Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: Representing Self (without a lawyer) or Attorney for FOR CLERK'S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of the Estate of Case No: PB STATEMENT OF INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE an Adult or a Minor, deceased (Person Died Without a Will - "Intestate Estate") OR STATEMENT OF INFORMAL PROBATE OF A WILL AND INFORMAL APPOINTMENT OF A PERSONAL REPRESENTATIVE (Person died With a Will ­ "Testate Estate") THE PROBATE REGISTRAR FINDS: 1. An Application for Informal Appointment of a Personal Representative has been submitted by , requesting the following: (Check the box only if there is no Will) The appointment of as the Personal Representative to administer the estate of the person who died without a Will, (Check the box only if there is a Will) The admission to probate of the Will of the person who died dated , (Check the box only if there is a Will) The appointment of as the Personal Representative to administer the estate of the person who died with a Will. The Probate Registrar has found compliance with A.R.S. 14-3303 and is satisfied that the Will is entitled to probate. The Probate Registrar has found compliance with A.R.S. 14-3308 and is satisfied that the person named below is entitled to appointment as Personal Representative under Arizona law. 2. THEREFORE: 1. (Name) 2. 3. 4. , is appointed as Personal Representative of the estate of the person who died. (Check the box only if there is a Will) The Will of the person who died, dated is admitted to informal probate. No bond is required OR the Personal Representative shall post a bond in the amount of $ with this Court. Letters will be issued to the Personal Representative upon accepting and posting a bond (if required). The Personal Representative shall immediately notify the Court in these proceedings of any change in his or her address and shall be responsible for the costs resulting from his or her failure to do so. DATED: Probate Registrar © Superior Court of Arizona in Maricopa County October 26, 2010 ALL RIGHTS RESERVED Page 1 of 1 PBIP16f Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com