Form 4B-801. Proof of authority.

[For use with Rule 1B-201 NMRA] STATE OF NEW MEXICO COUNTY OF ____________________ PROBATE COURT IN THE MATTER OF THE ESTATE OF __________________________, DECEASED No. __________ PROOF OF AUTHORITY I, ____________________, domiciliary personal representative of the estate of the decedent (including a tribal court appointee designated by a tribal court or the Bureau of Indian Affairs), make the following statements and filings with the court so that I, as the personal representative, may exercise all the powers of a local personal representative for the estate of the decedent, as provided in Section 45-4-205 NMSA 1978, over assets located in ____________________ County, State of New Mexico. 1. ____________________, deceased, was domiciled in ____________________ County, State of ____________________, at the time of death on ____________________. 2. The decedent died (choose one) [testate] [intestate]. 3. By its order dated _______________, the court in ____________________ County, State of ____________________, opened the estate of the decedent in Case No. _______________ and appointed me (choose one) [personal representative] [tribal court appointee] of the estate of the decedent. An authenticated copy of the (choose one) [order] [tribal appointment] appointing me as (choose one) [personal representative] [tribal court appointee] is filed with this Proof of Authority. 4. I, the domiciliary foreign personal representative, was appointed and served (choose one) [with] [without] bond as (choose one) [personal representative] [tribal court appointee] of the estate of the decedent. An authenticated copy of the bond (if applicable) is filed with this Proof of Authority. 5. (Choose one) [Letters of Administration] [Letters Testamentary] [equivalent indicia of authority from a tribal court or the Bureau of Indian Affairs] was/were issued on ____________________. An authenticated copy of the (choose one) [Letters of Administration] [Letters Testamentary] [equivalent indicia of authority from a tribal court or the Bureau of Indian Affairs] is filed with this Proof of Authority. 6. My address is ______________________________________________. 7. No local administration or application or petition for a local administration is pending in the State of New Mexico. I affirm under penalty of perjury under the laws of the State of New Mexico that all of the above statements are true and correct. ___________________________________ Domiciled foreign personal representative (including a tribal court appointee) (signature) ___________________________________ Printed name ___________________________________ Date ___________________________________ Address ___________________________________ City, state, and ZIP Code ___________________________________ Telephone number (optional) ___________________________________ Email address (optional)