Free ______________________County, Colorado District Court - Colorado

District Court Denver Probate Court _________________________________ County, Colorado Court Address: _________________________________________________ In the Matter of the Estate of: ___________________________________________________ COURT USE ONLY Case Number: __________________

Deceased Division ______ Courtroom _________

ORDER FOR INFORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR
Upon consideration of the Application for Informal Appointment of Special Administrator filed by ________________________ (Applicant) on (date),

THE COURT FINDS, DETERMINES AND ORDERS:
1. The Applicant is an interested person and has filed a complete and verified application. 2. The Decedent died on 3. The Decedent was domiciled or resided in the City of of . 4. Venue is proper in this county. 5. The Application was filed within the time period permitted by law. 6. Any required notices have been received or waived. 7. The following person is qualified to serve and is appointed as Special Administrator: Name: Street Address: Mailing Address, if different: City: Email Address: 8. Bond is set in the amount of $ 9. . State: Zip Code: Home Phone #: Work Phone #: The Nominee is 21 years of age or older. (date). County of , State

Upon the filing of bond, Letters of Special Administration shall be issued and shall expire on ______________________ (date), unless otherwise ordered by the Court. The powers and duties of the Special Administrator are limited. The Special Administration has the duty to collect and manage the assets of the estate, to preserve them, to account for them, and to deliver them to the Personal Representative. Additional restrictions:

Date: ______________________________

____________________________________ Judge Magistrate Registrar

JDF 925

1/09

ORDER FOR INFORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR