f 050115 Use only most current version Case No. Personal Property Real Property (less encumbrances) Expected annual income of Estate TOTAL $ $ $ $ I request to be appointed Personal Representative to administer the estate with a bond as might be required. 13. The time for informal appointment has not expired under A.R.S. 14-3108 because: (check which box is true) Two years have not passed since the death of the person; OR Other (Explain) (See a lawyer to help with this, if more than 2 years have passed): OATH or AFFIRMATION AND VERIFICATION OF APPLICANT The Applicant states under oath or affirms that the statements in the Application are accurate and complete to the best of his or her knowledge and belief. Signature of Applicant STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) . by (notary seal) Deputy Clerk or Notary Public American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 4 © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED PBIP13f 050115 Use only most current version