Free ______________________County, Colorado District Court - Colorado

District Court Denver Probate Court ___________________________________ County, Colorado Court Address:

In the Matter of the Estate of COURT USE ONLY Case Number:

Deceased Attorney or Party Without Attorney (Name and Address):

Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

Courtroom

NOTICE OF DISALLOWANCE OF CLAIMS PURSUANT TO §15-12-806, C.R.S.
To: (name of Claimant): (date)

The Personal Representative of this estate disallows the claim presented on as follows: all of your claim. $ of your claim in the amount of $

.

Failure to protest any disallowance by filing a Petition for Allowance of Claims or commencing a proceeding within 60 days after the mailing of this Notice shall result in your claim or the disallowed portion being forever barred.

Date: ___________________________

_____________________________________________ Signature of Personal Representative ____________________________________________ Print Name of Personal Representative ____________________________________________ Address ____________________________________________ City, State and Zip Code ____________________________________________ Phone Number

CERTIFICATE OF SERVICE
I certify that on
Full Name

(date) a copy of this Notice was served on each of the following:
Relationship to Decedent Address Manner of Service*

*Insert one of the following:

Hand Delivery, First-Class Mail, Certified Mail, E-Served or Faxed.

______________________________________ Signature
JDF 945 1/09 NOTICE OF DISALLOWANCE OF CLAIMS