Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Lawyer’s Bar Number:
Licensed Fiduciary Number: ______________________________________
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
In the Matter of the Estate of:
Case Number: PB
WAIVER OF RIGHT TO APPOINTMENT
AS PERSONAL REPRESENTATIVE AND
an Adult a Minor, deceased CONSENT TO APPOINTMENT OF
PERSONAL REPRESENTATIVE
THE UNDERSIGNED PERSON STATES AS FOLLOWS:
1. I am: (check one box)
(Check only if there is NO Will) an heir of the decedent's estate without a Will or
(Check only if there IS a Will) a person named in the decedent's Will.
2. I have priority for appointment as Personal Representative of this estate under A.R.S. 14-3203 because:
(check which box applies)
(Check only if there IS a Will) I am named as Personal Representative in the Will of the person
who died;
(Check only if there IS a Will) I am the surviving spouse of the person who died and I am named
in the Will;
(Check only if there IS a Will) I am another person named in the Will of the person who died;
I am the surviving spouse of the person who died;
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County PBIP11f 050115
ALL RIGHTS RESERVED Page 1 of 2 Use most current version
WAV
Case No.____________________
I am another person entitled to inherit the property of the person who died because (explain)
_______________________________________________________________________________
3. I waive and want to give up any right I have to appointment as the Personal Representative of this estate.
4. I consent to the appointment of (name) as
Personal Representative of the estate.
Signature
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this: by
(date)
.
(notary seal) Deputy Clerk or Notary Public
© Superior Court of Arizona in Maricopa County PBIP11f 050115
ALL RIGHTS RESERVED Use most current version
WAV
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