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Personal Representatives Proof Of Claim (Debts To Be Paid) P-3.1002 - FLSSI Probate
| Personal Representatives Proof Of Claim (Debts To Be Paid) Form. This is a FLSSI Probate form and can be used in Opening Formal Administration . |
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IN THE CIRCUIT COURT FOR FLORIDA IN RE: ESTATE OF COUNTY, PROBATE DIVISION File No.__________________ Division ___________________ Deceased. PERSONAL REPRESENTATIVE'S PROOF OF CLAIM (debts to be paid) The undersigned, as personal representative of the above estate, intends to pay the following debts of the decedent: 1. Name of creditor: Address: Basis of claim: Security: Contingent Unliquidated Matured Unmatured [Check the above which apply] Amount: 2. Name of creditor: Address: Basis of claim: Security: Contingent Unliquidated Matured Amount: Unmatured [Check the above which apply] 3. Name of creditor: Address: Basis of claim: Security: Contingent Unliquidated Matured Amount: Unmatured [Check the above which apply] Bar Form No. P-3.1002 -1 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2013 Any objection to a claim listed as to be paid shall be filed no later than 4 months from first publication of the notice to creditors or 30 days from the date of filing of the proof of claim, whichever occurs later. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on , . Attorney for Personal Representative Email Addresses: _______________________________________ _______________________________________ Florida Bar No. Personal Representative (address) Telephone: I certify that a copy hereof has been furnished to by on , . Attorney for Personal Representative [Print or Type Names Under All Signature Lines] Bar Form No. P-3.1002 -2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2013
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