For Clerk's Use Only SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case Number: ________________________ In the Matter of the Estate of: _____________________________________ (Name of Decedent) Deceased. ORDER FOR EMERGENCY APPOINTMENT OF SPECIAL ADMINISTRATOR (for Funeral Arrangements) An Emergency application for formal Appointment of Special administrator has been submitted by ____________________________________ ("the Applicant") requesting appointment as the Special Administrator. The undersigned is satisfied that the Applicant is a proper person qualified to act as Special Administrator pursuant to all applicable provisions of A.R.S. Title 14, Chapter 3, Article 6. THEREFORE, _______________________________ is appointed as Special Administrator pursuant to all applicable provisions of A.R.S. Title 14, Chapter 3, Article 6. THEREFORE, _______________________________ is appointed as Special Administrator of decedent's Estate, without bond, for the express limited purpose of authorizing any and all funeral arrangements for the decedent's remains with a local funeral home. The appointment shall terminate, in accordance with A.R.S. § 14-3618, upon the earlier of the appointment of a general Personal Representative or the completion of all funeral arrangements for the decedent. DATED this ___________ day of ______________________, 20_________. ________________________________________ Judicial Officer 3/12/2012 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com