District Court Denver Probate Court _________________________________ County, Colorado Court Address: _____________________________________ In the Matter of the Estate of: COURT USE ONLY ____________________________________________ Case Number:________________
Deceased
Division:_____ Courtroom: ______
CERTIFICATE OF ANCILLARY FILING DECEDENT'S ESTATE
The domiciliary foreign personal representative's sworn statement stating that no administration, or application, or petition for administration, is pending in Colorado, has been filed with this Court.
The following documents regarding foreign personal representative, have been filed with this Court:
, as the domiciliary
Certified, exemplified, or authenticated copy of the foreign court's order appointing the domiciliary foreign personal representative. Certified, exemplified, or authenticated copy of the foreign court's letters or other documents evidencing or affecting the domiciliary foreign personal representative's authority to act. Certified, exemplified, or authenticated copy of the Decedent's Will. (Optional) Other:
The attached document(s) is/are certified to be a true copy of the certified exemplified authenticated copy of the document(s) referenced above that is/are in my custody.
Date: ________________________________
___________________________________________ (Deputy) Clerk or Registrar of Court
JDF 930 R4/09
CERTIFICATE OF ANCILLARY FILING DECEDENT'S ESTATE