Free pc580.pmd - Michigan

Approved, SCAO

JIS CODE: NDC

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

FILE NO. NOTICE OF DISALLOWANCE OF CLAIM

Estate of TO:
Claimant name and address

Your written statement of claim dated in whole. in part as to

for $

is disallowed

. The entire claim portion of the claim that has been disallowed will be forever barred unless you start a civil action by filing a complaint against the fiduciary. Your complaint must be filed with the appropriate district, circuit, or probate court not later than 63 days after the mailing or delivery of this notice.
Date Signature of attorney Name of attorney (type or print) Address City, state, zip Telephone no. Bar no. Signature of fiduciary Name of fiduciary (type or print) Address City, state, zip Telephone no.

PROOF OF SERVICE I certify that on
Date

I served a copy of this notice on the claimant by

first-class mail at the address stated above. delivering it personally to the claimant. I declare under the penalties of perjury that this proof of service has been examined by me and that its contents are true to the best of my information, knowledge, and belief.
Date Signature of fiduciary/attorney

Do not write below this line - For court use only

PC 580 (9/07)

NOTICE OF DISALLOWANCE OF CLAIM

MCL 700.3806, MCL 700.5429, MCL 700.7507