Appointment Of Agent {PC-3.5}

I the undersigned, respectfully represents that:FiduciaryNameStreet AddressCity/TownStateZip CodeEmailPhone Numberas Executor Administrator Guardian Other:hereby duly appoints and designates:ResidentAgent NameStreet AddressCity/TownStateZip CodeEmailPhoneNumberin said State of Rhode Island as my agent, and I do hereby stipulate and agree that the service of any legal process personally with said State of Rhode Island.Signature of FiduciaryDateI hereby accept the above appointment:Signature of Resident AgentDate DATE FILEDFORCOURT USE ONLY APPOINTMENT OF AGENTRIGL 33-18-9PC-3.5 ( Rev. 10/17) State of Rhode Island and Providence PlantationsProbate CourtPage 1 of 1 STATE OF RHODE ISLANDCounty ofEstate ofAlias PROBATE COURT OF THECity or Town ofNo. SIGN HERE American LegalNet, Inc. www.FormsWorkFlow.com