Free Form OC-07 - rev. 10-13-06 - Notice of Claim.pdf - Pennsylvania


File Size: 25.9 kB
Pages: 1
Date: November 14, 2006
File Format: PDF
State: Pennsylvania
Category: Court Forms - Local
Word Count: 101 Words, 638 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.pacourts.us/NR/rdonlyres/E1C0C1C8-8D3E-46B3-ADBE-EBB4F847A04B/0/OCRFormOC07.pdf

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NOTICE OF CLAIM
(Filed Pursuant to 20 Pa.C.S. ยง 3532)

COURT OF COMMON PLEAS OF COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION

ESTATE OF No.

, DECEASED

To the Clerk of the Orphans' Court Division: Enter the claim of
(Claimant)

in the , against the above entitled Estate.

amount of $

The Decedent, who resided at
(Street Address)

, died on
(Date of Death)

. Written notice of

said claim was given to
(Personal Representative or his/her counsel)

at
(Address)

on
(Date)

.
(Claimant)

(Street Address)

(City, State, Zip) (Claimant's Counsel) (Supreme Court I.D. No.)

(Address)

(Telephone)

Form OC-07 rev. 10.13.06