CONSENT OF NONRESIDENT FIDUCIARY FOR
SERVICE OF PROCESS
Court File No.
...........................................................................
COMMONWEALTH OF VIRGINIA VA. CODE §§ 64.2-1426, 64.2-426, 64.2-427
ESTATE OF
..........................................................................................................................................................................................................................
I,
................................................................................................................................................................................
, who qualified on the
.................................
day of
.........................................................................................
,
..................................
, as
[ ]
Personal Representative (defined in Virginia Code § 1-234)
[ ]
Trustee under a Will or Inter Vivos Trust
[ ]
Guardian
[ ]
Conservator of an Incapacitated Person
of the Estate of
...................................................................................................................................................................................................................
,
hereby consent to and appoint
...............................................................................................................................................................................
,
whose home address and home telephone number is
............................................................................................................................
........................................................................................................................................................................................................................................................
,
and whose work address and work telephone number is
...................................................................................................................
.....................................................................................................................................................................................................................................................
.
and who is a resident of the Commonwealth of Virginia to accept service of process in any action
against me in my fiduciary capacity, or any other notice with respect to administration of the estate in
my charge.
NOTE: The Clerk may require evidence of consent.
This
...................................................
day of
.............................................................................
, 20
.........................
.
__________________________________________________________________
PERSONAL REPRESENTATIVE/TRUSTEE/GUARDIAN/CONSERVATOR
State/Commonwealth of
.........................................................
[ ]
City
[ ]
County of
.................................................................
The foregoing instrument was subscribed and sworn to/affirmed before me this
...................................
day of
.........................................................................................
, 20
.........................
by
.................................................................................................................................................................................................................
.
PRINT NAME OF SIGNATORY
_________________________________________________________________
NOTARY PUBLIC (My Commission expires: .....................................................)
Registration No. ......................................................................................................
Witness:
___________________________________
CLERK/DEPUTY CLERK
FORM CC-1610 MASTER 10/12
