Appointment Of Resident Agent {NHJB-2120-P}

THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) APPOINTMENT OF RESIDENT AGENT 1. Fiduciary Name Mailing Address Telephone 2. Attorney Name Mailing Address Telephone Bar ID# 3. Deceased/Ward Name Residence (city or town) 4. Fiduciary is: Executor Administrator Special Administrator Administrator De Bonis Non Trustee Ancillary Executor or Administrator Administrator With Will Annexed Guardian 5. Conservator as my agent to receive notice of I hereby appoint claims against the estate of the deceased/ward, and service of process against me as fiduciary. Resident agent mailing address Resident agent telephone number Bar ID# (only if applicable) Date Fiduciary Signature I accept appointment as resident agent. Date NHJB-2120-P (03/30/2011) Resident Agent Signature Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com