JDF 930 SC R 9/18 CERTIFICATE OF ANCILLARY FILING District Court Denver Probate Court County, Colorado Court Address: In the Matter of the Estate of: Deceased COURT USE ONLY Case Number: Division Courtroom CERTIFICATE OF ANCILLARY FILING STATE application, or petition for administration, is pending in Colorado, has been filed with this c ourt. The following documents regarding , as the domiciliary foreign personal representative, have been filed with this c ourt: Certified, exemplified, or authenticated cop y foreign personal representative. Certified, exemplified, or authenticated cop y evidencing or affectin Other: The attached document(s) is/are certified to be a true copy of the certified exemplified authenticated copy of the document(s) referenced above that is/are in my custody. Date: (Deputy) Clerk or Registrar of Court American LegalNet, Inc. www.FormsWorkFlow.com