District Court Denver Probate Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: Deceased Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: E-mail: FAX Number: Atty. Reg. #: Division Courtroom APPLICATION FOR INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE 1. Applicant, (Name) ________________________________________________________________________ as _______________________________________________, is an interested person. (§15-10-201, C.R.S.) 2. The decedent died on the date of ________________________, at the age of _______years, domiciled in the City of __________________, County of ___________________, State of _________________________. 3. Venue for this proceeding is proper in this county because the decedent: was a domiciliary of this county on the date of death. was not a domiciliary of Colorado, but property of the decedent was located in this county on the date of death. 4. No personal representative has been appointed by a Court in this state or elsewhere. A personal representative of the decedent has been appointed by a Court in this state or elsewhere as shown on the attached explanation. (§15-12-301, C.R.S.) 5. Applicant: has not received a demand for notice and is unaware of any demand for notice of any probate or appointment proceeding concerning the decedent that may have been filed in this state or elsewhere. has received, or is aware of, a demand for notice. See attached demand or explanation. 6. Except as may be disclosed on an attached explanation and after the exercise of reasonable diligence, applicant is unaware of any unrevoked will relating to property located in this state. 7. No statutory time limitation applies to the commencement of these proceedings. (§15-12-108, C.R.S.) 8. ________________________________________________________________________________________ Name, address, and telephone number of the nominee for Personal Representative ________________________________________________________________________________________ is 21 years of age or older, and has priority for appointment because of: statutory priority. (§15-12-203, C.R.S.) reasons stated in the attached explanation. Those persons having prior or equal rights to appointment have renounced their rights to appointment or have been given notice of these proceedings. (§15-12-310, C.R.S.) Any required renouncements accompany this application. 9. The nominee is to serve in unsupervised administration and without bond. Bond has not been demanded by an interested person. (§15-12-603 and 605, C.R.S.) CPC 13-A R7/04 APPLICATION FOR INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE This form conforms in substance to CPC 13-A. Page 1 of 2 American LegalNet, Inc. www.USCourtForms.com 10. The decedent was not married at the time of death. The decedent was married at the time of death. (§15-11-102, C.R.S.) All of the decedent’s surviving issue are issue of surviving spouse and there are no other issue of surviving spouse who survive the decedent. All of decedent’s surviving issue are issue of surviving spouse and surviving spouse has other surviving issue.  Not all of the decedent’s issue are issue of the surviving spouse. There is a surviving parent but no surviving issue of decedent.  There are no surviving issue or parents of decedent. 11. Listed below are the names and addresses of decedent’s spouse, children, and heirs, and the names and addresses of guardians or conservators of incapacitated or protected persons. (See instructions below.) NAME (Include spouse, if any) ADDRESS (or date of death) AGE AND DATE OF BIRTH OF MINORS (or nature of disability) INTEREST AND RELATIONSHIP (See instructions) APPLICANT REQUESTS that the nominee be informally appointed as personal representative to serve without bond in unsupervised administration; and that Letters of Administration be issued to the personal representative. As the applicant and being sworn, I verify that the facts set forth in this application are true to the best of my knowledge, information, and belief. ________________________________________________ ________________________________________________ Signature of Attorney for Applicant Date (Type or Print name below) Signature of Applicant (Type or Print name, address and telephone # below) _______________________________________________ ________________________________________________ Date ________________________________________________ ________________________________________________ ________________________________________________ State of ____________________________ County of ___________________________ Subscribed and affirmed or sworn to before me this ______day of _______________, 20 ___, by ____________________. My commission expires: ____________________________ ________________________________________________ Notary Public/Deputy Clerk INSTRUCTIONS FOR PARAGRAPH 11: Include any statements of legal disability or other incapacity required by Rule 10, C.R.P.P. Where a listed person is an heir, detail the relationship to the decedent, which creates heirship. Examples: son, daughter of pre-deceased son. (§§15-11-101 to 114, C.R.S.) Attach additional sheets if necessary. CPC 13-A R7/04 APPLICATION FOR INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE This form conforms in substance to CPC 13-A. Page 2 of 2 American LegalNet, Inc. www.USCourtForms.com