IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No. Division Deceased. DESIGNATION OF SUCCESSOR RESIDENT AGENT AND ACCEPTANCE The undersigned, 1. 2. 3. I am the personal representative of the estate of , deceased. The person previously designated as resident agent in this proceeding is . I hereby designate County, , who (isis not) a member of The Florida Bar, who is a resident of Florida, whose (place ofof residence) is place residence and whose post office address is as my successor agent for the service of process or notice in any action against me, either in my representative capacity, or personally, if the personal action accrued in the administration of the estate. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this _______ day of __________________________, ________. states: Personal Representative ACCEPTANCE I CERTIFY that I am a permanent resident of , County, Florida, and my residence address is is as indicated above. I hereby accept the foregoing designation as Resident Agent. (residence) addressas indicated above. Signed on this _______ day of __________________________, ________. Resident Agent [Print or Type Names Under All Signature Lines] Bar Form No. P-3.0610 © Florida Lawyers Support Services, Inc. Revised January 1, 2016 American LegalNet, Inc. www.FormsWorkFlow.com