FLSSI Probate > Opening Formal Administration
Statement Of Claim P-3.1010 - FLSSI Probate
| Statement Of Claim 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. STATEMENT OF CLAIM BY The undersigned hereby presents for filing against the above estate this statement of claim and alleges: 1. 2. The basis for the claim is . The name and address of the claimant are and the name and address of the claimant's attorney, if any, are as set forth below. 3. 4. The amount of the claim is $ , which . amount is now due, or, if not due, will become due on of the uncertainty is 5. The claim (is) (is not) secured. If secured, the security consists of The claim (is) (is not) contingent or unliquidated. If contingent or unliquidated, the nature 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 Claimant Email Addresses: ______________________________________ ______________________________________ Claimant Copy mailed to attorney for Personal Representative on ____________________________, _______. Florida Bar No. CLERK OF THE CIRCUIT COURT By: ________________________________ (address) Telephone: [Print or Type Names Under All Signature Lines] MUST BE FILED IN DUPLICATE Bar Form No. P-3.1010 © Florida Lawyers Support Services, Inc. Revised January 1, 2013
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