Colorado District Court - Notice Of Death Form
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1
District Court
Denver Probate Court
___________________ County, Colorado
Court Address:
In the Interest of:
COURT USE ONLY
Ward/Protected Person
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:__________ E-mail: __________________________
FAX Number:___________ Atty. Reg.#:_______________
Division ______ Courtroom _______
NOTICE OF DEATH
This Notice is submitted pursuant to §15-14-314(2)(g),C.R.S. and/or §15-14-431(1), C.R.S.
1.
(name), who died on
(date)
was the subject of a
Guardianship and/or
Conservatorship.
2.
The Guardian’s authority to act on behalf of the Ward has terminated.
The Conservator’s authority to act on behalf of the Protected Person is limited and the Conservator will
conclude administration of the conservatorship estate pursuant to §15-14-428 and 431, C.R.S.
VERIFICATION
I, (Guardian/Conservator) 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 Guardian/Conservator or Attorney
Date
CERTIFICATE OF SERVICE
I certify that on
(date) a copy of this Notice was served on each of the following:
Name of Person to Whom
Relationship to
Address
Manner
you
are
Sending
this
Protected
of
Document
Person/Ward
Service*
*
Insert one of the following: Hand Delivery, First-Class Mail, Certified Mail, E-Served or Faxed.
_____________________________________________
Signature
JDF 853 R1/10
NOTICE OF DEATH
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