Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Deceased
Designation Of Resident Agent 520-D - Missouri
| Designation Of Resident Agent Form. This is a Missouri form and can be used in Deceased Probate 7th Circuit (Clay County) Local Circuit Courts . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No._____________________ Matter of _____________________________________, Deceased. DESIGNATION OF RESIDENT AGENT I, _______________________________________, residing at , desiring to serve as Personal Representative of the above named decedent, pursuant to Sec. 473.117 RSMo., hereby appoint, , as my agent for service of process upon me and for the receipt of all notices to me within the State of Missouri concerning said estate. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. Date:_____________________ _________________________________________ Personal Representative ACCEPTANCE OF APPOINTMENT AS RESIDENT AGENT I, _______________________________, residing at , Missouri, Telephone Number , having been appointed pursuant to Sec. 473.117 RSMo., to act as agent for service of process on and receipt of notice to , within the State of Missouri, concerning the above estate, hereby acknowledge such appointment and consent to act as such agent. THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO THE PENALTIES OF MAKING A FALSE AFFIDAVIT OR DECLARATION. Date Resident Agent Form 520-D Page 1 of 1 Revised 3/17/2003
|
|||||||
