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Insolvency Schedule Of Claims 24.4 - Ohio

Insolvency Schedule Of Claims Form. This is a Ohio form and can be used in Estates Probate Cuyahoga County (Court Of Common Pleas) .
 Fillable pdf Last Modified 6/13/2012
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PROBATE COURT OF CUYAHOGA COUNTY, OHIO ANTHONY J. RUSSO, PRESIDING JUDGE LAURA J. GALLAGHER, JUDGE ESTATE OF CASE NO. , DECEASED INSOLVENCY SCHEDULE OF CLAIMS [R.C. 2117.15, 2117.17, 2117.25] The fiduciary states that this Schedule of Claims lists all claims which are presented or secured. The claims are listed by classes and in the order of priority of payment pursuant to Section 2117.25 of the Ohio Revised Code. (Use extra sheets if necessary) _ Fiduciary Page _ of Pages [Note: Include a subtotal following each payment class and a grand total for all payment classes.] Name and Address of Claimant Payment Class Amount Claimed Estimated Payment Claim Rejected? Y/N 1. (1) ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ ______________________________________ __________ ____________ ________________ __________ Comments (Refer to Claim Number) FORM 24.4 - SCHEDULE OF CLAIMS Effective Date: January 1, 2012 American LegalNet, Inc. www.FormsWorkFlow.com
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