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For Clerk’s Use Only
Name of Person Filing:
________________________________________
Mailing Address:
________________________________________
City, State, and Zip Code:
________________________________________
Day/Evening Phone Number: ________________________________________
State Bar Number (if applicable):______________________________________
Representing:
Self (Without a Lawyer) or
Attorney for _________________________________
SUPERIOR COURT OF ARIZONA
MOHAVE COUNTY
Case Number: _____________________________
In the Matter of the Estate of
STATEMENT OF INFORMAL APPOINTMENT
OF PERSONAL REPRESENTATIVE (Person
Died Without a Will – “Intestate Estate”)
_______________________________________
OR
an Adult
a Minor, deceased
STATEMENT OF INFORMAL PROBATE OF A
WILL AND INFORMAL APPOINTMENT OF A
PERSONAL REPRESENTATIVE (Person Died
With a Will – “Testate Estate”)
THE PROBATE CLERK / REGISTRAR FINDS:
1.
An Application for Informal Appointment of a Personal Representative has been submitted by
________________________________________________________, requesting the following:
(Check the box only if there is no Will) The appointment of __________________________
as the Personal Representative to administer the estate of the person who died without a Will,
(Check the box only if there is a Will) The admission to probate of the Will of the person who
died dated _____________________.
(Check the box only if there is a Will) The appointment of ____________________________
as the Personal Representative to administer the estate of the person who died with a Will.
2.
The Probate Clerk has found compliance with A.R.S. §14-3303 and is satisfied that the Will is
entitled to probate.
The Probate Clerk has found compliance with A.R.S. §14-3308 and is satisfied that the person
named below is entitled to appointment as Personal Representative under Arizona law.
THEREFORE:
1.
(Name)_________________________________, is appointed as Personal Representative of the estate
of the person who died.
2.
(Check the box only if there is a Will) The Will of the person who died, dated ____________
is admitted to informal probate.
3.
No bond is required OR
the Personal Representative shall post a bond in the amount of
$_____________________ with this Court. Letters will be issued to the Personal
Representative upon accepting and posting a bond (if required).
“WARNING: THIS APPOINTMENT IS NOT EFFECTIVE UNTIL THE LETTERS OF
APPOINTMENT HAVE BEEN ISSUED BY THE CLERK OF THE SUPERIOR COURT.”
4.
The Personal Representative shall immediately notify the Court in these proceedings of any change in
his or her address and shall be responsible for the costs resulting from his or her failure to do so.
DATED: _____________________________
_____________________________________
Probate Clerk / Registrar
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Revised: 1/16/2012