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Probate Court DATE FILED APPOINTMENT OF AGENT · APPOINTMENT OF AGENT RIGL 33-18-9 PC-3.5 ( Rev. 10/17) State of Rhode Island and Providence Plantations Probate Court Page 1 of 1

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Text of Probate Court DATE FILED APPOINTMENT OF AGENT · APPOINTMENT OF AGENT RIGL 33-18-9 PC-3.5 ( Rev....

  • I the undersigned, respectfully represents that:FiduciaryName

    Street Address

    City/Town State Zip Code

    Email Phone Number

    as Executor Administrator Guardian Other:

    hereby duly appoints and designates:ResidentAgent NameStreet Address

    City/Town State Zip Code

    Email PhoneNumber

    in said State of Rhode Island as my agent, and I do hereby stipulate and agree that the service of any legal process against me as such fiduciary if made or acknowledged by said agent, shall be of the same legal effect as if made upon me personally with said State of Rhode Island.Signature of Fiduciary Date

    I hereby accept the above appointment:Signature of Resident Agent Date

    DATE FILEDFOR

    COURT USE ONLYAPPOINTMENT OF AGENT

    RIGL 33-18-9

    PC-3.5 ( Rev. 10/17)

    State of Rhode Island and Providence PlantationsProbate Court

    Page 1 of 1

    STATE OF RHODE ISLANDCounty of

    Estate of

    Alias

    PROBATE COURT OF THECity or Town of

    No.

    FIDUCIARY SIGN HERE

    RESIDENT AGENT SIGN HERE

    http://webserver.rilin.state.ri.us/Statutes/TITLE33/33-18/33-18-9.HTM

    Combo Box 4: [Select County]3: 4: Combo Box 5: [Select City or Town]6: 7: 8: 9: 10: 15: 16: 17: 18: 19: 11: 22: 23: 14: 12: 13: 20: 21: Check Box1: OffCheck Box2: OffCheck Box3: OffCheck Box4: Off