Appointment Of Resident Process Agent {E-500}

STATE OF NORTH CAROLINA County IN THE MATTER OF THE ESTATE OF: File No. In The General Court Of Justice Superior Court Division Before The Clerk Name Of Decedent/Incompetent APPOINTMENT OF RESIDENT PROCESS AGENT G.S. 28A-4-2(4); 35A-1213(b) I, the qualified personal representative or guardian of the above named estate, submit to the jurisdiction of the North Carolina Courts in the above captioned matter, and appoint the resident process agent named below on whom may be served citations, notices and processes in all actions or proceedings with respect to this estate. Name, Street Address, PO Box, City, State And Zip Code Of Resident Process Agent Date Name Of Personal Representative Or Guardian (Type Or Print) Telephone County Of Residence Signature Of Personal Representative Or Guardian ACCEPTANCE OF APPOINTMENT I accept this appointment as resident process agent for the above named personal representative or guardian, and agree to notify the personal representative or guardian of all citations, notices and processes served on me as his resident process agent. SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Date Name Of Resident Process Agent (Type Or Print) Signature Of Resident Process Agent Deputy CSC Notary Assistant CSC Clerk Of Superior Court Date My Commission Expires County Where Notarized SEAL AOC-E-500, Rev. 1/14 © 2014 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com