4B-105

STATE OF NEW MEXICO

IN THE PROBATE COURT

_______________ COUNTY

                                                                                                            No. ___________

IN THE MATTER OF THE ESTATE OF

______________________, DECEASED.

ACCEPTANCE OF

APPOINTMENT AS PERSONAL REPRESENTATIVE

(WILL) (NO WILL)¹

STATE OF NEW MEXICO              )

                                                            )ss.

COUNTY OF ______________        )

I, ____________________________, accept the duties of personal representative of the Estate of ___________________ (name of decedent), and agree to perform the duties of the office to the best of my abilities according to the law.

________________________________

Signature of applicant

________________________________

Printed name

________________________________

Street address

________________________________

City, state and zip code

________________________________

Telephone number

SIGNED AND SWORN TO before me this ____ day of ________________, ____ by __________________.

___________________________                              My commission expires:

Notary Public                                                 _______________________

(Seal)

USE NOTE

1.         See Section 45-3-307 NMSA 1978 and Section 45-3-601 NMSA 1978 for acceptance of appointment of personal representative.