District Court Denver Probate Court ___________________ County, Colorado Court Address: In the Matter of the Estate of: COURT USE ONLY Deceased Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number:___________ E-mail:_________________________ FAX Number:____________ Atty. Reg. #:_________________ Division _______ Courtroom ______ APPLICATION FOR INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE ****** Use this form if the Decedent left a will ******* The Applicant, an interested person pursuant to §15-10-201(27), C.R.S., makes the following statements: 1. Information about the Applicant: Name: Relationship to Decedent: Street Address: Mailing Address, if different: City: State: Email Address: 2. The Decedent died on resided in the City of Zip Code: Home Phone #: Work Phone #: (date) at the age of years. The Decedent was domiciled or County of _______________, the State of . 3. Venue for this proceeding is proper in this county because the Decedent: had his 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 Application is filed within the time period permitted by law. Three years or less have passed since the Decedent’s death, or circumstances described in §15-12-108, C.R.S. authorize tardy probate or appointment. 5. The Applicant: has not received a Demand for Notice of Filings or Orders and is unaware of any Demand for Notice of Filings or Orders concerning the Decedent. has received or is aware of a Demand for Notice of Filings or Orders concerning the Decedent. See attached Demand for Notice of Filings or Orders or explanation. JDF 910 R7/09 APPLICATION FOR INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 6. No court has appointed a Personal Representative and no such appointment proceeding is pending in this state or elsewhere. A court has appointed a Personal Representative or an appointment proceeding is pending in the State of . (Attach a statement explaining the circumstances and indicating the name and address of the Personal Representative. Attach a certified copy of the appointing document if the appointment has been finalized.) 7. The date of the Decedent’s last Will is . The dates of all codicils are . The Will and any codicils are referred to as the Will. The Applicant believes that it is the Decedent’s last Will and that it was validly executed. Except as may be disclosed in an attached explanation and after the exercise of reasonable diligence, the Applicant is unaware of any instrument revoking the Will and is unaware of any prior Wills relating to property in Colorado that have not been expressly revoked by a later instrument. The original Will was deposited with this Court before the Decedent’s death. (§15-11-515, C.R.S.) has been delivered to this Court since the Decedent’s death. (§15-11-516, C.R.S.) is filed with this Application. An e-filed copy of the Will is filed with this Application. The original will be delivered to the Court forthwith. The Will has been probated in the State of . Authenticated copies of the Will and of the statement probating it are filed with this Application. (§15-12-402, C.R.S.) 8. The names and addresses of the Decedent’s spouse, children, other heirs and devisees are as follows:  If a guardian or conservator has been appointed for one of the persons listed below, also provide the name and address of the guardian or conservator.  If a minor child is listed, list the child’s parent(s), guardian or conservator.  If a spouse or child has predeceased the Decedent, include the date of death.  A sample of this section is included in the Instructions - JDF 906. Name 9. Address (or date of death) Age, only if Minor Relationship (e.g. spouse, child, brother, guardian for spouse, etc.) Applicant is 21 years of age or older and nominates himself/herself to be appointed as Personal Representative. or Applicant nominates the following person be appointed as Personal Representative. Name: JDF 910 R7/09 The Nominee is 21 years of age or older. APPLICATION FOR INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Street Address: Mailing Address, if different: City: State: Zip Code: Email Address: Home Phone #: Work Phone #: 10. The Nominee has priority for appointment because of: statutory priority. (§15-12-203, C.R.S.) reasons stated in the attached explanation. Persons with prior or equal rights to appointment are as follows: They have each renounced their rights to appointment or have been given notice of these proceedings. Any required renouncements accompany this Application. 11.  Bond is not required by the Will nor has any interested person demanded that bond be filed.  Bond in the amount of $ has been demanded. The Applicant requests that the Registrar informally admit the Decedent’s Will to probate and that the Nominee be informally appointed as Personal Representative in unsupervised administration to serve: without bond with bond in the amount of $ and that Letters Testamentary be issued. VERIFICATION AND ACKNOWLEDGMENT I (Applicant) verify that the facts set forth in this document are true as far as I know or am informed. I understand that penalties for perjury follow deliberate falsification of the facts stated herein. (§15-10-310, C.R.S.) ____________________________________________ Signature of Applicant Date The foregoing instrument was acknowledged before me in the County of ________________, State of Colorado, this ____day of ____________, 20___, by the Applicant. My Commission Expires: ________________ _____________________________________________ Notary Public/Deputy Clerk ______________________________________ Signature of Attorney Date JDF 910 R7/09 APPLICATION FOR INFORMAL PROBATE OF WILL AND INFORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com