District Court Denver Probate Court _________________________________ County, Colorado Court Address: __________________________________________________ In the Matter of the Estate of: __________________________________________________ COURT USE ONLY Case Number:___________________ Deceased Division_______ Courtroom ________ ORDER FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR Upon consideration of the Petition for ________________________ (Petitioner) on Formal Appointment of Special (date), Administrator filed by THE COURT FINDS, DETERMINES AND ORDERS: 1. The Petitioner is an interested person and has filed a complete and verified Petition. (date). 2. The Decedent died on County of 3. The Decedent was domiciled or resided in the City of of . , State 4. Venue is proper in this county. 5. The Petition was filed within the time period permitted by law. Any required notices have been given or waived. Notice is not required because the following emergency exists: 6. 7. Appointment of a Special Administrator is necessary to preserve the estate or to secure its proper administration. 8. The following person is qualified to serve and is appointed as Special Administrator: The Nominee is 21 years of age or older. Name: Street Address: Mailing Address, if different: State: City: Email Address: JDF 927 1/09 Zip Code: Home Phone #: Work Phone #: ORDER FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 9. Bond is set in the amount of $ . Bond is waived. 10. Upon the filing of any required bond, Letters of Special Administration shall be issued and shall expire on ______________________ (date), unless otherwise ordered by the Court. The Special Administrator has the power of a Personal Representative, except as identified below. Restrictions: Date: ______________________________ JDF 927 1/09 ____________________________________ Judge Magistrate ORDER FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com