IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI - PROBATE DIVISION AT IN THE ESTATE OF ESTATE NUMBER , Deceased. DESIGNATION OF RESIDENT AGENT (Sec. 473.117, RSMO) I, residing at Street, City of St at e o f , desiring to serve as personal representative of the above named decedent, pursuant to Section 473.117, RSMO, hereby appoint my agent for service of process upon me within the State of Missouri concerning said estate. The undersigned swears that the matters set forth in the foregoing document are true and correct to the best knowledge and belief of the undersigned subject to the penalties of making a false affidavit or declaration. Dated: Personal Representative[Form 10020]