Instructions
Clear Form
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.
Deceased/Ward Name Residence (city or town)
3.
Fiduciary is:
Executor
Administrator Special Administrator Administrator De Bonis Non Trustee
Ancillary Executor or Administrator Administrator With Will Annexed Guardian 4. Conservator
I hereby appoint as my agent to receive notice of claims against the estate of the deceased/ward, and service of process against me as fiduciary. Resident agent mailing address
Resident agent telephone number
Date
Fiduciary Signature
I accept appointment as resident agent.
Date
Resident Agent Signature
NHJB-2120-P (10/01/2006) (formerly AOC 009-003)
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