Print Form 1 LETT 2 3 4 5 DISTRICT COURT 6 CLARK COUNTY, NEVADA 7 8 In the Matter of the Estate of 9 10 CASE NO. 11 DEPT. NO. 12 Deceased. 13 14 LETTERS OF ADMINISTRATION 15 16 On the day of , 20 , the Court entered an Order appointing 17 as Administrator of the Decedent’s Estate. The Order includes: 18 A directive for no bond; 19 A directive for the establishment of blocked accounts; 20 A directive for the posting of bond in the sum of $ 21 A directive for both the establishment of blocked accounts for sums in excess of 22 $ 23 The Administrator, having duly qualified, may act and has the authority and and the posting of bond in the sum of $ 24 . duties of Administrator. 25 ; or . . . 26 27 28 LETT OF ADMIN/7/23/2009 American LegalNet, Inc. www.FormsWorkFlow.com 1 2 In testimony of which, I have this date signed these Letters and affixed the seal of the Court. 3 STEVEN D. GRIERSON, CLERK OF THE COURT 4 By:______________________________________ Deputy Clerk Date 5 6 OATH 7 8 9 I, , whose mailing address is , solemnly affirm that I will faithfully perform according to law the duties of Administrator and that all matters stated in any 10 petition or paper filed with the Court by me are true of my own knowledge or, if any 11 matters are stated on information and belief, I believe them to be true. 12 13 14 I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. EXECUTED this day of , 20 . 15 16 ______________________________ Administrator 17 18 19 20 21 22 23 24 25 26 27 28 2 LETT OF ADMIN/7/23/2009 American LegalNet, Inc. www.FormsWorkFlow.com