JDF 912 SC R 9 / 1 8 RENUNCIATION AND/OR NOMINAT ION OF PERSONAL REPRESENTATIVE Page 1 of 2 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 - ma il: FAX Number: Atty. Reg. #: Case Number : Division Courtroom RENUNCIATION AND/OR NOMINATION OF PERSONAL REPRESENTATIVE I, (name) , make the following statements to this c ourt. 1. I have priority for appoi ntment as p ersonal r epresentative of this estate because I am nominated by the d w ill or under a power conferred by the w ill . I renounce my right to appointment . 2. I have priority for appointment as p ersonal r epresentative of this estate pursuant to paragraphs (b) to (e) of 247 15 - 12 - 203(1), C.R.S.* Having the right to nominate a qualified person to act as p ersonal r epresentative, I nominate . I renounce my right to appointment . 3. I am over the age of 18 , but under 21 , and would be entitl ed to appointment as p ersonal r epresentative , but for my age. Having the right to nominate a qualified person to act as p ersonal r epresentative, I nominate . I renounce my right to nominate a p ersonal r epresentative. 4. O t her : 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. VERIFICATION I declare under penal ty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , (date) (month) (year) at (city or other location, and state O R country) American LegalNet, Inc. www.FormsWorkFlow.com JDF 912 SC R 9 / 1 8 RENUNCIATION AND/OR NOMINAT ION OF PERSONAL REPRESENTATIVE Page 2 of 2 (printed name) (signature) Note: Persons with priority for appointment as p ersonal r epresentative who also have the right to nominate a p ersonal r epresentative are set for th 247 15 - 12 - 203(1), C.R.S. and have priority in the following order: (b) t he surviving spouse or partner in a civil union of the d ecedent who is a devisee of the d ecedent; (b.5) a person given priority to be a personal representative in a designated benefic iary agreement made pursuant to 247 15 - 22 - 101, et. seq.; (c) other devisees of the d ecedent; (d) the surviving spouse or partner in a civil union of the d ecedent; (e) other heirs of the d ecedent. American LegalNet, Inc. www.FormsWorkFlow.com