JDF 910 SC R 6 /1 9 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 1 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE District Court Denver Probate Court County, Colorado Court Address: I n the Matter of the Estate of : Deceased COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom A PPLICATION FOR INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ****** Use this f orm i f the d e cedent left a w ill ******* The a pplicant, an interested person pursuant to 247 15 - 10 - 201( 27), C.R.S., makes the following statements: 1. Information about the a pplicant : Name: Relationship to Decedent : Street Address : City: State: Zip Code: Mailing Address, if different: City: State: Zip Code: Primary Phone: Alternate Phone: Email Address: 2. The D ecedent (name) died on (date) at the age of years. The d ecedent was domiciled or resided in the City of County of , the State of . 3. Venue for this proceeding is proper in this county because the d ecedent: had h is or her domicile or residence in this county on the date of death. did not have his or her domicile or residence in Colorado, but had property located in this county on the date of death. 4. This a pplication is filed within the time period permitted by law. Three years or less have passed since the d , or circumstances described in 247 15 - 12 - 108, C.R.S. authorize tardy probate or appointment. 5. The a pplicant : has not received a D emand for Notice of Filings or Orders and is unaware of any D emand for N otice of Filings or Orders concerning the d ecedent. has received or is aware of a D emand for N otice of Filings or Orders concerning the Decedent . See attached Demand for Notice of Filings or Orders or explanation. American LegalNet, Inc. www.FormsWorkFlow.com JDF 910 SC R 6 /1 9 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 2 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE 6. No court has appointed a p ersonal r epresentative and no such appointment proceeding is pending in this state or elsewhere. A c ourt has appointed a p ersonal r epresentative or an appointment proceeding is pending in the State of . ( Attach a statement explaining the circumstances and indicating the name and address of the p ersonal r epresentati ve. Attach a certified copy of the appointing document if the appointment has been finalized.) 7. The date of the d w ill is . The dates of all codicils are . The w ill and any codic i ls are collectively referred to as the Will. The a pplicant believes that it is the d w ill and that it was validly executed. Except as may be disclosed in an attached explanation and after the exercise of reasonable diligence, the a pplicant is unaware of any instrument revoking the w ill and is unaware of any prior w ills relating to property in Colorado that were not expressly revoked by a later instrument. The original w ill was deposited with this c ourt before the d death . (247 15 - 11 - 515, C.R.S. ) ; has been delivered to this c ourt since the d . (247 15 - 11 - 516, C.R.S. ) ; or is filed with this a pplication. An e - filed copy of the w ill is filed with this a pplication. The original will be delivered to the c ourt forthwith . The w ill has been probated in the State of . Authenticated copies of the w ill and of the statement probating it are filed with this a pplication. ( 247 15 - 12 - 402 , C.R.S. ) 8. Deced e marital and family status: a) Did a spouse or partner in a civil union survive the decedent? Yes No b) Did the decedent have a surviving parent? Yes No c) Did the decedent have surviving children or other descendants? Yes No d) Does the de are not descendants of the decedent? Yes No surviving spouse or partner in a civil union? Yes No Yes No 9. The names and addresses of the d partner in a civil union, children, other heir s and devisees are as follows: If a g uardian or c onservator has been appointed for one of the persons listed below, also provide the name and address of the g uardian or c onservator. (s) , guardian or conservator. If a spouse , partner in a civil union, or child has predeceased the d ecedent, include the date of death . A sample of this section is included in the Instructions - JDF 90 6 . Name Address or Date of Death Age, only if Minor Relationship (e.g. spouse, partner in a civil union, child, brother, guardian for spouse, etc.) American LegalNet, Inc. www.FormsWorkFlow.com JDF 910 SC R 6 /1 9 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 3 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE 10. Applicant is 21 years of age or older and nominates himself/herself to be appointed as p ersonal r epresentative. O r Applicant is 21 years of age or older and nominates himself/herself to be appointed as co - personal representative along with the following as a co - personal representative. Name: The Nominee is 21 years of age or older. Street Address: City: State: Zip Code: Mailing Address, if different: City: State: Zip Code: Primary Phone: Alternate Phone: Email Address: O r App licant nominates the fo llowing person be appointed as p ersonal r epresentative. Name: The Nominee is 21 years of age or older . Street Address : City: State: Zip Code: Mailing Address, if different: City: State: Zip Code: Primary Phone: Alternate Phone: Email Address: 11. The n ominee has priority for appointment because of: statutory priority . ( 247 15 - 12 - 203 , C.R.S .) reasons stated in the attached explanation. P ersons with prior or equal rights to appointment are as follows: All person(s) (other than those identified in Paragraph 10 above) with prior or equal right to appointment have renounced their right to appointment (JDF 912SC). All required renouncements accompany this app lication. 12. The p ersonal r epresentative may receive compensation . The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated , are as stated below or in an attachment to this a pplication. * American LegalNet, Inc. www.FormsWorkFlow.com JDF 910 SC R 6 /1 9 APPLICATION FOR INFORMAL PROBATE OF WILL AND Page 4 of 5 INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE The basis of compensation has not yet been determined. * * There is a continuing obligation to disclose any material changes to the basis for charging fees. (247 15 - 10 - 602 C.R.S.) 13. The p ersonal r epresentative may compensate his, her, or its counsel. The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated , are as stated below or in an attachment to this a pplication. * The basis of compensation has not yet been determined. * * There is a continuing obligation to disclose any material changes to the basis for charging fees. (247 15 - 10 - 602 C.R.S.) 1 4 . Bond i s not required by the will and no interested person demanded that bond be filed. (Skip #15 below.) Bond is required by will or is being demanded by an interested person. (Complete #15 below.) B o nd in the amount of $ has been demanded . 15. App if required by 247 15 - 12 - 604, C.R.S. Estimate d v alue of r eal e state $ Estimate d v alue of p ersonal p roperty $ A nnual i ncome e xpected from all s ources $ TOTAL $ 16. T he a pplicant requests that the r egistrar in formally admit the d w ill to probate and that the n ominee be in formally appointed as p ersonal r epresentative in unsupervised administration to serve: without bond with bond in the amount of $ and that Letters Testamentary be issued . By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. American LegalNet, Inc. www.FormsWorkFlow.com JDF 910 SC R 6 /1 9 APPLICATION FOR INFORMAL PROBATE OF WILL AND Pa