Nevada > County > Washoe > District Court > Miscellaneous
General Claim 1768 - Nevada
| General Claim Form. This is a Nevada form and can be used in Miscellaneous District Court Washoe County . |
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1 CODE 1768 2 3 4 5 6 IN THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 7 IN AND FOR THE COUNTY OF WASHOE 8 9 IN THE MATTER OF THE ESTATE OF 10 11 Case No. 12 Deceased. Dept. No. __________________________________/ 13 14 15 GENERAL CLAIM 16 Claim of _________________________________, ________________________________ NAME ADDRESS17 The undersigned creditor of the above-named deceased presents this claim 18 against the deceased, a statement of which is attached, marked "A". 19 20 $ 21 ________________________________________________________________________ 22 ________________________________________________________________________ 23 ________________________________________________________________________ 24 ________________________________________________________________________ 25 ________________________________________________________________________ 26 ________________________________________________________________________ 27 28 JUD 46 (Rev 8/99) <<<<<<<<<********>>>>>>>>>>>>> 2 1 STATE OF NEVADA ) 2 ) ss. COUNTY OF WASHOE ) 3 The undersigned, being duly sworn, says: that ______ he/she is the ________ 4 creditor named in and who makes the foregoing claim against the Estate of _____________ 5 _________________________________________, deceased, that the amount of said claim, 6 to wit: the sum of ___________________________________ Dollars, is justly due to said 7 claimant; that no payments have been made which are not credited, and there are no offsets 8 to the knowledge of this affiant; that affiant has personal knowledge of all the facts of said 9 claim. 10 ______________________________11 SUBSCRIBED AND SWORN to before me 12 this ______ day of ________________, 20____. 13 ____________________________________ 14 NOTARY PUBLIC 15 The within claim is __________________ for $ ________ this ______ day of _________, 16 (APPROVED) (DISAPPROVED) 20____. 17 ______________________________18 EXECUTOR OR ADMINISTRATOR19 Allowed and approved for $_______________ this ______ day of _______________, 20____.20 21 ______________________________22 DISTRICT JUDGE23 24 25 26 27 (NOTE: Mail copy to attorney for Estate)28 - 2 -
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