In the Chancery Court of Coffee County, Tennessee
CONSENT TO APPOINTMENT OF PERSONAL REPRESENTATIVE WITHOUT BOND OR NOTICE OF HEARING
IN THE ESTATE OF:
Deceased
I am one or more of the following [select all that apply]:
Adult beneficiary of the deceased person.
Heir at law of the deceased person.
Power of attorney for an adult beneficiary of this estate whose name is
Power of attorney for an adult beneficiary of this estate whose name is
1
Conservator of an adult beneficiary of this estate whose name is
Conservator of an adult beneficiary of this estate whose name is
2
Guardian of a minor beneficiary of this estate whose name is
Guardian of a minor beneficiary of this estate whose name is
3
Custodian of a minor beneficiary of this estate whose name is
Custodian of a minor beneficiary of this estate whose name is
4
Parent of a minor beneficiary of this estate whose name is
Parent of a minor beneficiary of this estate whose name is
5
I consent to the appointment of
I consent to the appointment of
6
I DO NOT consent to the appointment of
I DO NOT consent to the appointment of
7
I do not require the Personal Representative to obtain a bond.
I do not require notice of a hearing on this matter.
This day of
-
Month
-
Day
Year
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PRINT NAME:
ADDRESS:
Signature
State of
County of
Sworn to and subscribed before me, this day of
-
Month
-
Day
Year
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I certify under penalty of perjury that the foregoing is true and correct.
Signature
Notary Public / Deputy Clerk
My Commission Expires:
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