Free ______________________County, Colorado District Court - Colorado

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 _______

PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE
****** Use this form if the Decedent did not leave a will *******
The Petitioner, an interested person pursuant to §15-10-201(27), C.R.S., makes the following statements:

1. Information about the Petitioner: Name: Street Address: Mailing Address, if different: City: Email Address: 2. The Decedent died on resided in the City of State: Zip Code: Home Phone #: Work Phone #: (date) at the age of County of years. The Decedent was domiciled or , State of . Relationship to Decedent

3. Venue for this proceeding is proper in this county because the Decedent: had his or her domicile or residence in this county on the date of death. did not have his or her domicile or residence in Colorado, but had property located in this county on the date of death.

4. This Petition is filed within the time period permitted by law. Three years or less have passed since the Decedent's death, or circumstances described in §15-12-108, C.R.S. authorize tardy probate or appointment.

5. The Petitioner: has not received a Demand for Notice of Filings or Orders and is unaware of any Demand for Notice of Filings or Orders concerning Decedent. has received or is aware of a Demand for Notice of Filings or Orders concerning Decedent. See attached Demand for Notice of Filings or Orders or explanation.

JDF 922 1/09

PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE

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6.

No court has appointed a Personal Representative and no such appointment proceeding is pending in this state or elsewhere. A court has appointed a Personal Representative or an appointment proceeding is pending in the State of . (Attach a statement explaining the circumstances and indicating the name and address of the Personal Representative. Attach a certified copy of the appointing document if the appointment has been finalized.)

7. Except as may be disclosed on an attached explanation and after the exercise of reasonable diligence, the Petitioner is unaware of any unrevoked will relating to property located in Colorado.

8. Decedent's marital and family status: a) Did a spouse survive the Decedent? If the answer to a) is Yes, also answer the following questions: b) Did the Decedent have a surviving parent? c) Did the Decedent have surviving children or other descendants? If the answer to c) is Yes, also answer the following questions: d) Does the Decedent's surviving spouse have surviving descendants who are not descendants of the Decedent? e) Are all of the Decedent's surviving descendants also descendants of the surviving spouse? If the answer to e) is No, also answer the following question: f) Are any of the Decedent's children minors?

Yes

No

Yes Yes

No No

Yes Yes

No No

Yes

No

9. List names and addresses of the Decedent's spouse, children, and other heirs as defined by the Colorado law of intestate succession. (§15-11-101, C.R.S. through §15-11-114, C.R.S.) If a guardian or conservator has been appointed for one of the persons listed below, also provide the name and address of the guardian or conservator. If a minor child is listed, list the child's parent(s), guardian or conservator. If a spouse or child has predeceased the Decedent, include the date of death. A sample of this section is included in the Instructions - JDF 907. Name Address (or date of death) Age, only if Minor Relationship (e.g. spouse, child, brother, guardian for spouse, etc.)

10. or

Petitioner is 21 years of age or older and nominates himself/herself to be appointed as Personal Representative. Petitioner nominates the following person be appointed as Personal Representative.

JDF 922 1/09

PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE

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Name: Street Address: Mailing Address, if different: City: Email Address: The Nominee has priority for appointment because of: statutory priority. (§15-12-203, C.R.S.) reasons stated in the attached explanation. State:

The Nominee is 21 years of age or older.

Zip Code:

Home Phone #: Work Phone #:

Persons with prior or equal rights to appointment are as follows:

They have each renounced their rights to appointment or have been given notice of these proceedings. Any required renouncements accompany this Petition.

11.

No interested person demanded that bond be filed. Bond in the amount of $ has been demanded.

12.

Unsupervised administration is requested. Supervised administration is requested (additional filing fee required). Terms of the requested supervision are as follows:

After notice and hearing, the Petitioner requests that the Court determine that the Decedent died without a will, determine the heirs of the Decedent and formally appoint the Nominee as Personal Representative to serve: without bond in unsupervised administration with bond in the amount of $ in supervised administration (additional filing fee required)

and that Letters of Administration be issued or that previously issued Letters be confirmed. Petitioner also requests: a setting aside of prior informal findings as to testacy. a setting aside of prior informal appointment of Personal Representative. other:

VERIFICATION AND ACKNOWLEDGMENT
I (Petitioner) 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.)

JDF 922 1/09

PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE

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____________________________________________ Signature of Petitioner Date The foregoing instrument was acknowledged before me in the County of ________________, State of Colorado, this ____day of ___________, 20____, by the Petitioner. My Commission Expires: ________________ _____________________________________________ Notary Public/Deputy Clerk

______________________________________ Signature of Attorney Date

JDF 922 1/09

PETITION FOR ADJUDICATION OF INTESTACY AND FORMAL APPOINTMENT OF PERSONAL REPRESENTATIVE

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