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Written Statement Of Claim 34 - Vermont
| Written Statement Of Claim Form. This is a Vermont form and can be used in Probate Court Statewide . |
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Probate Court Form No. 34 Written Statement of Claim STATE OF VERMONT PROBATE COURTDISTRICT OF _______________________ IN RE THE ESTATE OF DOCKET NO. _________________________________________________ LATE OF ______________________ WRITTEN STATEMENT OF CLAIM Directions: Describe in the space provided below your claim agt the abovains e named estate. The statement must includethe basis of the claim, the amount claimed, and a written description of the claim. You must attach a copyof any documentation. If the claim is contingent or unliquidated, the nature of the uncertainty must bedescribed. If the claim is secured, you must describe the security. You must file this claim by deliveringor mailing it to the executor or administrator of the estate ailingnd f a duplicate with the Register of theProbate Court. Name and Address of Executor or Administrator: Name: ___________________________________ Address: _________________________________ _________________________________________ Telephone: (____) _________________________ Address of Probate Court: Probate Court, District of _______________________ _______________________ _______________________ _______________________ Dated: __________________________ Signed _________________________________ Print Name: _____________________________ Address: __________________________________ _______________________________________ Telephone: (____) ________________________
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