Free ______________________County, Colorado District Court - Colorado


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Date: June 30, 2009
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State: Colorado
Category: Court Forms - State
Author: Judicial User
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http://www.courts.state.co.us/Forms/PDF/JDF%20912%20Renunciation%20and%20or%20Nomination%20of%20Personal%20Representative.pdf

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District Court Denver Probate Court __________________ County, Colorado Court Address: _________________________________________

In the Matter of the Estate of: __________________________________________ Deceased Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number:_________________

Phone Number:________________ E-mail: ____________________ FAX Number:__________________ Atty. Reg. #: ________________

Division _______ Courtroom _______

RENUNCIATION AND/OR NOMINATION OF PERSONAL REPRESENTATIVE
I, (name), make the following statements to this Court.

1.

I have priority for appointment as personal representative of this estate because I am nominated by the Decedent's will or under a power conferred by the will. I renounce my right to appointment.

2. I have priority for appointment as personal representative of this estate pursuant to paragraphs (b) to (e) of §15-12-203(1), C.R.S.* Having the right to nominate a qualified person to act as personal representative, I nominate . I renounce my right to nominate a personal representative.

3.

I am between the age of 18 and 21 and would be entitled to appointment as personal representative but for my age. Having the right to nominate a qualified person to act as personal representative, I nominate . I renounce my right to nominate a personal representative.

4.

Other:

VERIFICATION AND ACKNOWLEDGMENT
I verify that the facts set forth in this document are true as far as I know or am informed. I understand that penalties for perjury follow deliberate falsification of the facts stated herein. §15-10-310, C.R.S.

_______________________________ Signature of Attorney Date

Signature

Date

Type or Print name

JDF 912

R7/09

RENUNCIATION AND/OR NOMINATION OF PERSONAL REPRESENTATIVE

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Address

City, State, Zip Code

Phone Number

E-Mail Address

The foregoing instrument was acknowledged before me in the County of ________________, State of Colorado, this ______ day of __________, 20____, by ___________________________.

My Commission Expires: ____________________

___________________________________
Notary Public/Deputy Clerk

*Note: Persons with priority for appointment as personal representative who also have the right to nominate a personal representative are set forth §15-12-203(1), C.R.S. and have priority in the following order: (b) The surviving spouse of the decedent who is a devisee of the decedent; (c) other devisees of the decedent; (d) the surviving spouse of the decedent; (e) other heirs of the decedent.

JDF 912

R7/09

RENUNCIATION AND/OR NOMINATION OF PERSONAL REPRESENTATIVE

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