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District Court <br />Delta County, Colorado <br />Court Address: 501 Palmer Street, Delta, CO 81416 <br />COURT USE ONLY <br />In the Matter of the Estate of: <br />HAROLD JAMES BRANDSTADT, a /k/a HAROLD J. BRANDSTADT, <br />a /k/a HAROLD BRANDSTADT <br />Deceased <br />Attorney or Party Without Attorney (Name and Address): <br />Aaron R. Clay <br />Clay and Dodson, P.C. <br />PO Box 38, Delta, CO 81416 <br />Phone Number: 970 - 874 -9777 E -mail: <br />FAX Number: 970 - 874 -7224 Atty. Reg. #: 9666 <br />Case Number: 11 PR <br />Division P Courtroom <br />ACCEPTANCE OF APPOINTMENT <br />uit-t1 �5 <br />I accept appointment to, and agree to perform the duties and discharge the trust of, the office of: <br />Date: <br />DI <br />Personal Representative. <br />USpecial Administrator. <br />❑Other: <br />I submit personally to the jurisdiction of this Court in any proceeding relating to this matter. <br />JDF 911 9/08 ACCEPTANCE OF APPOINTMENT <br />Signature <br />Print Name <br />Address <br />Gary Brandstadt <br />516 B Estate Street <br />Grand Junction CO 81504 <br />City, State, Zip Code <br />970 -241 -4515 <br />(Area Code) Home Telephone Number <br />Note: This form is for Decedent Estate matters only. For Guardianships and Conservatorships matters use the <br />Acceptance of Office (JDF 805). <br />