SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ FEP _________ Estate of ________________________________ Deceased APPOINTMENT OF AGENT TO ACCEPT SERVICE OF PROCESS I _____________________________________________________, personal representative of the estate of ________________________________________________, deceased do hereby designate __________________________________________ as my agent, in the District of Columbia, with the mailing address shown below, on whom service of process may be made in like manner and with like effect as if it were personally served on me. AS WITNESS my hand and seal this __________ day of____________________, ________. __________________________________ __________________________________ Personal Representative(s) __________________________________ __________________________________ Address Signature of Agent in the District of Columbia District of Columbia mailing address of Agent American LegalNet, Inc. www.FormsWorkFlow.com April 2009