Irrevocable Power Of Attorney Designating Clerk Of Court As Agent For Service Of Process

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District Court
Denver Probate Court
__________________ County, Colorado
Court Address:
In the Interest of:
In the Matter of the Estate of:
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:___________ E-mail:__________________________
Division _____ Courtroom______
FAX Number:____________ Atty. Reg.#:______________
IRREVOCABLE POWER OF ATTORNEY
DESIGNATING CLERK OF COURT AS AGENT FOR SERVICE OF PROCESS
I,
(name), a nonresident of the State of Colorado, irrevocably
designate and appoint the Clerk of this Court, and any successor in that office, as the person upon whom may be
served all notices and process issued by a court or tribunal in the State of Colorado. This power of attorney is
applicable only for notices and process issued to me in my fiduciary capacity and that affect or pertain to the
above captioned matter. This Power of Attorney shall not be affected by my disability and it shall terminate upon
my final discharge.
VERIFICATION AND ACKNOWLEDGMENT
I (Proposed Fiduciary) 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.)
Date: ___________________________
____________________________________________
Signature of Proposed Fiduciary
_____________________________________________
Type or Print name of Proposed Fiduciary
_____________________________________________
Address
_____________________________________________
City, State, Zip Code
_____________________________________________
Phone Number
The foregoing instrument was acknowledged before me
in the County of _____________, State of Colorado,
this ____day of ____________, 20___, by the Proposed
Fiduciary.
My Commission Expires: ________________
_____________________________________________
Notary Public/Deputy Clerk
Note:
The address provided to the Court is the address where the Clerk of Court will forward all notices and
processes. I Therefore, it is important that you provide current contact information to the Court in writing.
JDF 721 R7/10 IRREVOCABLE POWER OF ATTORNEY DESIGNATING CLERK OF COURT AS AGENT FOR SERVICE OF PROCESS

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