District Court Denver Probate Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: COURT USE ONLY Case Number: Deceased Protected Person Minor Ward Division: Courtroom: LETTERS (Name) ______________________________________was appointed or qualified by this Court or its Registrar on ____________________________________(date) as: Personal Representative. The decedent died on _____________________________ (date). These are Letters of Administration. (The decedent did not leave a will.) These are Letters Testamentary. (The decedent left a will.) Special Administrator in an informal a formal proceeding. These are Letters of Special Administration. Conservator. These are Letters of Conservatorship. The protected person is a minor whose date of birth is ______________________________________. Special Conservator. Guardian. These are Letters of Guardianship for: an incapacitated person. a minor whose date of birth is __________________________________. Emergency Guardian (Expires on __________________(date), not more than 60 days after appointment per §15-14-312, C.R.S.) Appointment or qualification is by court order. will. written instrument. ______________________________________________________________________________________ _________________________________________________________________________________________ These Letters evidence full authority, except for the following limitations or restrictions, if any: __________________________________________________________________________________________ __________________________________________________________________________________________ Dated: ________________________________ ___________________________________________ (Deputy) Clerk or Registrar of Court Certification Stamp CERTIFICATION or Certified to be a true copy of the original in my custody and to be in full force and effect as of: Dated: __________________________________ ____________________________________ (Deputy)Clerk of Court CPC 17 R1/03 LETTERS This forms conforms in substance to CPC 17. American LegalNet, Inc. www.USCourtForms.com