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Claim Against Estate PR-1819 - Wisconsin
|Claim Against Estate Form. This is a Wisconsin form and can be used in Probate Circuit Court Statewide .||
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STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Amended For Official Use IN THE MATTER OF THE ESTATE OF Claim Against Estate Informal Administration Formal Administration Case No. UNDER OATH I STATE: 1. I, (Name) of (City) , State of . See attached 2. The nature and amount of this claim is: (If claim is based on a written document, attach a complete copy.) Amount of Claim Nature of Claim $ TOTAL $ 3. This amount is due. not yet due and will or may become due on (Date) . 4. No payments were made on this claim which are not credited, and there were no offsets except: 5. If the decedent was survived by a spouse, the classification of the obligation under §766.55(2), Wisconsin Statutes is as follows: A. Support obligation owed spouse or child. B. Obligation incurred in the interest of the marriage. C. Obligation incurred prior to marriage or prior to January 1, 1986. D. Tort. E. Other: State of County of Subscribed and sworn to before me on Claimant Name Printed or Typed Notary Public/Court Official Address Name Printed or Typed My commission/term expires: Telephone Number Form completed by: (Name) Date Address Telephone Number Bar Number (If any) NOTE: A statutory filing fee of $3.00 shall accompany each claim filed. PR-1819, 10/10 Claim Against Estate (Informal Administration and Formal Administration) Chapter 859, §766.55, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkFlow.com This form shall not be modified. It may be supplemented with additional material.