4.4
Notice of Claim in Accordance with 20 Pa. C.S.A. §3532(b)(2)

 
 
 
 
[A printed form is available from the office of the Clerk of the Orphans' Court Division]
 
 
Estate of _________________________, Deceased
 
 
No._____________ of 20____
 
 
Notice of claim by __________________________
 
filed pursuant to Section3532(b)(2), of the PEF Code
 
To the Clerk of the Orphans' Court:
 
Enter the claim of  
in
 
(Claimant)
 
 
the amount of $_________________________ , against the above referenced estate.
 
The Decedent, who resided at  
,
 
(Address)
 
 
Philadelphia, died on   . Written notice of this claim was given to
(Date)
 
 
  , if known to claimant, at
(Personal representative, or counsel)
 
 

, on
(Address)
 
  .  
(Date)
   
   
  (Claimant)
  (Address)
   
   
 

(Claimant's Counsel)

  (Address)
 
Note: Claimant must file a letter to withdraw a claim that has been settled.
 
 
 
 
4.1 | 4.2 | 4.3 | 4.4 | 4.5 | 4.6 | 4.7 | 4.8 | 4.9