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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 _______ PETITION FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR PURSUANT TO 15-12-614, C.R.S. 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 S

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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 _______

PETITION FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR PURSUANT TO 15-12-614, C.R.S.
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.

6.

No court has appointed a Personal Representative and no such appointment proceeding is pending in this state or elsewhere.

JDF 926 1/09

PETITION FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR

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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 in an attached explanation and after the exercise of reasonable diligence, the Petitioner is unaware of any unrevoked Will relating to property in Colorado. or The date of the Decedent's last Will is . . The dates of all codicils are The Will and any codicils are referred to as the Will. The Petitioner believes that it is the Decedent's last Will and that it was validly executed. Except as may be disclosed in an attached explanation and after the exercise of reasonable diligence, the Petitioner is unaware of any instrument revoking the Will and is unaware of any prior Wills relating to property in Colorado that have not been expressly revoked by a later instrument. The original Will was deposited with this Court before the Decedent's death. (15-11-515, C.R.S.) has been delivered to this Court since the Decedent's death. (15-11-516, C.R.S.) is filed with this Petition. An e-filed copy of the Will is filed with this Petition. The original document will be delivered to the Court forthwith or has been delivered to the Court. The Will has been probated in the State of . Authenticated copies of the Will and of the statement probating it are filed with this Petition. (15-12-402, C.R.S.)

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 Decedent's spouse, children, heirs and devisees. 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.

JDF 926 1/09

PETITION FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR

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Name

Address (or date of death)

Age, only if Minor

Relationship (e.g. spouse, child, brother, guardian for spouse, etc.)

10. Petitioner requests appointment of a Special Administrator to preserve the estate or to secure its proper administration for the following reasons: (15-12-614(1)(b), C.R.S.)

11. or

Petitioner is 21 years of age or older and nominates himself/herself to be appointed as Special Administrator. Petitioner nominates the following person be appointed as Special Administrator. Name: Street Address: Mailing Address, if different: City: Email Address: State: Zip Code: Home Phone #: Work Phone #: The Nominee is 21 years of age or older.

The Nominee has priority for appointment because of: statutory priority (15-12-203, 15-12-615 and 15-12-621(9), C.R.S.) reasons stated in the attached explanation

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. No notice has been given because an emergency exists and appointment should be made forthwith.

JDF 926 1/09

PETITION FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR

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12. Petitioner states the following regarding the Decedent's estate. (15-12-604, C.R.S.): Estimated value of real estate Estimated value of personal property Annual income expected from all sources $ $ $ $

TOTAL
13.

Bond is not required by the Will (if any) nor has any interested person demanded that bond be filed. Bond in the amount of $ has been demanded.

After notice and hearing, the Petitioner requests that the Court formally appoint the Nominee as Special Administrator to serve: without bond. with bond in the amount of $

and that Letters of Special Administration be issued.

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.)

____________________________________________ 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 926 1/09

PETITION FOR FORMAL APPOINTMENT OF SPECIAL ADMINISTRATOR

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File Size: 166.6 kB
Pages: 4
Date: January 22, 2009
File Format: PDF
State: Colorado
Category: Court Forms - State
Author: Judicial User
Word Count: 1,125 Words, 7,319 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.co.us/Forms/PDF/JDF%20926%20%20Petition%20for%20Formal%20Appointment%20of%20Special%20Administrator.pdf