CONSENT OF NONRESIDENT FIDUCIARY FOR SERVICE OF PROCESS COMMONWEALTH OF VIRGINIA VA. CODE §§ 64.2-1426, 64.2-426, 64.2-427 Court File No. ........................................................................... ESTATE OF I, .......................................................................................................................................................................................................................... ................................................................................................................................................................................, who qualified on the ................................. day of ........................................................................................., .................................., as [ [ [ [ ] Personal Representative (defined in Virginia Code § 1-234) ] Trustee under a Will or Inter Vivos Trust ] Guardian ] Conservator of an Incapacitated Person ..............................................................................................................................................................................., of the Estate of ..................................................................................................................................................................................................................., hereby consent to and appoint whose home address and home telephone number is ............................................................................................................................ ........................................................................................................................................................................................................................................................, and whose work address and work telephone number is ................................................................................................................... ...................................................................................................................................................................................................................................................... and who is a resident of the Commonwealth of Virginia to accept service of process in any action against me in my fiduciary capacity, or any other notice with respect to administration of the estate in my charge. NOTE: The Clerk may require evidence of consent. This ................................................... day of ............................................................................. , 20 ......................... . __________________________________________________________________ PERSONAL REPRESENTATIVE/TRUSTEE/GUARDIAN/CONSERVATOR State/Commonwealth of ......................................................... [ ] City [ ] County of ................................................................. The foregoing instrument was subscribed and sworn to/affirmed before me this ................................... day of ......................................................................................... , 20 ......................... by .................................................................................................................................................................................................................. PRINT NAME OF SIGNATORY _________________________________________________________________ NOTARY PUBLIC (My Commission expires: ..................................................... ) Registration No. ...................................................................................................... Witness: ___________________________________ CLERK/DEPUTY CLERK FORM CC-1610 MASTER 10/12 American LegalNet, Inc. www.FormsWorkFlow.com