DATE FILEDFORCOURT USE ONLY To:Name of PersonAppointed to takeDepositionStreet AddressCity/TownStateZip CodePhone NumberWhereas said Court now in session has, on motion of:(name of Fiduciary)granted a dedimus potestatem to take the deposition of:(name of person appointed to take deposition)Street AddressCity/TownStateZip CodePhone Numberto be used in the matter of (name of Deceased or Ward222s estate)If, therefore you accept said appointment, you are hereby requested to proceed and execute the duties thereof, agreeably to the Laws of this State authorizing and regulating the taking of depositions. Witness:Name ofProbate JudgeSignature ofProbate JudgeDateName ofProbate ClerkSignature ofProbate ClerkDate DEDIMUS POTESTATEMRIGL 8-9-17PC-10.9 (Rev. 07/17) State of Rhode Island and Providence PlantationsProbate CourtPage 1 of 1 STATE OF RHODE ISLANDCounty ofEstate ofAlias PROBATE COURT OF THECity or Town ofNo. PROBATE SIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com